Friday, April 21, 2017

BURSITIS : understanding, symptom, Cause, diagnosis, Treatment and complication

Understanding Bursitis

Bursitis is inflammation or swelling of the fluid bag, the organ that is located under the skin or usually above the joint, which serves as a cushion between the bones and tendons. The fluid bag is also known as an exchange.
BURSITIS : understanding, symptom, Cause, diagnosis, Treatment and complication

The main symptoms of the disease bursitis is pain and reddened skin color around the inflamed area. The pain is usually to be increased when the body is moved or subjected to pressure. In addition to pain, bursitis affected area will also feel stiff and swollen.
All parts of the body can be affected by bursitis, but generally these conditions occur in the hip, knee, elbow, and shoulder.

The cause of bursitis

Factors that often lead to bursitis is injury due to repetitive movements of the muscles, joints, and tendons around the exchange. For example, repeatedly bend and straighten elbow, lifting risk on the shoulders, walking or running excessive risk at the ankles and knees or elbows resting on a hard surface.
In addition to repetitive motion, injury can also occur from a fall or clash. When the bursa injury, the tissue in it at risk of irritation which can lead to inflammation and swelling.
Exchanges can also become inflamed due to bacterial infection. This condition usually occurs in people whose immune system is low, for example as a result of addiction to alcohol, HIV / AIDS, kidney disorders, diabetes, and side effects of chemotherapy.
Bursitis caused by bacteria known as septic bursitis. In addition to pain, patients with symptoms of septic bursitis will experience additional symptoms such as skin damage in areas that have inflammation, cellulitis or infection of the skin layer, and a high fever of up shivering.
In addition to injury and bacterial infections, bursitis can also arise as a complication of a disease, such as rheumatoid arthritis or inflammation of the lining of the joints due to the immune system mistakenly, gout, ankylosing spondylitis , or arthritis long term on the part of the spine, and scleroderma or disease which causes hardening of the skin.

Diagnosis bursitis

If you are experiencing symptoms of bursitis accompanied by fever or experiencing symptoms of bursitis that do not go away within two weeks, it is advisable to see a doctor.
Usually bursitis can be diagnosed easily by the doctor through regular checks on the outside of the body that is ill supported by patient information about the perceived symptoms and causes or whatever their activity related to the symptoms.
If the patient has a fever, your doctor may take a sample of fluid from the bursa and studied in the laboratory to determine whether the bursitis is caused by a bacterial infection or complications of gout. This fluid collection procedure called aspiration.
If the symptoms do not go away after a doctor prescribed medication, the doctor may suspect other than bursitis conditions that cause these symptoms. Diagnosis for other conditions can sort through MRI scans to detect any rips tendons and blood tests to detect diseases such as rheumatoid arthritis ..

treatment of bursitis

Most cases of bursitis does not need to be hospitalized and can be cured through treatment alone at home. The time period for the disease is completely cured depending on the cause and location of the inflammation. Generally, symptoms of pain can disappear within a few weeks, but for the swelling usually takes longer.
To relieve the pain, you can take medicines, such as ibuprofen or paracetamol. To reduce swelling, you can take diclofenac or naproxen . Both drugs are a class of nonsteroidal antiinflammatory drugs.
In addition to medication, there are actually some simple ways that can be done to relieve swelling, namely:
  • Attaching bursitis ice bag on the area for 10-20 minutes, which was repeated every few hours.
  • Do not stand too long if your bursitis occurs in the hips, knees, or ankles.
  • Support the affected part of bursitis while you sleep, such as pads, to help reduce inflammation.
  • If bursitis occurs on one side of the body, avoid side sleeping position on the surface of the mattress directly affected part.
  • Using the protective device on swollen joints to avoid injury both to aggravate the condition, such as a knee pad.
For the case of bursitis is caused by a bacterial infection, your doctor will usually prescribe antibiotics, such as clarithromycin , erythromycin, and flucloxacillin.
Important to follow the instructions of the doctor regarding the use of pain medication or antibiotics so that treatments can be effective, and to avoid a recurrence of bursitis and the appearance of unwanted side effects.

Treatment of severe bursitis

In the case of bursitis are considered severe, some of the actions that can be done physicians, among them:
  • Giving injections of corticosteroid drugs. Corticosteroids are hormones that can relieve inflammation. These drugs are usually given if the bursitis can no longer be treated with regular medication. Please note that corticosteroids should not be injected into the inflamed area more than three times within one year. In addition, this method can not be applied in cases of septic bursitis or bursitis is caused by a bacterial infection.
  • Aspirations. This is an exchange of fluid suction method that aims to reduce pain and restore joint movement capability.
  • Surgical removal of the bursa. This procedure is usually performed on septic exchange of resistant to antibiotic treatment.

prevention bursitis

There are several ways you can do to prevent bursitis, among which are:
  • Warmed up for at least six minutes before exercising.
  • Take regular breaks while doing physical activities that involve repetitive movements on the part of the muscle.
  • Doing exercises that can flex and strengthen muscles.
  • Wear protective gear, such as a knee pad or using a shoe that suits your activities.
  • Reduce weight because being overweight can also cause bursitis.

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