Bursitis of the knee is considered not too common disease, but it must know all, who have a high risk of leg injuries. Bursitis of the knee joint, the symptoms and treatment of which are characterized by certain specifics, is an inflammation of the synovial bags, or so-called Bursa. What are the manifestations reveal this pathology and how is it treated?
Symptoms of bursitis of the knee
To determine the signs of illness and be able to distinguish them from other manifestations, it is necessary to understand the reasons why it develops. This will allow more to understand what is bursitis of the knee what are the symptoms and treatment of the disease, how to take therapy to eliminate inflammation and restore the health of the joint.
The main causes of bursitis are associated with injuries, infections, elevated physical activity, the specificity of professional activity. The risk of developing the disease increases obesity, arthritis and arthrosis (they can provoke a reactive form of the disease), metabolic disorders. Trauma or heavy load on the joints cause inflammation in the Bursa, and it is a fluid filled sack that reduces pressure on the joints and secretes the lubricant that provides the best slide its moving parts.
As a result of the inflammatory process periarticular bag filled with excess fluid. She squeezes the surrounding tissue and causes swelling in the joint, characterized by pain and redness. The knee joint is synovial more than a dozen bags, each of which can affect inflammation. Depending on what is damaged, bursitis bursae of the knee joint has a different localization.
If inflammation develops front and top of the patella, is diagnosed suprapatellar or prepatellar form of the disease, and below it is infrapatellar. Inflammation of the bursae called «goose’s foot», located on the inner side of the knee is typical of bursitis interesovalo. All of these types of bursitis of the knee joint have their own specific symptoms and characteristics of the development.
A distinctive feature of this form of bursitis is the presence of round painless swelling in the upper area of the knee joint. It has a soft texture and has a size of not more than 10 cm. Suprapatellar bursitis of the knee is accompanied by decreased mobility of the knee, General malaise, and often fever.
This type of disease is characterized by the appearance of painful swelling or severe swelling in the patella, that is over the kneecap. During flexion and extension of the knee is observed pain, worse at high loads, but sometimes it may be absent. With the development of the disease the mobility of the joint is highly disturbed. Compared to other varieties of the disease, prepatellar type often becomes chronic.
This type of bursitis affects the periarticular bag, located under the patella. He is most prone to athletes because they have a high risk of knee injury while running or jumping. Infrapatellar bursitis is often ill-defined symptoms. While it may appear only a minor pain in the knee joint that occurs when walking or standing, occasionally observed swelling or stiffness of the knee.
Treatment of bursitis of the knee joint at home
Choosing than to treat bursitis of the knee at early stages of development, experts are leaning toward conservative methods. These include providing rest to the affected joint, application of cold compresses, using anti-inflammatory ointments, pain relievers. If the bursitis is infectious in nature, the patient is prescribed antibiotic therapy.
When the synovial bag accumulates a large amount of fluid, your doctor may offer the patient surgical drainage. This procedure is performed by pumping fluid from the Bursa with a syringe. After its removal the cavity of the bag is treated with antibiotic. Surgical removal of Bursa is used only in severe cases, when the inflammation has progressed so much that pain it conservative is no longer possible.
Folk treatment of the disease is permissible only after consultation with a specialist. Bursitis of the knee, its symptoms and treatment, have specific characteristics, so the choice of therapies must be done by a doctor after careful diagnosis. To eliminate pain and inflammation entirely permissible to use proven traditional recipes. However independently to diagnose the disease according to photos on the Internet and be accepted for treatment without resorting to professional help is extremely dangerous.
For treatment of bursitis of the popular methods used salt and cabbage poultices, lotions of Kalanchoe or infused with alcohol, propolis, decoction of yarrow, St. John’s wort, burdock. Lot of attention pays traditional medicine issues such as food, in the bursitis of the knee. It is believed that faster to cure the disease helps eating food that is rich in vitamins a, C, E and zinc.
Conservative treatment of knee bursitis may include the use of nonsteroidal anti-inflammatory drugs in the form of ointments: «Voltaren», «Fastum-gel», «Indovazin», «Diclofenac». As additional drugs may be used to the ointment «Apizartron», «Millionen», «Capoterra», Traumeel, compresses with Dimexidum, camphor ointment, ointment Vishnevsky.
While bursitis can be prescribed anti-inflammatory drugs for oral administration: drugs based on ibuprofen, phenylbutazone, diclofenac, Ketoprofen. At spasms of the muscles used muscle relaxants, such as diazepam or baclofen. To relieve acute pain are injections of corticosteroids: diprospan, hydrocortisone, methylprednisolone.
If necessary, the use of antibiotic therapy the patient was prescribed a course of penicillin, macrolide or cephalosporin antibiotics. Selection of a particular drug is carried out taking into account the severity of the inflammatory process and origin of infection. At mild to moderate stage of the disease is often prescribed for oral administration, and in more complex cases, doing intramuscular injections.
Therapeutic exercises in the treatment of bursitis of the knee is assigned only after complete relief of the inflammatory process. Particular importance is given to exercise therapy in cases where the joint has been immobile for a long time. Individually selected by the specialist the complex of exercises helps to restore the normal functionality of the knee joint and prevent the appearance of pathological changes in its structure.
Video: how to treat bursitis of the knee
Themed videos offer a lot of additional information about the characteristics of the disease. They are experts who not only listed, but also demonstrate effective methods of treatment of bursitis affecting the knee joint, as well as tell you how to get rid of acute symptoms of swelling, pain, inflammation.
Vitali, 37 years: After the impact I developed post-traumatic bursitis. For 10 days was prescribed compresses with Dimexidum, but there was no improvement so was sent to puncture the synovial fluid. After her tumor began to pass, was smeared «Ketorol» and went 5 days on injections. Helped, bursitis disposed generally fast, although initially configured for a long treatment.
George, 32 years: bursitis Earned after several years of training. Treat was a long, because after the injection of «Diprospan» liquid in the joint has continued to accumulate. Repeated injection, prescribed ointment and NSAIDs inside. A bump on the knee is not passed, though not been sick. Only when the puncture after another began to wear a special knee appeared to improve.
Elena, 23 years: was Treated for bursitis below the knee «Voltaren», applied bandages, went to physical therapy. From pain and swelling got easy and I thought that was it, but after sudden movements or loads the knee is again swollen and very sore. In competitions participate more not able and continue attempts to recover, but so far without success, although have already visited several doctors.