Treatment of bursitis prepatellar
Prepatellar bursitis is a serious condition of the knee caused by inflammation of the joint capsule. In this disease there is swelling in the affected joint, pain when moving the knee. The Bursa is a membrane of a joint, which consists of thin fabrics. It is necessary to ensure sliding of the bone surfaces. Prepatellar bag, in turn, provides the movement of the skin over the patella.
causes of prepatellar bursitis
The Disease can be caused by many reasons. Impact or fall of the Bursa may rupture, leading to hemorrhage. When palpirovanie damaged the joint capsule can detect a small bump filled with fluid. The presence of blood in the Bursa causes inflammation, which leads to the thickening of the joint capsule. Subsequently, the fabric becomes susceptible to minimal mechanical influence and overcooling. It becomes the cause of bursitis transition in the chronic phase.
Bursitis and can begin with long-term knee contact with a solid surface, resulting in compression of the tissue prepatellar bags. When the first signs of bursitis it is necessary to exclude this condition. Sometimes bursitis can be caused by infectious skin diseases tribes. Infection, penetrating into the Bursa, causing pain, swelling, joint capsule, redness of the affected area.
the Main symptoms, pathology, diagnosis
bursitis occurs When swelling in the knee, pain when walking. Pain increases on palpation of the joint capsule. The disease does not allow to fully rely on the leg. In some cases inflammatory swelling may be accompanied by the presence of lumps, which indicates a thickening of the walls prepatellar bags. With the active development of inflammation the amount of fluid increases, which leads to an increase of the Bursa. This will change and the appearance of the joint.
Upon accession of infection of the affected area is severely swollen, there is a local increase in temperature. On the background of local inflammatory process worsens and overall health: there is fever, weakness, is changing the composition of the blood. These signs indicate the need for urgent surgical intervention. Surgical treatment consists in opening and draining the joint capsule.
Usually the diagnosis is made on the basis of the most prominent symptoms. If you experience post-traumatic swelling recommended to perform x-ray examination to exclude fractures and cracks of bones. Prepatellar for the diagnosis of bursitis does not require special analyses and methods.
If you suspect the presence of infection doctor may order a biopsy to study the selected material in the presence of the pathogen. This helps to identify not only the infection, but also to select the appropriate antibiotic.
How to treat the disease
Bursitis can be treated both surgically and medically. When large quantities of liquid, it is removed through a puncture or small incision. Procedures should be performed in the operating room because the risk of infection is quite high. After the operation the patient is impose a sterile bandage. Prepatellar chronic bursitis can lead to disability. Simple everyday actions begin to cause serious difficulties.
Treatment usually begins with the elimination of the inflammatory process. To do this, the doctor prescribes a nonsteroidal anti-inflammatory drugs. When you puncture in some cases in joint bag is injected with a small dose of steroids and rapidly resolves inflammation. Treatment includes physiotherapy and methods of therapy, for example, UHF, treatment with heat or cold. Infectious bursitis should be treated under the constant supervision of a physician. With the rapid development of infection in the joint capsule required her autopsy and subsequent rinsing with antiseptic solution.
To drain the fluid, the doctor can leave in the cavity of the bag drainage tube. After that, in many cases there is a rapid elimination of infection and wound healing.
If drug treatment does not bring positive result, your doctor may recommend removal of a Bursa.
Usually, this operation is assigned already in advanced forms of the disease, when thickened articular bag prevents movement of the joint.
The Bursa is removed through a small incision in the knee. Inflamed, enlarged tissue is completely removed, then the joint bone should remain smooth. If the bone surfaces of the growths removed, the surface of the patella level. After surgery, the incision is sutured in layers, knee joint ensures complete immobility. The recovery period includes the formation ofnew joint of the shell, this is due to the movement of skin over patella. A new Bursa will have walls of normal thickness.
Rehabilitation includes physiotherapy, wherein the intensity is adjusted individually. Some exercises can be performed after discharge from hospital at home. The recovery period lasts about a month, after which the patient can return to normal life. To rely on the knee is not recommended within 2-3 months. Non-infectious bursitis can pass by itself, without any treatment.
To ensure that the disease does not recur, you need to learn how to distribute the load on the joints. Before exercise is recommended warm-up. When doing traumatic sports don't forget protective pads. Promptly treat even small wounds and abrasions with hydrogen peroxide or iodine.