Bursitis - Is There Any Cure? I Am Desperated...

[vertigo4u]

I have since more than 4 weeks a swollen Ellboy

I was in the Hospital some Weeks ago and the cutted into the swollen Area,

draining out Water and Blood

Still I have a swollen Ellboy and a lot of Pain!

Anybody can give me an Advice, what to do?

I cool it down 3-4 Times a Day - I take Anti Inflamatory and painkiller Pills

I am desperated and I need Advices, what further Steps I should go?

Thanks in Advance for any Suggestions

[jackoneilone]

potentially yes.

You could have a bursectomy (removal of the bursa) but that is usually last option as its surgery and recovery will take a while. However the bursa will grow back without the inflammatory condition. Usually takes a few weeks to heal.

But why do you have it? whats the cause and reason? is it infected? did they check the drainage for signs of infection? Have you had cortisone injections and given arm sling to immobilise the joint?

Edited May 14, 2010 by jackoneilone

[crazydrummerpauly]

Just some basic facts from the web >>>Bursitis is the inflammation of one or more bursae (small sacs) of synovial fluid in the body. The bursae rest at the points where internal functionaries, such as muscles and tendons, slide across bone. Healthy bursae create a smooth, almost frictionless functional gliding surface making normal movement painless. When bursitis occurs, however, movement relying upon the inflamed bursa becomes difficult and painful. Moreover, movement of tendons and muscles over the inflamed bursa aggravates its inflammation, perpetuating the problem.

Contents

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• <LI class="toclevel-1 tocsection-1">

1 Causes <LI class="toclevel-1 tocsection-2">2 Symptoms <LI class="toclevel-1 tocsection-3">3 Examples <LI class="toclevel-1 tocsection-4">4 Treatment <LI class="toclevel-1 tocsection-5">5 References
6 External links

//

[edit] Causes

Bursitis is commonly caused by repetitive movement and excessive pressure. Elbows and knees are the most commonly affected. Inflammation of the bursae might also be caused by other inflammatory conditions such as rheumatoid arthritis. Although infrequent, scoliosis might cause bursitis of the shoulders; however, shoulder bursitis is more commonly caused by overuse of the shoulder joint and related muscles.^[1]

Traumatic injury is another cause of bursitis. The inflammation irritates because the bursa no longer fits in the original small area between the bone and the functionary muscle or tendon. When the bone increases pressure upon the bursa, bursitis results.

[edit] Symptoms

Bursitis symptoms vary from local joint pain and stiffness, to burning pain that surrounds the joint around the inflamed bursa. In this condition, the pain usually is worse during and after activity, and then the bursa and the surrounding joint become stiff the next day in the morning.

[edit] Examples

The most common examples of this condition are

• Prepatellar bursitis, "housemaid's knee",
  
• Infrapatellar bursitis, "clergyman's knee",
  
• Trochanteric bursitis giving hip pain,
  
• Olecranon bursitis characterised by pain and swelling in the elbow, and
  
• Subacromial bursitis, which gives shoulder pain.
  

[edit] Treatment

Bursitis that is not infected can be treated with rest, ice, elevation, anti-inflammatory drugs and pain medication. Since bursitis is caused by increased friction from the adjacent structures, compression is contraindicated because compression would create more friction on movement (passive and active). Advanced massage therapy techniques can also be employed to help with the inflammatory process of bursitis.

[1]

Bursitis that is infected requires further investigation and antibiotic therapy. In cases when all conservative treatment fails, surgical therapy may be necessary. In a bursectomy the bursa is cut out either endoscopically or with open surgery. The bursa grows back in place after a couple of weeks but without any inflammatory component.

[edit] References

1. ^ "Shoulder Bursitis". http://www.treatment-for.com/shoulder-bursitis-treatment.htm.
   

[edit] External links

• American College of Rheumatology
  
• Bursitis information and treatment from NHS Direct
  
• General Bursitis Information at About.com
  
• Information from the Mayo Clinic
  
• Bursitis information and treatment options from Bursitis.ws
  
• Bursitis Causes, Symptoms, Treatment, Types and Diagnosis from MedicineNet.com
  

This health-related article is a stub. You can help Wikipedia by expanding it. v • d • e[show] v • d • eSoft tissue disorders / Rheumatism / Connective tissue arthropathy (M65-M79, 725-728)Capsular jointSynoviopathySynovitis/Tenosynovitis (Calcific tendinitis, Stenosing tenosynovitis, Trigger finger, DeQuervain's syndrome) · Transient synovitis · Ganglion cyst

osteochondromatosis (Synovial osteochondromatosis) · Plica syndrome

villonodular synovitis (Giant cell tumor of the tendon sheath)BursopathyBursitis (Olecranon, Prepatellar, Trochanteric, Subacromial) · Synovial cyst (Baker's cyst)Noncapsular jointLigamentopathyLigamentous laxity · HypermobilityEnthesopathy/Enthesitis

(and general tendinopathy)upper limb (Adhesive capsulitis of shoulder, Rotator cuff tear, Golfer's elbow, Tennis elbow)

lower limb (Iliotibial band syndrome, Patellar tendinitis, Achilles tendinitis, Calcaneal spur, Metatarsalgia) · Bone spur

other/general: Tendinitis · TendinosisNonjointFasciopathyFasciitis: Plantar · Nodular · Necrotizing · EosinophilicFibromatosis/contractureDupuytren's contracture · Plantar fibromatosis · Aggressive fibromatosis · Knuckle padsM: JNT

anat(c,h,t,u,l)/phys

noco(arth/defr/back/soft)/cong, sysi/epon, injr

proc, drug(M4)

M: MUS, DF+DRCT

anat (h,n,t,p,u,l,d)/phys/hist

noco(m,s,c)/cong(d)/tumr, sysi/epon, injr

proc, drug (M1A/3)

[show] v • d • eInflammationAcutePlasma derived mediatorsBradykinin · complement (C3, C5a, MAC) · coagulation (Factor XII, Plasmin, Thrombin)Cell derived mediatorspreformed: Lysosome granules · vasoactive amines (Histamine, Serotonin)

synthesized on demand: cytokines (IFN-γ, IL-8, TNF-α, IL-1) · eicosanoids (Leukotriene B4, Prostaglandins) · Nitric oxide · KininsChronicMacrophage · Epithelioid cell · Giant cell · GranulomaProcessesTraditional: Rubor · Calor · Tumor · Dolor (pain) · Functio laesa

Modern: Acute-phase reaction/Fever · Vasodilation · Increased vascular permeability · Exudate · Leukocyte extravasation · ChemotaxisSpecific typesNervousCNS (Encephalitis, Myelitis) · Meningitis (Arachnoiditis) · PNS (Neuritis) · eye (Dacryoadenitis, Scleritis, Keratitis, Choroiditis, Retinitis, Chorioretinitis, Blepharitis, Conjunctivitis, Iritis, Uveitis) · ear (Otitis, Labyrinthitis, Mastoiditis)CardiovascularCarditis (Endocarditis, Myocarditis, Pericarditis) · Vasculitis (Arteritis, Phlebitis, Capillaritis)Respiratoryupper (Sinusitis, Rhinitis, Pharyngitis, Laryngitis) · lower (Tracheitis, Bronchitis, Bronchiolitis, Pneumonitis, Pleuritis) · MediastinitisDigestivemouth (Stomatitis, Gingivitis, Gingivostomatitis, Glossitis, Tonsillitis, Sialadenitis/Parotitis, Cheilitis, Pulpitis, Gnathitis) · tract (Esophagitis, Gastritis, Gastroenteritis, Enteritis, Colitis, Enterocolitis, Duodenitis, Ileitis, Caecitis, Appendicitis, Proctitis) · accessory (Hepatitis, Cholangitis, Cholecystitis, Pancreatitis) · PeritonitisIntegumentaryDermatitis (Folliculitis) · Cellulitis · HidradenitisMusculoskeletalArthritis · Dermatomyositis · soft tissue (Myositis, Synovitis/Tenosynovitis, Bursitis, Enthesitis, Fasciitis, Capsulitis, Epicondylitis, Tendinitis, Panniculitis)

Osteochondritis: Osteitis (Spondylitis, Periostitis) · ChondritisUrinaryNephritis (Glomerulonephritis, Pyelonephritis) · Ureteritis · Cystitis · UrethritisReproductivefemale: Oophoritis · Salpingitis · Endometritis · Parametritis · Cervicitis · Vaginitis · Vulvitis · Mastitis

male: Orchitis · Epididymitis · Prostatitis · Balanitis · Balanoposthitis

pregnancy/newborn: Chorioamnionitis · OmphalitisEndocrineInsulitis · Hypophysitis · Thyroiditis · Parathyroiditis · AdrenalitisLymphaticLymphangitis · LymphadenitisRetrieved from "http://en.wikipedia.org/wiki/Bursitis"Categories: Inflammations | Soft tissue disorders | Health stubs

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Edited May 14, 2010 by crazydrummerpauly

[up-country_sinclair]

Ice and rest are the first step.

If that doesn't work and the problem persists, you might have to think about going under the knife.

And by the way, I agree with a poster above; check to see if your wound is infected.

[farangene]

Check for an infection, not always in the obvious locations.

One dr told a friend that she had chronic bursitis. She had one bout bad enough to put her in the hospital for 2 days.

A week later, her dentist looked at her teeth and said that her wisdom teeth were infected. Had her wisdom teeth pulled and has never had bursitis again.

[fullwhenempty]

Bar-fly's elbow?

Try organic cold-pressed (therapeutic grade) Sesame Oil from black sesame seeds. This oil is used throughout India for many conditions, including bursitis. You can make a poultice and add turmeric powder (protect your sheets!) which is anti-inflammatory, or just use oil alone. Change the poultice daily. Once the inflammation goes down start to gently massage the area. Castor Oil can also be used but I don't have a source, while fresh Aloe Vera is another option. These oils are anti-fungal, anti-bacterial.

You can also include hydrotherapy. Take your shower wand and direct hot water, as hot as you can stand, onto the affected area, for 15-30 seconds. Then switch to cold. Again, for 15-30 seconds. Repeat this 7 times, twice daily. Or use hot and cold compresses. It's a great way to move the blood.

Make sure you trust your source for oil. I've found second grade being sold as premium. PM me if you need a supplier.

There are many folk remedies you can try.. http://www.natural-homeremedies.com/homere...es_bursitis.htm

Going under the knife is a last resort in my book.

Good luck!

[fremmel]

I can sympathize with you because I've been down that same road with an elbow bursitis. I had pain and sensitivity on and off for a year or so, rested the elbow, took pain killers and anti-inflammatory drugs, and finally had a cortisone shot. The cortisone shot led to an infection, even more pain, and an elbow that looked just like the picture Crazydrummerpaul posted except mine was red and inflamed. Finally I went to an orthopedic surgeon and he took one look and led me straight to the emergency room, lanced the bursa, put in a drain for a few days, and gave me some antibiotics. That resolved the problem and I haven't had a re-occurrence in 10 years.

It sounds like your bursa may be infected. You need to see a good orthopedic surgeon. Even if it's not infected he should be able to give you a treatment regime that will help.

[losworld]

Looks infected try Sulfameth 2x daily. Should come down in a week if this is the case.

I don't do house calls but I will mail you the bill if it works.

Edited May 15, 2010 by losworld

[Sheryl]

I do not recommend self treatment in this case.

See a good orthopedic specialist

If there is an infection, need to do a culture to identifty the bug and best antibiotic. You say the elbow was incised and drained previously, was a culture doen at that time?

[losworld]

Sulfameth is a pretty safe antibiotic with a broad enough spectrum to give positive results if you wish to try it. In Thailand and elsewhere self medication can be advisable over many doctors of dubious knowledge. However, always start with half doses for the first 48 hours then if no negative reaction go to prescribed dosage. And always research side effects and use common sense such as staying out of the sun, etc. In Thailand self medication is somewhat a national past time.

Edited May 16, 2010 by losworld

[FBN]

Sulfameth is a pretty safe antibiotic with a broad enough spectrum to give positive results if you wish to try it. In Thailand and elsewhere self medication can be advisable over many doctors of dubious knowledge. However, always start with half doses for the first 48 hours then if no negative reaction go to prescribed dosage. And always research side effects and use common sense such as staying out of the sun, etc. In Thailand self medication is somewhat a national past time.

This kind of self medication is NOT advisable. Any sulfa based antibiotic for this condition is definitely not advisable.

If the bursa was just incised, it will recur. The proper method of treatment is to treat the infection with an appropriate antibiotic and remove the bursa as intact as possible after the infection and inflammatory reaction has subsided. Usually about 6 weeks.

If an incision and drainage has been made, appropriate local dressings with or without oral antibiotics; depending on the signs of active infection such as lymph gland enlargement in the axilla, fever etc.

The risk of significant bleeding is quite high when surgery is performed in the presence of an inflammatory reaction.

[simon43]

I had this ailment about 6 years ago. Despite being incised, the fluid kept returning. Whilst in the UK, a doctor recommended wearing a tight athletic support bandage. This actually resolved the problem and my ailment disappeared completely after being 'squeezed' by the bandage for a few weeks.

Warning - if you do try this solution, do not remove the tight bandage quickly! I removed the bandage whilst sitting in a PizzaHut because it felt too tight in the hot weather, and I immediately fainted as the blood rushed to my head!!

Simon