Bursitis is the inflammation of one or more bursae (small sacs) of synovial fluid in the body. They are coated with a synovial membrane that secretes the synovial fluid of the lubricant. There are over 150 exchanges in the human body. The bursae rests at points where internal functionaries, such as muscles and tendons, slide on the bone. A healthy store creates a smooth, almost non-frictionless surface that makes normal movement painless. When bursitis occurs, movements that rely on an inflamed burgeon become difficult and painful. In addition, the movement of tendons and muscles above the inflamed bursa exacerbates the inflammation, perpetuating the problem. Muscles can also strain.
Video Bursitis
Signs and symptoms
Bursitis generally affects the superficial exchange. These include subacromial, prepatellar, retrocalcaneal, and pes anserinus bursae from the shoulders, knees, heels and shins, etc. (see below). Symptoms vary from warmth and localized erythema to pain and joint stiffness, to the stinging pain that surrounds the joints around the inflamed bursa. In this condition, the pain is usually worse during and after the activity, and then the exchanges and the surrounding joints become stiff the next day.
Maps Bursitis
Cause
There are several causes together. Trauma, auto-immune disorders, infection and iatrogenic (drug-related) can cause bursitis. Bursitis is generally caused by repetitive motion and excessive pressure. Shoulders, elbows and knees are the most commonly affected. Inflammation of the bursae may also be caused by other inflammatory conditions such as rheumatoid arthritis, scleroderma, systemic lupus erythematosus and uric acid. Immune deficiencies, including HIV and diabetes, can also cause bursitis. Rarely, scoliosis can cause bursitis on the shoulders; However, shoulder bursitis is more commonly caused by excessive use of the shoulder and muscle joints associated.
A traumatic injury is another cause of bursitis. Inflammation irritates because the bursa no longer fits in the original small area between the bone and muscle or tendon. When the bone increases the pressure on the bursa, bursitis occurs. Sometimes the cause is unknown. It can also be associated with other chronic systemic diseases.
Diagnosis
Type
The most common example of this condition:
- Prepatellar bursitis, "knee helper"
- Infrapatellar bursitis, "pastor's knee"
- Trochanteric bursitis, giving pain to the lateral aspect of the hip
- Olecranon bursitis, "student elbow", characterized by pain and swelling at the elbow
- Subacromial bursitis, providing shoulder pain, is the most common form of bursitis.
- Achilles bursitis
- Retrocalcaneal bursitis
- Iskial bursitis, "bottom of weaver"
- Iliopsoas bursitis
- Anserine bursitis
Treatment
It is important to distinguish between infected and uninfected bursitis. People may have cellulitis and nearby systemic symptoms including fever. The stock must be sucked in order to get rid of the infection process.
Uninfected Exchangee can be treated symptomatically with rest, ice, elevation, physiotherapy, anti-inflammatory drugs and painkillers. Because bursitis is caused by increased friction from adjacent structures, compression bandages are not recommended because compression will create more friction around the joint. Chronic bursitis may receive bursectomy and aspiration. The infected Exchangee requires further investigation and antibiotic therapy. Steroid therapy may also be considered. In cases where all conservative care fails, surgical therapy may be necessary. In stock bursectomy cut either endoscopically or with open operation. Stocks grow back after a few weeks but without the inflammatory component.
See also
- Calcification bursitis
References
External links
- Bursitis Treatment from NHS Direct
- Questions and Answers about Bursitis and Tendinitis - US National Institute of Arthritis and Musculoskeletal and Skin Diseases
Source of the article : Wikipedia