What is a knee joint? Disease caused by inflammation of the inner lining of the joint. Pathological process provokes accumulation of excess exudate in the intra-articular cavities. The slightest penetration of the infection causes festering of these clusters, thereby turning into a purulent type of the disease.
Of all the articular elements of the human skeleton, the knee joints are most susceptible to this disease, since the joints experience constant, incredibly strong loads.
Causes of disorder
Sinovitis of the knee joint - such a diagnosis is made annually to thousands of patients around the world, regardless of their gender, age, social status and lifestyle. Inflammation of the largest of the skeletal joints can be triggered by various abnormalities. Most often the traumatic nature of synovitis occurs, which was the result of the appearance of some intra-articular damage. That is, as a result of injury, cuts, bruises, abrasions.
Quite often, the disorder develops on the background of bursitis (inflammation of the articular sac with excessive accumulation in the exudate cavity). There are also other types of synovitis, developing on the background of various pathologies, for example, arthritis, allergies, hemophilia.
So, the main causes of inflammation:
- injuries accompanied by significant tissue destruction;
- damage to articular cartilage;
- severed meniscus;
- irritation of the synovial membrane by the displaced articular body;
- joint instability due to deformity or weakening of the ligaments;
- rheumatic diseases;
- in women: due to the long wearing of high-heeled shoes;
- autoimmune disorders;
- metabolic disease;
- bone tuberculosis;
- due to neurological disorders;
- toxic effects on the body, caused, for example, by acute viral infections.
Depending on the cause, form and course of the disorder, synovitis can be acute or chronic, serous or purulent. As for the chronic forms of the disease, such synovitis is less common. The main reasons are: inadequate, delayed therapy; latent sluggish inflammations.
Sinovitis is an unpleasant disease causing a lot of inconvenience. Among the main symptoms are external and internal signs of the disorder. During the acute course of the disease, the symptoms are more pronounced. While in chronic forms, it becomes less pronounced:
- pain syndrome is reduced, for some time it may disappear;
- swelling is slower;
- skin over the problem area becomes friable;
- in the exudate free intra-articular bodies (clots and filaments) of fibrous nature can be formed.
As mentioned, the knee joints are most susceptible to inflammation. The disease can affect both one articular element and several at once.
The main symptoms of inflammation include:
- local edema;
- intense pain, aggravated by palpation;
- clusters of effusion change the shape of the articulation;
- due to an infectious lesion, inflammation increases, there appear: redness on the skin, local hyperemia;
- purulent inflammation can bone tissue.
For the acute form of inflammation characteristic of:
- temperature rise;
- general intoxication (purulent synovitis);
- general malaise;
- short-term partial or complete blocking of joint mobility;
- changes in the structure of connective tissue (scarring).
Inflammation disrupts the blood flow to the joint, which in turn affects the metabolic processes in this area. A weakened local metabolism leads to instability of the articular element, and therefore the risk of lighter injury (dislocation, curvature, immobilization) increases.
Diagnosis and therapy
For the diagnosis will require an external examination, X-ray and ultrasound. Used and laboratory research method - sampling puncture exudate. Bakposev and analysis are carried out for protein and blood cell content.
Treatment of synovitis of the knee joint includes a complex of physical, physiotherapeutic and pharmaceutical methods. The first step is to partially immobilize the leg at the knee. For this, elastic bandages or special knee braces are used. During the period of treatment is required to minimize the burden on this area. But this does not mean that physical activity should not be at all.
In order to avoid atrophy, it is recommended to regularly perform a set of special exercises exercise therapy. To help the patient - the course of sessions of manual therapy.
Taking medicines is an important part of treating a disease. Part of the drugs taken orally, part - local external use. In some cases, it may be prescribed injective administration of drugs into the body (in the affected area). This significantly reduces the toxic load of synthetic drugs on the organs of the gastrointestinal tract. Getting rid of the disorder itself goes faster and better.
According to reviews, the following NSAIDs are effective in the treatment of synovitis of the knee joint: Ketonal (external and internal use); Voltaren and Diclofenac (raaruzhno), Analgin and Diklak (in tablets or rectal suppositories). As well as drugs Nise and Indomethacin.
Non-steroid drugs are prescribed to the patient to reduce symptoms and stimulate natural processes. If the inflammation occurs in a purulent form, antibiotics are required, which is very effective in combating various infections.
Physical therapy is not the main method of influencing the problem, but is used as an enhancement of the therapeutic effect and reduction of the duration of the recovery period. Here are the following procedures:
- phonophoresis (with hydrocortisone);
Sometimes the knee is drained to remove accumulated matter (especially of a purulent nature). In chronic disorders, corticosteroids are often prescribed. In such cases and with mildly current inflammations, the patient is prescribed treatment-and-prophylactic courses: taking and using medicines, physiotherapy, injecting drugs from the group of proteolytic enzyme inhibitors (Grasilol, Gordox).
When drug treatment has not had the desired effect, the patient is “placed under the knife” of the surgeon, resorting to various types of reconstructive plastics.
In addition to classical methods of exposure, often used treatment of synovitis of the knee joint folk remedies.
So, what kind of treatment with folk remedies is effective when a synovitis of the knee joint is found? There are many recipes for really helping home natural products, whose effectiveness has been proven for centuries. On the basis of well-known medicinal herbs and plants are made infusions and tinctures, decoctions and ointments, as well as means for grinding.
- Tincture at the root of the comfrey drug is popular in chronic forms of the disorder. Reviews about the treatment of synovitis of the knee joint with this tool are very good, since one of the properties of the plant is an excellent regenerating ability. Ingredients: 0.5 tbsp. crushed comfrey root, 500 ml of alcohol (vodka). Aging: 14 days. Application: orally three times a day for 1 tsp. For convenience, it is recommended to dilute the tincture in 1 tbsp. water.
- Multicomponent infusion includes a decoction of rye grains, honey, barberry and alcohol. In 1 liter of water should be boiled for a third of an hour 0.5 tbsp. rye. Then the broth is filtered and mixed with other components: honey - 0.5 l, barberry - 2 tsp, alcohol - 200 ml. Aging: 21 days in a dark place. Application: orally three times a day, 3 tbsp. l
- For local use, homemade ointment from comfrey (250 g) and lard of pork fat (200 g) is suitable. Aging: 5-6 days in the main department of the refrigerator. Application: rubbing into the sore spot three times a day.
- A rubbing on the basis of laurel and vegetable oil. Aging: 14 days, the capacity should be shaken from time to time. Application: rubbed into the sore joint.
However, you should not rely solely on these funds. Experts recommend combining non-traditional methods of treatment with a mandatory classic course. Again, resorting to any of the popular methods, it would not be superfluous to consult with your doctor about the admissibility of such treatment.
In conclusion, we add that the treatment of synovitis should definitely be completed. During therapy, it is important to follow all recommendations and prescriptions. Otherwise, the risk of re-inflammation increases, as well as unwanted effects. In addition, diseased joints can significantly affect a person’s quality of life.