Bursitis of the shoulder joint: symptoms and treatment

What is bursitis of the shoulder joint: symptoms and treatment of the shoulder

Bursitis of the shoulder joint is a common pathology of the musculoskeletal system. For the disease is characterized by inflammation of the periarticular bag, where it accumulates synovial fluid with a high content of protein, pus, blood.

Most often, bursitis of the shoulder affects people whose activities have been associated with professional sports or regular, intense stress on the joint. Men suffer from the disease several times more often than women.

Varieties of bursitis of the shoulder joint

Bursitis or tendo bursitis can affect different parts of the joint and manifest itself differently. Depending on the localization of inflammation and the nature of the fluid accumulated in the joint bag, the bursal of the shoulder joint is of such types:

1. Subacromial bursitis. The disease develops as a result of permanent traumatization of the articular bag with excessive loads. In the tendon of the supraspinous muscle degenerative changes occur, and the breakdown of the deposition of calcium salts can also occur. If a breakthrough of calcium does not occur, the inflammation of the joint bag goes into a chronic form (see photo). The pain intensifies only if the shoulder is withdrawn at an angle of 60 to 120 degrees. With this movement, the injured bag is infringed by the head of the shoulder bone and the appendage. If the subacromial bursitis of the shoulder joint is not treated, the mobility of the joint bag is impaired over time, which also limits the mobility of the shoulder joint. If the breakthrough of calcium salts occurred (such a disease is called calcifying tendo bursitis), acute inflammation of the joint bag develops. In this case, the patient experiences sharp, throbbing joint pains that affect the neck and arm.
2. Lime bursitis. Tendobursite of this species has the same symptoms and causes as the usual, accompanied by strong swelling and redness of the skin. The provoking factors of the disease in this case may be moving games or playing sports.
3. Pukromialny bursitis. With this form, the patient can not take his hand to the side without pain, forward and backward movements take place without difficulty. The rest of the disease is the same.
4. Subglottic bursitis. Such a disease can be diagnosed accurately only by an experienced specialist. A distinctive symptom of this kind is pain not only in the shoulder, but also in the hand from the side of the damaged joint.
5. Calculous bursitis. The development of the disease is classic: first, the joint bag is damaged, then inflammation begins, swelling and pain occur. Diagnosis is carried out by a qualified doctor.

There are also subclavicular, subfertoid, fake and subcortical bursitis of the shoulder joint. Symptoms vary in the nature of pain and the degree of limb movement limitations.

To accurately diagnose a single visual examination and questioning the patient is not enough. The doctor will prescribe an X-ray, ultrasound or computed tomography.

Symptoms of bursitis of the shoulder joint

Inflammation of the synovial membrane of the articular sac develops with its damage and penetration of the infection. In the capsule, the inflammatory process actively accumulates joint fluid - exudate.

Depending on the type of infection in the exudate, impurities of blood or pus may be noted. Then the inflammation spreads to the cartilage of the head of the humerus - the periarthritis of the shoulder joint is formed.

Thus, subspecies bursitis and arthritis are closely related diseases, which are rarely diagnosed separately. The symptoms are as follows:

• Pain in the joint, aggravated by movement or after intense physical exertion;
• Restriction of joint mobility, usually partial, with the retraction of the limb in one direction;
• Swelling and redness of the skin;
• Sometimes the deformity of the shoulder joint, visible visually;
• Reducing the sensitivity of the skin of the shoulder and arm.

Depending on how pronounced the symptoms are, distinguish acute, subacute and chronic forms of bursitis of the shoulder.

Causes of bursitis

Bursitis of the shoulder joint can develop for the following reasons:

1. Traumatization of the joint - open wounds or abrasions, bruises, sprains, ka in the photo ..
2. Microtrauma, arising from regular exercise or hard physical labor.
3. As a consequence of arthritis or gout.
4. Violation of metabolic processes in the body, with infectious diseases of other organs.
5. Pathologies of an autoimmune nature.

In some cases, doctors can not establish the reason for the development of the subcoracoidal type of bursitis of the shoulder, then they speak of a variety of disease of unknown origin.

How to treat shoulder bursitis

Treatment of the disease is carried out by conservative or surgical methods. Acute symptoms are removed with topical preparations, if necessary, systemic therapy is administered.

• In the acute stage, the patient is provided with complete rest, a warm compress and a pressure bandage are applied to the joint;
• In chronic form, exudate from the joint capsule must be removed, a puncture is done for this, purulent fluid is pumped out, then the joint cavity is washed and disinfected with antiseptic solution. In addition, the drug can be administered into the joint cavity;
• To remove severe pain and inflammation, sometimes the hormone hydrocortisone is injected into the joint. Such a procedure is performed only in a hospital, in full sterility, an experienced medico: in avoid the infection of the joint and other complications, it is necessary to strictly follow the technology of conducting injections;
• If the punctures did not produce the expected result, an articular bag is opened and the purulent contents are pumped out. After that, the inner surface of the joint bag is smeared with iodine, the wound is healed. The process of healing the postoperative wound is long enough.

With surgical treatment, it is possible to remove part of the joint bag, wash the pus and tamponize the wound, or completely remove the bag without first opening it. This operation is called radical, it is necessary to prevent the spread of purulent contents to other organs.

When the symptoms of acute inflammation are removed, a variety of physiotherapy procedures are prescribed.

Such measures contribute to resorption of exudate and restoration of joint mobility, as well as rapid healing of the postoperative wound.

Required are:

A good effect in some cases is provided by microwave therapy.

From medicamentous preparations at treatment of a purulent bursitis of a humeral joint antibiotics and sulfonamides are used. In order to quickly eliminate the symptoms and the root causes of bursitis of a chronic form, radiation and X-ray therapy are performed.

Treatment of bursitis of the shoulder joint with ointments

In the treatment of the inflammation of the shoulder joint, compresses and the application of therapeutic ointments can not be avoided. Modern drugs have a positive effect on the affected tissue, improve the patient's condition and accelerate recovery.

Most patients note that when using ointments:

Swellings quickly disappear;

Painful sensations are removed;

Rather, they heal wounds, and the motility of tissues is restored.

The most popular drugs are "Collagen Ultra" and "Ketonol." In some cases, along with non-steroidal anti-inflammatory drugs, ointments and gels containing hormones are used. It:

1. Voltaren-gel - active components of the drug provide rapid elimination of pain, stopping the inflammatory process.
2. Dip-relief - contains ibuprofen and menthol, this composition allows you to quickly and permanently remove the pain.
3. Nyz-gel. The active chemical agent of the drug is nimesulide, which effectively removes the symptoms of inflammation in its source.
4. Orthofen 2% in the form of an ointment, preventing and relieving swelling and pain.
5. Fastum-gel - belongs to the group of non-steroidal anti-inflammatory drugs, it is very popular due to the rapid complex action.
6. Liniment of methyl salicylate - used to stop the inflammatory process.
7. Finalgon, gymnastics, mellyvenon - ointments, which have a pronounced warming effect.
8. Apizarthron, Viprosal, Vipratox - ointments containing extracts of bee or snake venom.
9. Capsitrine, Camphocin, complexic liniment - preparations, the main component of which is pepper, stimulating blood circulation and thereby accelerating the recovery processes in the affected tissues.

Ointments are applied only to intact dry skin (do not apply preparations to open wounds and abrasions, especially those containing pepper and snake or bee venom).

The drug is slightly rubbed, after which the shoulder is warmly wrapped. Ointments are used several times a day during the period of exacerbation of the disease.

In the future, just apply them at night.

The effect of used ointments or gels is enhanced if they are applied under a compress or applied to the skin before physiotherapy - massage or warming.

A source: http://sustav.info/bolezni/bursitis/bursit-plechevogo-sustava.html

How to treat bursitis of the shoulder joint: symptoms, causes, types

Bursitis of the shoulder joint - inflammation of one of the periarticular bags.

In a normal state, the bursa is a small cavity lined with a synovial membrane that produces a special fluid to resist frictional forces. With inflammation, the volume of the produced liquid sharply increases.

In the area of ​​the shoulder joint, there are about ten bags: sublingus, subacromial, sub-dendoid (double), bursa subscapular muscles, two bags of the latissimus muscle of the back, the bursa of the pectoral muscle, and also the bursa at the apex of the acromial process and between the two legs of the ligament shoulder blades. The process is often localized in sub-dentoid and subacromial bags (sub-deltoid and subacromial bursitis of the shoulder joint).

In some cases, the bursa - the bag - communicates with the joint cavity. For example, with the defeat of subacromial, sub-dentate and sublingual bags, infection can enter the cavity of the shoulder joint.

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Risk groups are males aged 35 to 45 years, whose activities are associated with intense stress on the shoulder joint (athletes, loaders, miners, etc.).

Bursitis of the shoulder joint - causes of the disease

• High physical overload (associated with professional sports or work).
• Stretches of the ligamentous apparatus of the shoulder joint, other injuries.
• Arthritis (caused by usual or specific infection, trauma, autoimmune disease). Penetration of an infectious agent is possible through a wound, abrasion or abscess, along the lymph flow paths, through the blood. A frequent option is to join the infection already against the background of the existing aseptic inflammatory process in the bursa.
• Violation of metabolic processes (gout, diabetes mellitus).
• Allergic reactions.
• Chronic intoxications (tobacco, alcohol) - as a factor in reducing the body's defenses.

Classification and types

On a stream distinguish:

1. acute;
2. subacute;
3. chronic.

By the presence of an infectious agent:

1. aseptic inflammation;
2. infectious bursitis (specific - caused by tuberculosis, gonococcus, pale spirochete and nonspecific - provoked by staphylococcal, streptococcal infection).

By the nature of the inflammatory effusion:

1. serous (in the inflammatory fluid - the uniform elements of the blood);
2. purulent (result of infection - a mixture of dead leukocytes and microorganisms);
3. fibrinous (exudate with fibrin, loss of fibrin leads to the formation of multiple cords, which turn the cavity of the bursa into a multi-chamber, they can be removed only surgically);
4. hemorrhagic (in the outflow contains an admixture of red blood cells).
5. Separately, lime bursitis of the shoulder joint is isolated, the cause of which is the accumulation of calcium salts in the synovial fluid of the bag due to disturbed metabolic processes. The result is the susceptibility of the bursa to damage during movements due to friction and the development of an aseptic inflammatory process in the initial stages. Then the synovial fluid thickens more and more due to the suspension of salts, its ability to lubricate tends to a minimum, "lime" begins to be deposited on the walls of the bag.

In later stages, calcification of the bursal cavity leads to partial immobility of the upper limb in the shoulder joint due to pain syndrome. Numerous calcium deposits in the bursal cavity can be removed only surgically.

Symptoms of bursitis of the shoulder joint - photo

Symptoms of bursitis of the shoulder joint

Clinical manifestations depend on the cause of the disease, the nature of the process (aseptic inflammation or infection), its location, prescription.

The easiest from the point of view of the current is subacromial bursitis of the shoulder joint. At rest (when the hand is lowered down), the pain syndrome is practically absent - the pain manifests itself when the upper limb is raised, because of which the amplitude of movements is sharply reduced.

The main symptoms of bursitis of the shoulder joint:

1. restriction of movements (the appearance of pain when trying to withdraw the upper limb back or make rotational movements);
2. discomfort in the field of inflammation;
3. the appearance of pain during palpation of the shoulder;
4. edema and redness of tissues;
5. feeling of constraint (with far-reaching processes);
6. symptoms of general intoxication - nausea, a sense of weakness, malaise, a rise in temperature.

• Acute bursitisin the absence of an infectious agent - this is an implicit swelling and redness in the area of ​​the affected bags, moderate pain, a slight increase in the temperature of the skin (locally). There is no general symptomatology.
• Aseptic acute bursitishas two resolutions: recovery or chronization. In a chronic process, there is a decrease in the intensity of pain, redness and swelling gradually disappear. A small swelling can form. The patient complains of weakness, rapid fatigue of the hand, sometimes there are local parasthesias (for example, numbness). Often increased the tone of the surrounding muscles.

With frequent relapses in the bursa, a single cystic cavity may be formed, delimited from the surrounding tissue and filled with fluid. This cavity is called hygroma and must be removed.

Infectious bursitisdiffers in the severity of the clinic. The patient observes strong pulling, spreading pains in the affected area, general weakness and weakness, fever.

The shoulder joint is markedly swollen, the skin is reddened, any movement is accompanied by severe pain; when you feel you can note fluctuation - fluctuations in the inflammatory fluid (whose density is significantly increased due to the presence of elements of pus) inside bags.

For this type of bursitis in the absence of treatment is characterized by the development of complications: abscess, phlegmon, arthritis and even osteomyelitis (upper third of the humerus).

Phlegmonous inflammation is accompanied by an increase in the area of ​​edema, a sharp rise in the total temperature to 39-40 ° C. Sometimes around the shoulder joint it is possible to feel the cords - compacted, inflamed lymph vessels; skin to the touch hot, dry.

With a favorable course of calcareous bursitis, the process of inflammation subsides and the disease passes into a subacute stage.

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However, in the bag remains a suspension of calcium salts or calcareous deposits, which, with a significant injury, permanent physical exertion or infection serve as an excellent substratum for re-development inflammation. This bursitis is also called recurrent.

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Inflammation caused by a specific infection (for tuberculosis, syphilis, gonorrhea) is characterized by a sluggish course, presence of symptoms of general intoxication (weakness, fatigue, subfebrile - slightly above 37 degrees - temperature). Most often there is a proven primary focus of infection.

Tuberculosis bursitis is characterized by thickening of the bag wall, caseous tubercles are found in the shell - a typical sign of the activity of mycobacterium - the causative agent of tuberculosis.

Treatment

All treatment of bursitis of the shoulder joint can be divided into the following types:

1. medicamentous;
2. physiotherapy and massage;
3. Exercise therapy;
4. surgical intervention.

The ratio of methods to each other and their sequence is determined by the type of bursitis:

Medicinal products

Aseptic bursitis (acute, subacute, chronic) requires the removal of inflammatory phenomena and the elimination of pain.

For these purposes, non-steroidal anti-inflammatory drugs are excellent, both in the form of ointments, gels, and in the form of tablets and even candles (with concomitant gastritis) and patches (for prolonged actions).

For the removal of pain and as an anti-inflammatory drug recommended: inside or rectally diclofenac or ketoprofen, in tableted form - aceclofenac; to eliminate severe pain nimesulide, and for the elimination of common symptoms (fatigue, fatigue and temperature) recommend drugs of the type of ibuklin, combining anti-inflammatory and antipyretic facilities.

For convenience, ketoprofen and diclofenac are released in the form of patches, effective from 12 to 24 hours.

Compress with dimexid will accelerate recovery due to active influence on the process of inflammation.

Infectious bursitis requires antibacterial treatment, which usually starts with broad-spectrum antibiotics. After the analysis of the puncture fluid, the therapy is adjusted taking into account the obtained data.

Physiotherapy

It is used in a subacute period or with a chronic form of inflammation. Usually it is UHF, UFO, paraffin, ozocerite, ultrasound therapy, laser, phonophoresis with steroids.

In the aseptic process, it is necessary to ensure the rest of the shoulder region, sometimes appoint cold compresses.

With a long-term disease, which is difficult to cure conservative treatment, steroid preparations are injected into the cavity of the bag. Steroids are required in the form of injection into the bursal cavity and in trauma (often together with novocaine).

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Opening of the bag with the evacuation of inflammatory exudate and careful washing of the bursa with antibacterial and antiseptic solutions are used for extensive infectious processes.

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Treatment of bursitis of the shoulder joint with frequent relapses, a long-term current process, with inflammation that does not lend itself to conservative therapy, as well as the deposition of calcium salts, the formation of fibrous cords or hygroma in the cavity is reduced to surgical intervention - excision bursa. The healing period is from one to two weeks, the probability of recurrence is extremely small.

Exercise therapy

At the initial stage, exercise therapy is performed under the supervision of a health worker, then treatment of bursitis of the shoulder joint at home is possible.

Gymnastics begins to perform after the elimination of inflammation or after some time for surgery, to restore the previous volume of movements in the shoulder joint and muscle strength.

Selection of exercises is made depending on the type and course of the disease.

In the rehabilitation period, massage, acupuncture, manual therapy are shown. These techniques allow to restore normal trophic tissue, help the patient to quickly return to the old way of life.

Diagnosis of the disease

Method of diagnosis: MRI

The cornerstone in the diagnosis of bursitis is a clinical picture, and in most cases the diagnosis becomes based on the symptomatology, without the use of additional diagnostic methods.

Bursitis is differentiated from arthritis: in arthritis, the volume of active and passive movements in the joint is severely limited, whereas with inflammation of the bag mobility is almost completely preserved - restriction of movements occurs only due to pain syndrome - the patient deliberately "protects" hand.

To clarify the nature of the inflammatory process, as well as to select antibacterial drugs, the pouch of the bag is punctured.

It determines the presence of resistance of microorganisms to antibiotics, and performs serological tests.

The main method used to diagnose bursitis is radiography. It is usually performed with suspicion of calcareous bursitis (calcium salts and calcareous deposits are usually very well traced on radiographs), as well as for a differential diagnosis with a shoulder injury the joint.

If there are difficulties in diagnosis, a shoulder joint MRI is prescribed.

Magnetic resonance imaging not only makes it possible to clearly localize the surface process and its prevalence, but also to recognize a deep bursitis that is difficult to access for external examination. The ultrasound of the shoulder joint is used to identify the process as such and determine the boundaries of inflammation.

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When suspected of bursitis provoked by gout, the autoimmune nature of the disease is recommended by a rheumatologist. Consultation phthisiatrician or venereologist is required in the event that the doctor suspected the specific nature of the pathogen.

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Remember: the establishment of the cause of the disease is two-thirds of the pledge of successful treatment, so do not hide from the attending physician the possible causes of bursitis!

Treatment of bursitis of the shoulder joint at home

In the presence of pronounced changes, severe pain syndrome, as well as long-term inflammation is extremely it is recommended not to engage in self-medication and to see a doctor as soon as possible in order to avoid development complications. In the absence of proper treatment, the disease can progress and lead to significant motor impairment from the shoulder joint.

Pain sensations of low intensity can be removed with the help of simple folk remedies:

• Slightly beaten cabbage leaf is applied to the affected area and warmed from above with a woolen scarf or scarf. Compress should be changed after four hours during the day, the duration of treatment reaches a week. Fresh potatoes also help.
• Freshly lilac leaves to attach to the sick zone and to bandage. Ensure that the limb is at rest.
• A compress of propolis tincture helps. Tincture is prepared on vodka (a ratio of one to ten) for five days.
• Soothing, warm baths with coniferous extracts, hay are shown. Useful daily self-massage (15 minutes twice a day), aimed at relaxing the muscles in the area of ​​edema. Massage can be performed with lavender or pine oil. After the procedure, be sure to wrap the patient's joint with a warm cloth.

Prevention

Prevention of bursitis affects people who are at risk.

With constant physical exertion, increased chances of injury should use special protective bandages, bandages; in the presence of injuries, abrasions, bruises, timely treatment and treatment; sanation of chronic foci of infections and therapy of general metabolic and infectious diseases. diseases.

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A source: https://glavvrach.com/bursit-plechevogo-sustava/

Bursitis of the shoulder joint: symptoms and treatment with folk remedies

Bursitis of the shoulder joint, symptoms and treatment, timely prevention of the disease - information about this is relevant for both young and old people. After all, the disease can develop against a background of even minor injuries, from which no one is insured.

Inside the synovial bag or bursa is a fluid that softens the friction of the joint surfaces against each other during movement.

An increase in its number leads to inflammation, the appearance of swelling, pain and redness.

Articular shoulder bags are located under the muscles and tendons of its surrounding, so they do not communicate with the joint cavity. Bursitis develops in one of the bursas or at once in several.

Causes of the disease

Pathology mainly affects people who are actively involved in sports. Often bursitis occurs in tennis players, golfers, longshoremen and other people whose professional activity is associated with a heavy load on the shoulder joints. As a result, they gradually wear out.

Injuries, infections, reaction to allergens, intoxication of the body - all this also leads to disruption of the functions of the musculoskeletal system. For the treatment of bursitis of the shoulder joint, it is advisable to use both medications and folk remedies.

The reasons can be systematized in this way:

• prolonged overload, physical exercise or work;
• long, uniform movements of hands, constant tension;
• injuries, abrasions, bruises, sprains of the shoulder ligaments;
• concomitant diseases (for example, arthritis, gout, diabetes mellitus);
• infection.

Often there are situations where bursitis of the shoulder joint, the treatment of which is always complex, develops for no apparent reason.

The most common is traumatic bursitis.To provoke an inflammation the usual bruise, a cut, a furuncle can. The launch of the disease leads to the development of a chronic form with frequent relapses, which is much more difficult to cure.

Symptoms of bursitis of the shoulder

Treatment of bursitis of the shoulder joint directly depends on the presence of certain symptoms and the form of the disease. Regardless of the type of illness, there is always a discomfort when trying to take your hand back. Also, muscle tone is lost, the mobility of the joint is slightly reduced.

Ostrogo

It develops with a sudden sharp pain, which is intensified when moving with your hands. This makes it impossible for a person to have a limb by the head or rotate it.

The pain often gives to the neck, head, or spreads to the lower part of the arm. Perhaps the feeling of heat in the affected area. There is swelling, swelling of the soft tissues and redness.

Pain is also present during palpation. Sometimes there is a slight numbness of the shoulder and hand.

Chronic

In chronic form in the area of ​​the affected joint appears dense to the touch tumor - hygroma. And the skin above it remains mobile and does not change externally. Despite the limitation of joint motion, the hand's working capacity is not seriously compromised.

Subacromial

Inflammation is localized between the acromial process and the forearm bone.Medical workers note that the condition does not significantly impair the rotational capacity of the shoulder cuff.

When the hand is relaxed, the pain is almost not felt. And it bothers in the side and in the anterior part of the joint only when the limb is raised above the head. However, muscle weakness is very pronounced.

Despite this, the subacromial bursitis of the shoulder joint treatment involves both medication and physiotherapy.

If the positive result is not achieved in six months, then this is an indication for decompression.

Lime

With prolonged inflammation of the bursa due to a malfunction in the metabolic processes, there is an excessive accumulation of calcium salts and converting them into lime.

With adequate therapy, the prognosis for recovery is favorable.

Multiple calcium deposits, clearly visible on the x-ray in the form of white inclusions.

Most often, they are removed by surgery, which restores the efficiency of the shoulder. The patient is shown a strict diet with the exception of dairy products, cheeses, nuts and beans.

Calculous

This form is characterized by the presence of infection, under the influence of which the bursa is destroyed. When taking a puncture, there are often impurities of blood and pus in the synovial fluid.

In addition, the localization of inflammation can be:

• in the subdetoltoid bag;
• in the area of ​​the scapula;
• in periarticular tissues.

Diagnosis of pathology

An experienced specialist can correctly diagnose, based only on visual examination and the presence of specific symptoms. A distinctive feature of bursitis from arthritis is the preservation of the motor function of the joint. In addition, the puncture of the joint bag is performed.

This is necessary for the study of pathogenic microflora in its composition (streptococci, gonococci, spirochetes etc.), which allows you to choose the right medicines and develop a scheme for treating bursitis of the shoulder the joint.

If a doctor has doubts, then radiography is used for diagnosis.

Types of treatment of the disease

Bursitis of the shoulder joint, symptoms and treatment at home, which implies complete rest of the affected limb and the exclusion of all physical exertion.

The hand is fixed in a raised state with the help of a bandage, a special pressing bandage or gypsum for up to a week.

In an outpatient setting, pain, swelling should be removed, excess fluid removed from the bag, joints returned to mobility.

Medicines

To reduce the pain syndrome apply:

1. non-steroidal anti-inflammatory drugs inside (Ibuprofen, Nurofen, Diclofenac);
2. Novocaine and corticosteroids in the bag cavity (Hydrocortisone Acetate, Diprospan), if bursitis is caused by trauma;
3. anesthetic preparations. During treatment of subacromial bursitis of the shoulder joint, lidocaine is injected into the cavity, which facilitates the symptomatology;
4. To eliminate bacterial infection, antibiotics ("Azithromycin "Clindamycin "Doxycycline") are used to wash the synovial bag;
5. when purulent flow appoint antibiotics inside ("Cefalexin").

Ointments

To remove the symptoms of inflammation, for the treatment of bursitis of the shoulder joint at home use external means:

• ibuprofen ointment;
• indomethacin ointment;
• "Diklak gel
• Voltaren;
• "Finalgel
• "Fastum gel."

Physiotherapy

Treatment of subacromial bursitis of the shoulder joint is supplemented by a physiotherapeutic action that improves blood circulation and allows the removal of edema. These include:

• electrophoresis with calcium;
• UHF;
• phonophoresis with hydrocortisone;
• magnetic therapy;
• massage with lavender, vaseline oil (after the removal of pain and inflammation) stimulates blood circulation and immune system;
• acupuncture - the introduction of needles into biologically active points on the body;
• exercises performed under the guidance of a rehabilitologist.

Alcohol compresses at night double the positive effect of physiotherapy.

Folk methods

Treatment of bursitis of the shoulder joint by folk remedies:

1. take fresh cabbage leaves, wash, cut large veins, slightly repel, so that the juice stands out. Attach the sheets to the painful joint, fix it with a bandage, and tie the top with a woolen cloth. To wear a compress follows within a week, replacing every 4-6 hours;
2. at night apply soaped with laundry soap on one side and grated soda with another cabbage leaf;
3. you can make a compress of grated raw potatoes, crushed leaves of aloe or calanchoe;
4. Ground root of burdock (2 tbsp. lie.) Pour 1 liter of boiling water and insist. Gauze or bandage, folded in several layers, soak in a still warm broth and put on the shoulder. Secure with a bandage and cover with a woolen shawl. Daily repeat the procedure for three weeks;
5. for lotions use the broths of chamomile, St. John's wort or yarrow;
6. a mixture of honey, grated laundry soap is applied to the skin, top is put finely chopped onion, covered with polyethylene and cloth. The agent is kept for several hours;
7. insist 20 g of propolis in 1 tbsp. vodka a week and use as a compress, applying to the inflamed patch for 15-20 minutes;
8. flaxseed in a frying pan, pour it into a rag bag and attach it to the joint. The procedure should be repeated for two weeks.

Three times a day before meals and at night take in propolis (15 g), mixed with butter (100 g) for 1 hour. lies.

Baths

Bursitis of the shoulder joint, the symptom of which is unbearable pain, can be treated at home with the help of healing baths from pine needles.

To prepare the broth you need 2 kg of raw material - young pine or fir cones, shoots, needles, which are poured with water and cooked over a slow fire for half an hour.

The dark liquid is infused for 24 hours and poured into a bath filled with warm water. Repeat the procedure can be daily for 20 minutes until recovery.

Apply baths with dead sea salt, a few drops of fir essential oil.

Surgical intervention

If the bursitis of the shoulder joint is chronic, and the main symptom is an excessive accumulation of pathological exudate from pus or blood in the cavities of the bag, the treatment is to remove it and wash the bursa with a solution antiseptics. In difficult cases, it is necessary to surgically open the bag and replace the liquid. Rarely the affected bag is completely removed. There are also modern laser or ultrasonic methods of intervention.

Prevention

Any disease is easier to prevent than cure. Compliance with preventive measures will avoid infection, inflammation and the formation of bursitis:

1. Maximum avoidance of injuries to the synovial bag.
2. During severe physical exertion, the mandatory use of protective dressings.
3. Treatment with hydrogen peroxide or "chlorhexidine" even the smallest damage, scratches and cuts.
4. Treatment of infectious diseases under the supervision of a doctor.

A timely call to the doctor with the first suspicions of the presence of pathology and adequate therapy will reduce the risk of chronic disease, which is fraught with frequent relapses, complications, operation. Inflammation can go on cartilaginous tissue and cause arthritis. Or on the bone, which will lead to osteomyelitis. But at an early stage of the detection of symptoms, the bursitis of the shoulder joint is successfully cured.

A source: http://zdorovue-systavi.ru/poleznoe/bursit-plechevogo-sustava-simptomy-i-lechenie/

What is bursitis of the shoulder joint and how to treat it?

Sooner or later, but everyone faces joint pain, the inability to raise the hand and other symptoms. Hand spread, peretrudil... We call it differently. But in fact it is the bursitis of the shoulder joint. What is it?

The concept of bursitis

It is important to know! Doctors are shocked: "An effective and affordable remedy for joint pain exists ..." Read more ...

Inflammation of the joint synovial bag in medicine was called bursitis. The synovial bag itself is a slit-shaped cavity filled with synovial fluid. The main function is to ensure that the convex part of the bone slides in the soft tissues and reduces friction.

In the case of bursitis, there may be an increase in the volume of the synovial bag of the shoulder joint and an increase in its pressure on nearby tissues. Immediately there is a sharp pain, the mobility of the joint sharply decreases.

If there are symptoms of bursitis joint - a visit to the doctor can not be postponed.

Although this disease does not cause significant harm to human health and at the initial stage it can be treated independently, if the inflammation will manifest itself quite often bursitis will pass into a chronic form, the treatment of which is quite difficult a task.

Causes of the disease

The most common bursitis affects men under the age of 35, although the risk group is more extensive. It includes

• People whose occupations are associated with increased stress on joints - athletes, loaders;
• Patients with weakened immunity - passed a course of corticosteroids, having type I or II diabetes, chronic alcoholics;
• Patients with rheumatic diseases.

To provoke a bursitis can traumas of a humeral joint - bruises, dilations, and also infections, adjournment of salts in a synovial bag.

In addition, the development of pathology can occur and for no apparent reason.

Symptoms and manifestations

The main symptoms of bursitis in the synovial shoulder bag are tenderness in the anterior and lateral parts of the shoulder, impossibility to throw a hand over the head. Painful sensations increase at night.

With acute development of bursitis, painful sensations start suddenly, are strong enough, intensified during movement. When resting, the injured shoulder joint can pass without any treatment.

After two or three inflammations, bursitis can go on into a chronic form.

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In this case, the pain is much less, has a aching character, under the skin there is felt like a stone tubercle, skin without visible changes and normal temperature.

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Chronic bursitis can be troubling for a fairly long time, especially to the doctor rarely, soothing yourself by simply loading your arm unnecessarily.

Diagnostics

Only a specialist can diagnose bursitis of the shoulder joint, based on a common history of the disease, a combination of symptoms, and, if necessary, additional studies.

Usually, to determine the picture of the disease, the following diagnostics are prescribed:

1. Blood test. His data will exclude rheumatological and metabolic diseases.
2. Microscopy of the contents of an inflamed synovial bag (punctate examination) - to determine infection and exclude gout.
3. X-ray of the inflamed shoulder joint - to determine the presence of osteophytes or arthritis.

The results obtained can reliably diagnose bursitis and prescribe adequate treatment.

Treatment of bursitis of the shoulder

In cases of acute bursitis of the shoulder, the main rule of treatment is rest.The doctor can prescribe and non-steroidal anti-inflammatory drugs, anesthetics are prescribed only in cases of very severe pain. The rest of the joint is provided by the application of a bandage or a fixative bandage.

You can treat and physioprocedures:

• Electrophoresis using novocaine or lidocaine;
• Ultrasound, phonophoresis in combination with anti-inflammatory ointments;
• Paraffin wax applications;
• Local lotions with naphthalone or iodine bromide.

It helps to massage the sick area with an ice pack. For carrying out such massage it is necessary to protect the skin with a cloth. In some cases, hot compresses help.

In cases where bursitis is provoked by an infectious disease, a course of antibiotics is prescribed.

A stable result can only provide a comprehensive treatment, which includes:

• Medicamentous therapy;
• Physiotherapy;
• Therapeutic exercises;
• Manual therapy;
• Acupuncture in the area of ​​the shoulder joint.

In the recovery period, it is important to protect the joint from excessive load, often experts recommend wearing special orthopedic devices to exclude traumatic movements.

Chronic bursitis of the shoulder joint is much more difficult to treat.Often, in neglected form, it requires surgical intervention, especially when the threat of a transition into a purulent form.

During the operation, excess fluid is removed from the synovial bag, the bag is washed with antiseptic solutions. Usually 5-6 similar procedures are required.

If they do not lead to the desired result - the doctor may decide to completely or partially remove the synovial cavity.

Folk remedies

In combination with traditional treatment, you can apply folk recipes for treatment of bursitis of the shoulder joint.

Compresses from cabbage leaves - a known tool in the fight against inflammation. Before applying the leaf to the affected area, it is necessary to remove thick veins and slightly repel it with a hammer.

You can rub in the inflamed joint a mixture of butter and propolis - 10 g of oil, g propolis. This will help to remove inflammation and reduce pain.

Prevention

Although bursitis does not apply to diseases that can significantly affect a patient's life, nevertheless it should not be taken lightly.

First of all, because the mobility of the joints is a guarantee of active life. Therefore, it is better to take care beforehand and not allow the transition of the inflammation to the chronic and, moreover, into a purulent form.

For this it is enough to follow simple rules:

1. Do not overload the shoulder joints.
2. Be sure to treat any damage to the skin with an antiseptic.
3. Timely treat infectious diseases.

And, if it happened, that the bursitis of the shoulder joint suddenly made itself felt - not to engage in self-medication, not endure the pain, but turn to a specialist and get qualified help.

A source: http://sustavlive.ru/drugie-bolezni/bursit-plechevogo-sustava-simptomy-i-lechenie.html