Serous bursitis: treatment

Inflammation of the articular bag, when occurs in its cavity, the accumulation of inflammatory exudates, is called bursitis. Bursitis by the nature of the exudate can be serous, purulent or hemorrhagic. At the beginning of the development of acute bursitis, there is a cluster of serous exudates in the bag cavity( this is an acute serous bursitis).Therefore, treatment is required, the serous form of bursitis, in the presence of microbial flora, can pass into purulent bursitis in a short time.

How serous bursitis is treated

Usually, treatment of serous bursitis is complex and complex. It includes procedures for local effects, drugs, measures for conservative medicine, and in case of neglected cases, surgical intervention. Acute serous bursitis at the beginning of development requires fixation of the joint( affected).With a tight bandage, you can avoid swelling of the tissues. The patient's joint is put compresses with different means. To avoid complications, treatment of serous bursitis should be started as soon as possible.

In the initial phase of development of chronic bursitis, in most cases, a puncture of the periarticular bag is made to remove the exudate. Special solutions of antibiotics, antiseptics wash the cavity of the bag. In case of traumatic serous bursitis, a solution of antibiotics and hydrocortisone is injected into the cavity of the periarticular bag. The most important thing in the treatment of serous bursitis is to prevent the infection from getting into the bag, otherwise purulent phlegmonous bursitis may develop.

Also, the treatment of serous bursitis can be performed surgically - by paired parallelecular incisions. The positive side of this treatment is the preservation of the synovial bag, but the invasive method of treatment at the same time increases the possibility of getting microbes, the development of subsequent relapses. Also, with this method of treatment, the patient loses his ability to work for a long time.

The task of treatment of serous bursitis of the joint is to prevent all inflammatory processes that are caused by the products of the vital activity of cells and the products of tissue decay, preventing the appearance of coarse scar tissue. Also, a decrease in the likelihood of surgical additional intervention, the removal of synovial bags, the elimination of the likelihood of injury to the bag walls, and the reduction in the timing of recovery of patients.

This task is solved by the method of performing the puncture of the contents of the synovial bag, as well as the removal of the exudate. This has a positive effect on cessation of inflammation. In order to increase the pressure on the synovial bag, to prevent the accumulation of serous fluid, the appearance of scar tissue to eliminate the possibility of injury to the walls, is performed in increments of a centimeter stitching the perimeter of the projection with the seams under the synovial bag. This method is minimally invasive. It does not require further operation. Sutures are removed after two weeks and even the possibility of easy labor during this period is not excluded.

Treatment of serous bursitis of the joint consists of: local anesthesia( 1 5 lidocaine or 0.5% novocaine solution) of the entire skin area above the joint bag, creeping infiltrate method;Using a thick needle puncture the bag, remove the serous fluid;Over the projection of the bursa a gauze roll is applied;Tying seams over this roller to prevent the eruption of skin seams, as well as increasing pressure on the bursa. And after the operation, the patient is prescribed analgesics and periodic dressings.

Serous bursitis, more precisely the treatment of this disease, presupposes physical therapy in the postoperative period. This is UV irradiation, UHF, dry heat. As soon as the inflammatory phenomena disappear, the patient is given courses of physiotherapy exercises, massage courses, paraffin application, balneotherapy. In some cases, chronic and subacute forms of bursitis are prescribed to relieve inflammation, pain radiation therapy. Also, in the treatment of serous bursitis, anti-inflammatory drugs, ice packs, are used in our time. Effective in the treatment of people's methods of treatment of this disease.