The bursa is a small bag of fibrous tissue with a thin synovial lining filled with fluid. Numerous bursa is found in the body, around joints and in places where ligaments and tendons pass over the bone. They can also form elsewhere as a reaction to unusual pressure or friction. Bursa generally helps reduce friction and provide maximum range of motion around the joints. Bursitis is inflammation in the bursa. Inflammation leads to an increase in synovial fluid production and causes bursitis. In this article, we will look at how to cure bursitis of the knee joint
How to cure knee bursitis
The following is a list of specific treatments used to alleviate the symptoms of bursitis. After successful treatment, patients can prevent future cases of bursitis by avoiding direct pressure on the knee. There are a number of things you can do yourself to reduce swelling in the affected joint.
Rest your joint until your symptoms improve, and avoid strenuous exercises that can cause additional pain, such as running.
Wearing a knee pad can help protect the joint from further injury.
Ice cooling is also a good way to reduce inflammation and pain. Wrap an ice pack (or bag of frozen vegetables) in a towel and apply it on the affected area for 10-20 minutes, this can help relieve symptoms and reduce swelling. Repeat this every few hours.
Raise the affected knee. Raising your knee above the heart level can help reduce swelling. Sitting in a chair with a raised leg on a bench or lying with a knee raised on a pillow can also help relieve swelling.
Try to avoid long periods of standing. You can place a pillow between your knees, lying on your side. Being overweight can also cause bursitis, so weight loss can help.
Compression. An elastic medical bandage wrapped around the affected knee can help control swelling.
Nonsteroidal anti-inflammatory drugs or NSAIDs. To reduce pain, swelling, and inflammation, patients can take prescription or over-the-counter anti-inflammatory drugs, such as aspirin, ibuprofen, naproxen, and COX-2 inhibitors (such as Celebrex). Patients should consult their physician before taking NSAIDs, as they may interact with supplements, vitamins, or other medicines. Always read the leaflet that came with the medicine to make sure that it is right for you and that you are taking the right dose.
External medicine. Creams, sprays, gels, and patches applied directly to the skin of the knee can relieve pain. Topical medications can be a good choice for people who want to minimize gastrointestinal side effects, which can be caused by oral medications.
External painkillers. Creams contain distracting ingredients, such as Zimushka and eucalyptus, which stimulate nerve endings and distract the brain from knee pain. These creams are often sold over the counter and are available at most pharmacies. Most of them can be used in combination with oral painkillers.
Lidocaine patches. Lidocaine is an external anesthetic that interrupts the signals of pain in the brain. Adhesive patches containing 5% lidocaine can be applied directly to the affected knee.
Possible manifestation of side effects or negative interactions with drugs when using external drugs. Patients should always discuss new medicines with their doctor or pharmacist, as well as read drug labels and instructions.
If the swelling caused by bursitis is particularly severe, you may consider pumping fluid. This procedure, called aspiration or arthrocentesis, can immediately be followed by an injection of corticosteroids to reduce swelling of the knee. The doctor may send part of the bursa’s aspiration fluid to a laboratory, which will be checked for signs of infection or other problems, such as gout (the infection will indicate septic bursitis and require antibiotic treatment).
How to treat knee bursitis if your symptoms are severe or they do not respond to treatment, corticosteroid injections are another possible treatment option. Corticosteroids contain steroids, a type of hormone, and can be used to reduce inflammation.
Your doctor may administer corticosteroids directly to the affected area. Side effects are possible, including withering of the surrounding tissue and darkening of the skin at the injection site. You cannot get an injection of corticosteroids if you have infectious bursitis, and you cannot inject more than three injections of corticosteroids per year in the same area.
Your doctor will prescribe antibiotics if tests confirm that you have septic bursitis. These may include:
They are usually taken in the form of tablets or capsules two, or four times a day for seven days. After seven days, your doctor should check how well you respond to antibiotics. If you still have signs of infection, you may need to take antibiotics for another seven days. If you are prescribed antibiotics, it is important that you complete the entire course, even if your symptoms have improved. This will help prevent the return of the infection. In more complex cases, hospitalization and intravenous antibiotics may be required.
If your symptoms do not improve after treatment after a couple of months, your doctor may refer you to a specialist. It could be:
- A rheumatologist is a specialist in the field of treatment that affects bones, muscles, and joints.
- An orthopedic surgeon is a specialist in the surgical treatment of conditions affecting bones, muscles, and joints.
You may also be redirected if you become infected with bursitis that does not improve or recur
Complex cases of chronic knee bursitis and septic knee bursitis may require surgical intervention to remove the affected bursa, called bursectomy. Some doctors believe that septic bursitis justifies the immediate removal of infected bursa, although there is no agreement on this issue.
In a traditional bursectomy, an incision is made on the knee, and the bursa is removed. To reduce the risk of surgical complications, such as soreness and problems with skin healing, some doctors perform arthroscopic bursectomy. This minimally invasive procedure takes 15-30 minutes and usually does not require sutures.
Physiotherapy. After the symptoms of bursitis have decreased, the doctor may prescribe stretching exercises and strengthening the knee to help prevent recurrent bursitis.
How to cure knee bursitis – rest, in combination with other methods to relieve edema, is usually successful in treatment. It is important to wait until all the pain in the knee and swelling disappear before resuming normal activity. Returning to actions that cause friction or stress on the bursa before it is healed is likely to cause an outbreak of symptoms again.
Causes of Bursitis
The knee joint is quite difficult to compare because it is this part that accounts for the maximum load. The most common causes of bursitis are persistent minor injuries of the knee: bruises, wounds and abrasions, sprains. It is not surprising that, for the most part, professional athletes and active exercise enthusiasts suffer from this problem. Also, provoke an inflammatory process in the articular or periarticular bag of the knee can:
- Autoimmune disorders (allergic reactions, metabolic disorders, immunodeficiency, etc.).
- Increased physical activity.
- Open knee injury.
- Concomitant diseases of the joints (rheumatism, gout, etc.).
It should be noted that a certain type of bursitis is characterized by triggers. For example, prepatellar bursitis occurs under the influence of prolonged traumatic loads associated, as a rule, with the patient’s activity. How to cure bursitis of the knee joint, see above.
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