Is Bursa a conservative city

Bursa: Finding the cause of the inflammation

Status: 06/12/2018 2:20 p.m. | archive
Bursitis on the hip can be very painful.

Bursa are small, fluid-filled buffers between bones and tendons. There are around 150 of them in the human body. Especially on the knees, elbows and hips, they form a sliding layer of loose connective tissue and mucous membrane. Their job is to reduce friction when the joint moves. When exposed to stress, the bursa builds up more fluid to cushion sudden impacts. When the stress subsides, the fluid is usually broken down again. But with a bursitis (bursitis), the breakdown stops: The bursa swells and hurts.

Causes of bursitis on the elbows and knees

Bursitis on the knee or elbow is often caused by excessive strain. Often the reason is one-sided stress at work: tilers strain their knees, office workers their elbows. In some sports, too, the knees and elbows are constantly in use. With permanent overload, bursitis can become chronic.

Symptoms and first treatment

An acute bursitis of the knee or elbow leads to swelling, overheating and pain. The joint loses mobility and should definitely be protected and cooled with cold compresses. If you have severe pain, you can also take an anti-inflammatory pain reliever for two to three days. If this does not lead to a significant improvement in the symptoms within a few days, the person affected should consult a doctor. Bursitis must heal thoroughly so that it does not spread to the joint.

Treat elbow and knee bursitis

If waiting and immobilizing the joint does not help, the doctor can puncture the inflamed bursa with a sterile syringe. He carefully sucks off synovial fluid and pus, thereby relieving the thickened bursa. Antibiotics are used in the event of a bacterial infection of the bursa. Further therapies:

  • In some cases, a Syringe with cortisone reduce inflammation. If the bursa keeps getting infected, there may be another cause, for example an irritated tendon or a change in the bone. In this case, cortisone may actually make the problems worse. Orthopedic surgeons warn that cortisone can damage tendons.
  • In the Molsberger neurostimulation (NSM), fine probes - comparable to acupuncture needles - are placed on the diseased tissue and electrified in order to influence the body's own electrical fields. The weak electric current is said to have an anti-inflammatory effect. However, the procedure is not paid for by the health insurance company.
  • If a tendon damage or a bony change leads to bursitis, a surgery be inevitable. The underlying problem is repaired and the inflamed bursa is removed. It grows back later.

Hip bursitis: causes and symptoms

In contrast to the knee or elbow, the bursae on the hip are rarely mechanically irritated from the outside. There, inflammation often arises from poor posture or misalignment of the hip joint, pelvis or knees (knock knees). Chronic overload, such as sitting for long periods with crossed legs, can also lead to bursitis on the hip.

Bursitis on the hip manifests itself as stinging, pulling, and pain when sitting, standing up, and walking. The complaints also appear at night. The bursa on the "large rolling mound" on the side of the hip is often affected. This leads to diffuse or localized hip pain, and in some cases to groin pain. A gentle posture can worsen the symptoms.

If the pelvis is twisted and tilts to one side, the tension on the tendon plate increases here - which can lead to overloading and inflammation of the bursa.

Identify bursitis on the hip

Hip bursitis is particularly difficult to spot. Because there the bursa are so deep under the tendons that you cannot feel them. Proper diagnosis entails a thorough physical exam, ultrasound, and magnetic resonance imaging. Other possible causes of hip pain:

  • inflamed tendon attachments
  • Cracks in the hip muscles
  • Ruptured tendon
  • Torn bone after using a hip prosthesis

Do not confuse it with arthritis and osteoarthritis

A physical examination cannot always clearly distinguish bursitis of the hip from joint inflammation (arthritis) or wear and tear of the joint (osteoarthritis). In the event of such a misdiagnosis, the doctor prescribes pain pills, injections and physiotherapy, for example, or recommends installing an artificial hip joint. Experts estimate that many hip prostheses are unnecessarily implanted because the treating doctor did not recognize bursitis on the hip and mistook it for joint wear.

Treat hip bursitis

In order to reduce the pressure on the inflamed bursa, those affected should not bend their hips if possible and should avoid sitting, standing and sleeping on one side for long periods of time. Patience and care are important, because inflamed bursae only recover slowly. The doctor can recommend the doctor different therapies:

  • The pain often lets through Cold and heat applications and anti-inflammatory injections remove. Targeted Exercises can loosen adhesions.
  • If the cause of the bursitis is a permanent bad posture due to a difference in length or a misalignment of the legs, this should be included orthopedic insoles be balanced. A twisted pelvis can be corrected by an osteopath before treatment for the bursitis begins.
  • When conservative methods fail, that's one surgery of the inflamed bursae (bursectomy) is necessary. The surgeon not only removes the inflamed bursa, but also smooths the tissue and creates a new sliding surface. Then targeted training to strengthen the muscles prevents painful friction from occurring again.

These exercises will help with hip bursitis

These exercises improve hip mobility and can help relieve pain:

  • Stretching the iliotibial band (lateral position): Stand sideways against a wall. The leg with the diseased hip is about a foot away from the wall. Support yourself against the wall with the hand of the injured side. Move the uninjured leg towards the wall over the injured leg and place it next to it. Hold the stretch.
  • Stretching the iliotibial band (while standing): Stand up straight. Move the uninjured leg over the injured leg and place it next to it. Bend over and touch your toes with your fingers. Hold the position for 30 seconds and then return to the starting position. Repeat the exercise three times.
  • Lift a leg: Lie on the uninjured side on an exercise mat. The injured leg is on top. Support your head with your hand. Tense the thigh muscles of the injured leg and lift the leg, slightly stretched, eight to ten centimeters above the floor. Hold the position for a few seconds. Do three sets of ten repetitions each.
  • Hip extension: Lie on your stomach on an exercise mat. Your arms are on your sides so that your palms are on the mat. Slowly lift the diseased leg by tensing the thigh muscles. It should stay stretched. Hold the raised leg for a few seconds and slowly lower it. Do three sets of ten repetitions each.
  • Wall squat: Stand with your back against a wall in an upright position. Hit an exercise ball or basketball against the wall. Keeping your body straight, slowly bend your knees until your thighs are parallel to the floor. As the upper body sinks down, the exercise ball rolls up along the back. Hold the position for ten seconds. Use your heels to push yourself back to the starting position. Repeat the exercise ten times.

When the kneecap hurts

If the kneecap does not slide properly in the groove provided, the cartilage can wear out prematurely. There is a risk of osteoarthritis. Strengthening the muscles is important. more

What helps with elbow instability?

If the elbow kinks or hurts badly, there may be instability behind it: Weak ligaments can then no longer hold the arm properly. When is an operation necessary? more

Experts on the subject

Prof. Dr. Gabriela von Lewinski, Senior Consultant in Charge
Department of Endoprosthetics and Reconstructive Joint Surgery Hip / Knee
Orthopedic Clinic of the Hannover Medical School (MHH)
in DIAKOVERE Annastift
Anna-von-Borries-Straße 1-7, 30625 Hannover-Kleefeld
(0511) 535 40

Dr. Renate Döbber, specialist in orthopedics and trauma surgery
Orthopedic practice
Am Markt 10, 25436 Uetersen
(04122) 90 92-0

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Visit | 06/12/2018 | 8:15 pm