Bursitis is divided into acute bursitis and chronic bursitis. It is a type of inflammation. Generally speaking, a small number of bursae are connected to the joints. Therefore, most people's symptoms of bursitis are caused by joint lesions. Therefore, in the process of bursitis, in order to effectively treat it, it is very important to find out the factors that induce bursitis. A bursa is a sac-like space in the connective tissue composed of endothelial cells. Many patients do not understand the symptoms of bursitis and do not take timely measures after the onset of bursitis, which eventually leads to the worsening of the condition. For this reason, I will explain to you the symptoms of bursitis. 1. Non-infectious acute bursitis Rest or immobilization of the affected area and high-dose NSAIDs, combined with narcotic sedatives when necessary, may be effective. After the pain subsides, active exercise should be increased. If ineffective, synovial fluid can be extracted and then a long-acting glucocorticoid preparation can be injected into the bursa, or triamcinolone mixed with at least 3 to 5 ml of local anesthetic can be injected into the bursa after infiltration anesthesia with 1% local anesthetic (such as lidocaine). The dose and volume of the long-acting adrenocortical hormone preparation after mixing depend on the size of the bursa. Infectious factors must be excluded when determining the cause. Patients with a persistent inflammatory process require repeated drainage and infusion of medications. For acute cases with poor efficacy, oral prednisone or other equivalent hormones can be taken for 3 days after excluding infection and gout. 2. Chronic bursitis Treatment of chronic bursitis is the same as for acute bursitis, but splinting and rest may not be as effective as for acute bursitis. Chronic calcific supraspinatus tendinitis confirmed by X-ray may require surgical resection in very rare cases. Disabling adhesive frozen shoulder requires repeated intra-articular and extra-articular injections of adrenal corticosteroids and intensive physical therapy. Muscle atrophy must be corrected through exercise to restore range of motion and muscle strength. Those with infection need to be given appropriate antibiotics, drainage or incision. prevention 1. Strengthen labor protection and develop the habit of washing hands with warm water after work. Rest is the first and foremost solution to any joint pain. If the pain is in the elbow or shoulder, it is recommended to swing the arm freely to relieve the pain. 2. Pointed European-style shoes have narrow uppers. Wearing them for a long time will cause the feet to be squeezed and rubbed, which can easily cause women to suffer from bursitis, hallux valgus deformity and other diseases. 3. Prevent prepatellar bursitis in workers who kneel, ischial tuberosity bursitis in thin elderly women after sitting for a long time, and posterior heel bursitis caused by tight shoes. In fact, bursitis requires preventive treatment in real life. Since the cure of any disease requires a process, the protective measures that patients need to take during the treatment of bursitis are also essential. Otherwise, once the disease relapses during treatment, the chance of cure will become slimmer. |
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