What I want to share with you today is the knowledge about synovitis (bursitis), as well as some misunderstandings and traps.
The article is long, please read it patiently, and correct me if there are any mistakes.
Synovitis refers to a kind of aseptic inflammation in which synovium is stimulated, resulting in imbalance of synovial secretion and formation of effusion. Synovitis can occur in all parts of the body, such as knuckles, elbows, knees, ankles and buttocks.
Synovitis is a big concept. Except simple synovial diseases (such as anterior patellar bursitis, posterior elbow bursitis, pigmented villonodular synovitis, etc.). ), most arthritis is accompanied by synovial diseases (rheumatoid arthritis, gouty arthritis, etc.). ).
This concept must be clear about two points!
① Stimulation: mechanical stimulation, trauma stimulation, long-term strain stimulation, joint diseases (gouty arthritis, rheumatism/rheumatoid arthritis, etc. )! )
② Inflammation: Simple classification can be divided into aseptic inflammation (such as osteoarthritis, inflammation caused by various physical and chemical stimuli), infectious inflammation (such as inflammation caused by pathogens such as pneumonia) and autoimmune inflammation (such as allergic rhinitis).
Of course, this classification may not be accurate. It is emphasized here that synovitis mainly refers to aseptic inflammation.
# Here comes the truth #
There is a pit about inflammation that must be avoided: anti-inflammatory! There is no anti-inflammatory drug in the drug classification! Generally speaking, the anti-inflammatory drugs people refer to are called antibiotics in medicine! There are several common antibiotics: β -amides (penicillins, cephalosporins and carbapenems) and quinolones (levofloxacin, etc. ), aminoglycosides (gentamicin, etc. ), macrolide (erythromycin, etc.). ), tetracyclines and sulfonamides. No matter what kind of antibiotics, this "raw" mainly refers to microorganisms such as bacteria and fungi. So his goal is infectious inflammation.
Synovitis is invalid!
The answer is yes!
Nonsteroidal anti-inflammatory drugs have a clear anti-inflammatory and analgesic effect on aseptic inflammation!
Nonsteroidal anti-inflammatory drugs are very common in our daily life: paracetamol (acetaminophen), diclofenac sodium, Enrique (ibuprofen) acetylsalicylic acid (aspirin) fenbid (ibuprofen) and so on!
Clinically, doctors often use these drugs to relieve patients' pain. All these drugs have some adverse reactions. Long-term and large-scale use will have serious consequences. Please consult your doctor before taking the medicine!
Seeing friends here may have questions. Since there are non-steroidal anti-inflammatory drugs, are there any steroidal anti-inflammatory drugs?
The answer is yes!
but ...
Steroid anti-inflammatory drugs actually refer to glucocorticoids, which can be directly understood by non-medical professional friends as hormones, and anti-inflammation is one of the basic functions of hormones. No matter each stage of inflammation, it has a clear effect and the effect is better! The adverse reaction of long-term use of hormones should not need me to popularize science! In a word, it will make the endocrine system of the body collapse and cause various diseases.
Hormones can be said to be "magic drugs"
There are all kinds of ancestral secret recipes for treating joint pain in Jianghu, especially those known as "joint pain terminators". Most of them contain hormones (the Health Bureau, the US Food and Drug Administration, CCTV and other authoritative organizations often report such incidents). Clinically, long-term use by hospitalized patients is common. The most common thing in orthopedics is steroid-induced femoral head necrosis!
Tell a story: when it happened in our hospital, a doctor claimed to have a secret recipe from his ancestors. He made pills at home and sold them in the hospital, but he was found to have been dismissed by the hospital. When I went home to do it myself, I was found by the Health Bureau to have my medical license revoked. He is still doing it. He was arrested and sentenced to two years, and he is still active on the Internet. I estimate that the conservative annual income is several million!
The purpose of telling this story is just to tell everyone not to be deceived!
Think about this problem from another angle, if his drugs, or some drugs of online doctors, have a clear effect. Is it necessary to sell between the square and the stone? Is it still necessary to shout on the internet? Applying for a patent and commissioning production can be considered soft at home! Do you know the market value of Yunnan Baiyao? 100 billion!
Get down to business!
Synovitis can occur in all joints of the whole body. Knee synovitis, elbow synovitis and so on! Here, take synovitis of knee joint as an example to talk about prevention.
The prevention of bursitis is analyzed from the pathogenic factors!
① Physical stimulation (the most common factor):
Physical stimulation is mainly caused by trauma, strain and other reasons!
After knee joint trauma, the synovium is stimulated by violence or strained for a long time, which leads to abnormal synovial fluid secretion and bursitis reaction, which will cause local swelling and pain, joint cavity effusion and other synovitis symptoms! Similarly, there is synovium on the anterior side of patella, which will cause anterior patellar cyst, pain and other symptoms when stimulated!
The important point to be said here is that in recent years, people with synovitis caused by excessive physical exercise such as square dance, ghost dance and fitness are common in clinic.
Prevention:
② Cause of disease:
Synovitis caused by diseases is a series of diseases with symptoms such as pain and swelling caused by synovial lesions caused by gouty arthritis, rheumatoid arthritis and other diseases.
Prevention:
Why does synovitis bother everyone, even believe in "magic doctor"? There are two main reasons: 1. Recurrent attacks. 2. Synovitis caused by some diseases cannot be completely cured (such as rheumatoid arthritis and gouty arthritis). I often say that the diseases that can be cured on telephone poles are exactly the thorny problems in hospitals. The reason is that everyone can make it up!
Summarize the treatment of synovitis:
① Make clear the diagnosis and the nature of synovitis!
② Actively respond to the primary disease!
③ Use non-steroidal anti-inflammatory drugs according to the doctor's advice to relieve symptoms!
4 physical therapy such as local physical therapy!
5 cut off the cause!
⑥ Choose whether surgery is needed according to the condition!
① Relationship between synovium and synovium: Synovium and synovium are different tissues from an anatomical point of view. Synovium, also known as synovial bursa and synovial bursa, is a fibrous tissue sac. The wall of synovial sac is divided into two layers, the outer layer is thin and dense connective tissue, and the inner layer is synovium, forming a fissure-like cavity, in which there is a little synovial fluid under normal circumstances to reduce the friction between adjacent tissues. Synovial fluid can be understood as lubricating oil, synovial sac is a factory that constantly produces lubricating oil, and synovial membrane is a machine that produces lubricating oil!
② Bursitis is a kind of aseptic inflammation. The most common synovitis and bursitis are mainly caused by the simultaneous changes of synovium and synovium.
To sum up, synovium is a part of synovial sac, and synovitis and bursitis can be understood as the same disease!
I'm Dr. Liu from @ orthopedics and traumatology, and that's all I have to share with you today! Your body is yourself. It's never too late to arm yourself with knowledge.
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