Methods of treatment of synovitis of the knee joint

The knee joint is one of the largest joints in the human body, it is heavily loaded while moving, so it is more prone to injury than all the rest. With bruises of the knee, sprains or fractures of the structural elements of the joint rarely occur, often the only manifestation of traumatic damage is synovitis.

Mechanism of development of synovitis of the knee joint

The main manifestation of posttraumatic synovitis is the accumulation in the joint cavity of a large volume of synovial fluid (exudate), the synthesis of which after knee injury significantly increases. The consequence of the accumulation of fluid in the synovial bag becomes effusion inward or outward joint.

Symptomatology of inflammation of the synovial membrane of the knee joint

Symptoms of posttraumatic synovitis appear not immediately, but after a few hours (3-5 hours) or even a few days (up to two days) after a bruised knee joint.

The main clinical manifestations of the disease are:

1. The increase in the size of the joint due to its puffiness, caused by the accumulation of exudate, which extends the joint from the inside, causing a change in its shape. At the same time, there is no local hyperthermia (increased skin temperature in the area of ​​damage) and hyperemia (reddening of the skin).
2. Various degrees of restriction of motor activity of the knee due to its deformation and development of puffiness.
3. Pain with synovitis is not always present, is blunt, aching in nature, has an average intensity and does not extend to surrounding tissues.

The symptomatology of the process grows according to its distribution.

The development of purulent synovitis is accompanied by more pronounced symptoms, to which symptomatology of the common intoxication of the body (fever, chills, lack of appetite, weakness and increased fatigue).

In order to make the correct diagnosis, the doctor must make a puncture of the knee joint and send a sample of the synovial fluid obtained for examination for the content of blood inclusions. In addition, in the general blood test, ROE will be increased.

Methods of treatment used in synovitis of the knee joint

Puncture

Treatment of the inflammatory process of the synovial membrane must begin with the puncture of the joint, during which all the exudate is removed through a puncture through a syringe with a large needle.The cavity is injected with an antibiotic to prevent secondary infection and a tight bandage is applied.

Immobilization of the joint

With synovitis of the knee, after partial puncture, a partial immobilization is applied for a period of 7-10 days in order to avoid the development of contractures. The mobility of the joint is not completely limited, but it is necessary to remove the load as much as possible from it.

Immobilization is carried out with the help of:

• tight bandages of elastic bandage;
• special knee pads;
• orthosis for the knee joint.

Medication Therapy

For the treatment of the inflammatory process, the following drugs are prescribed:

1. Non-steroidal anti-inflammatory drugs- movalis, ibuprofen, tilted, diclofenac. They can be used in the form of tablets, but in the form of intramuscular injections, these drugs do not damage the mucosa of the gastrointestinal tract. You can use ointments based on NSAIDs.
2. Proteolytic enzymes- gordoks, contrackal. Due to their action, the intensity of the inflammatory process decreases.
3. Drugs that improve blood microcirculation- pentoxifylline, heparin, nicotinic acid. When these products are used, the trophicity of the joint tissues is improved.
4. Hormonal intraarticular injectionsapply in the persistent course of the disease.
5. If a infectious agent is found in the synovial fluid,antibiotic therapy.

Traditional methods of treatment of synovitis

Traditional medicine is best used as an adjunct to traditional treatment. Remove the pain can be applied to the knee cold compress.

To eliminate puffiness and restrict movement, the following recipes for the treatment of synovitis are popular:

1. Lava oil- it is quite easy to prepare: several crushed laurel leaves should be poured with refined oil and insist for 7 days. Rub into the damaged knee joint as needed. One tablespoon of the leaf should be 100 ml of oil.
2. As rubbing is also usedinfusion of rye- for ¼ glass of rye it is necessary to add 250 ml of natural honey, a teaspoon of berries of barberry, 100 ml of vodka (or 50 ml of alcohol and 50 ml of water), to insist for 7 days.
3. Ointment made from grass comfrey- half a glass of ground grass comfrey mixed with 100 gr. pork fat, simmer for at least an hour, drain, cool, rub into a damaged knee. Keep the drug in the refrigerator.

In order to avoid the development of a chronic or recurrent process, it is necessary to consult a doctor when the first symptoms of synovitis appear, namely, swelling. It can be of small size and does not interfere with the movement of the joint, but only the specialist can determine how the disease develops.