What makes a noticeable bursitis?
All acute bursitis have as a common feature of the pain.
In addition, there can be swelling, redness, warmth, joint effusion and restriction of movement.
What tasks have bursa (Bursa)?
The bursa consists of loose connective tissue and mucosa. They form a sliding layer between two joints, which move against each other. This information is protected against friction damage. They are also a kind of cushion for bones projecting outward dar.
Another important function is to protect against pressure load, they present for the extremely sensitive periosteum.
Where does the most to the bursitis?
A Buristits usually develops on Hüfgelenk, elbow, knee or shoulder. But it can also occur in other joints.
What causes bursitis?
On the shoulder of the bursa is located below the socket. If this space is constricted, eg by a sports injury to the bursa-device thus under pressure. As a result, he is irritated and can ignite.
Then the swollen bursa to by the inflammatory process and need more space. The result is pain in some arm movements, as when lifting the arm to the already limited space in Subacrominalbereich narrowed even more.
At the knee bursitis are both under and in front of the kneecap.
This allows a largely frictionless gliding of the tendons with flexion and extension movements. In the practice of kneeling activities (for example, as flooring), the bursa extremely burdened by the pressure and can ignite in the sequence.
At the elbow joint of the bursa in the joint is mounted outside. The most common causes of bursitis at this point are injuries or bruises, which may even lead to chronic bursitis.
As further controls shall also be mentioned here, the pressure loads.
Typical triggers bursitis:
- Mechanical irritation
- Overstressing
- Injuries
- Bacterial infections ()
- Rheumatic diseases, arthritis, gout
What are the treatment options are there?
Before a bursitis is treated, first you the exact cause can be found. It is important that other potential diseases can be excluded as a trigger.
In the early stages of bursitis is usually well treated conservatively. This means that the elevation and immobilization with cast or splint often provides relief.
Also the cooling is a useful measure.
The high-energy focused shock wave is also a very successful form of treatment.
Anti-inflammatory analgesics contribute to the alleviation of pain, swelling and irritation.
Be effusion puncture or a local treatment with corticosteroids is recommended.
If it is a bacterial bursitis, the administration of antibiotics is indicated.
If the bursitis with conservative treatment methods are not significantly improved or it is already chronic, is only the operation in question.
This has been in open technology that is a cut above the inflamed tissue performed. In the bursa is removed. (In a purulent bursitis before even the bursa must be flushed daily, before it can be removed.)
For some time we turn around in the joint-Clinic on an endoscopic technique that we developed specifically further. With this minimal intervention of postoperative pain is less, reduced the risk of infection and the recovery is accelerated.
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