Burst a big skewer treatment. Symptoms of bursita hip joint, diagnosis, treatment of folk remedies, drug treatment, photos. Complications and forecast

Code of ICD-10: M70.6 (bursitis a large skewer of the femoral bone), M70.7 (other bursites of the thigh)

The bursitis of hip joint is a disease that is associated with inflammation of the contents of the synovial bag (bursa).

Bursa or the articular bag is a bag filled with gel fluid that performs the role of a shock absorber and reducing the friction of the joints by one friend.

The hip roars can hit the sedlicate, iliac-scallonic or the leisure bag of the hip joint.

Causes of the disease

Near the hip joint are several synovial bags, since this skeleton department is highly loaded. The causes of all hipboards are approximately the same:

strong and regular physical exertion on the hip joint;
intense sports training;
supercooling;
a variety of diseases, congenital anomalies and pathology (arthritis, arthritis, salt deposition, different lengths of limbs);
obesity;
passive lifestyle;
previously performed operations on the hip joint, suffered injuries and damage;
elderly age;
infectious damage to the articular bag;
violation of metabolic processes.

Main types of bursita hip joint: characteristic symptoms

Symptoms of illness depend on the location of the inflamed articular bag, as in each case they differ.

Sedal Bursit

A sedlicated articular bag is located in a place where the bone sedlicate bump with muscles is connected. With inflammation of the sedlicated bursa, a person has symptoms of severe pain in the upper part of the hips, which increase even with minimal load.

The sedlicated bursitis of the hip joint is often manifested when attempting to bend or dispersed the joint, when the inclined surface is lifted, also with a long seat on something solid.

Helvive (Object)

The faithful articular bag is located outside the hip. The disease often affects this part of the hip joint, the progressive bursitis appears. At a borshet, severe pain appears in the outside of the hip, so pain symptoms occur even in a lying position on the damaged side.

It becomes almost impossible to sleep. When lifting the stairs, burning pain occurs in the leg and rolls the movement of a person. The progressive bursitis is 2 times more often than the rest of the bourges of the hip joint. Such a disease is often diagnosed with middle and elderly women, as well as athletes.

Iliac-swing

The iliac-swing bursa is located on the inside of the femoral joint. If she inflamed, the pain extends to the front, the inner sides of the thigh and gives in the groin.

General symptoms:

Feeling burning.
Sharp and gradually growing painful sensations in the area of \u200b\u200bhip joint. When inflammation just begins, severe pain occurs, the painful point is located above the inflamed bag. As the bursitis develops, the pain is gradually moving from acute in the new, while covering an increasingly large area.
Mustitude and apathy due to permanent pains, loss of performance.
Sleep disturbance.
It is impossible to completely bend and bleed the lower limb.
Discomfort when climbing the stairs, after long walking.
Emptying in bursa infection.
Increase body temperature.
Swelling. Appears as a result of injury. First, the tumor becomes visible, but gradually it becomes less and disappears.

If the above symptoms appeared, then this is a reason to consult a doctor. After all, the earlier treatment begins, the fastest relief will come.

Complications of the disease

Bursith hip joint, if not treatment, can go into a chronic form.

In this case, all the hip joint capsules are inflamed, which leads to the limitation of its mobility. To prevent complications and after surgery, it is necessary to strengthen the immune system, solve the problem of excess weight, spend more time in the fresh air, walking and strengthening the lower limbs, abandon the bad habits.

If a sedable, iliac, spinning bursitis moves into a chronic shape, pain gradually calm, becomes less pronounced, a small swelling of the rounded shape and with a soft consistency appears at the location of the affected Bursa. In chronic form, the joint function is saved.

When infection, the bursitis of the hip joint is developing with microbes. There is a sharp pain when trying to take the thigh to the side. Outside the hip is formed swelling. It is impossible to completely break or bend the thigh, so it is constantly in a semi-bent position.

Diagnostics

The patient passes a number of surveys, according to the results of which treatment is assigned:

Visual inspection and palpation of the painful area of \u200b\u200bthe joint.
Burry sample. This is an additional thigh test. If there is a bursitis, then such a movement will be extremely difficult and will cause a sharp pain.
X-ray to identify infinite sections.
MRI. Allows you to identify the zones of inflammation and accumulation of exudate.

The diagnosis of the inflammatory process in the hip joint is somewhat difficult due to its deep location and muscle coverage. Therefore, it is based on the analysis of patient complaints and x-ray. MRI is needed to detect osteophytes in a near-handing bag and to exclude the development of arthritis.

Therapy

With inflammation of the synovial bag of hip joint, the initial goal is to eliminate pain syndrome. It is necessary to ensure complete peace of the sore joint, to reduce the load on it to maximize when moving.

The treatment of painful and anti-inflammatory drugs is appointed.

Hormonal medicines and local anesthetics are used to facilitate pain. In advanced cases, the treatment of hipboard is carried out under ambulatory conditions, it consists in one-time introduction of potent drugs into inflamed Bursa. If the exacerbation appears again, then another injection is carried out.

To prevent recurrence of the disease, it should be applied: natural chondroprotectors that normalize the blood supply to cartilage and articular tissue. Antioxidants that feed the articular fabric, rapidly restoring blood microcirculation (for example, dihydroquitin). Biologically active additives based on beekeeping products are useful.

Infectious bursites need to be treated with antibiotics. Treatment of noncommunicable bursitis is carried out with ice compress, anti-inflammatory and painkillers. Sometimes aspiration may be required (exudate pumping from the synovial bag).

Also, non-infective bursitis can be treated with cortisone injections to the bursa region, sometimes together with an anesthesia. Such treatment is usually carried out after the aspiration procedure. If there is a large amount of exudate, it takes to pump from the cavity of the bag, and drugs are introduced there.

After the removal of acute inflammation and pains are prescribed physiotics.

Physiotherapeutic treatment

Ozokerite and paraffin applications.
Microwave therapy.
Massotherapy.
Industorateric.
Electrophoresis.
Dry warmth.

Operation

Operational treatment is prescribed only if the sedable, iliac-swing, the progressive bursitis is not amenable to conservative therapy, inflammation and pain do not pass.

In this case, an excision of the articular bag is prescribed. Arthroscopy is actively used, during which a small dissection of the thigh is being made and an apparatus is entered that allows the doctor to control the tools to remove bursa.

Such an operation is well tolerated by patients, the hip function is not violated and after surgery, people are very quickly restored. The drainage is used, with which the exudate from the inflamed bursa is removed. In severe disease, the bursectomy is carried out, at which the entire articular bag is fully extracted along with its contents.

Prevention

After the operation, a person should undergo a rehabilitation course that will help to quickly recover. The rehabilitation period includes:

constant, but moderate exercise, training of the muscles of the lower extremities;
it is necessary to make daily hiking, while using a cane or special walkers;
maximum reduction of the load on the hip joint, restricting physical activity that provokes inflammation of the synovial bag;
body mass control;
if Bursit has developed due to different lengths of the legs, special orthopedic devices should be worn;
it should be possible to periodically give a full-fledged holiday.

Most often, the bursitis of the hip joint is well treatable by conservative means.

The use of anti-inflammatory drugs in combination with anesthetics completely relieves the symptoms of pain and inflammation in 5, a maximum of 7 days. And prevention will prevent the recurrence of the disease.

Sedal Bursit may form under the influence of a variety of factors. Pathology amazes a hip joint of a person. In the occurrence of the pathological process in the joint, the patient experiences discomfort when moved. A small swelling appears on the affected area, which has a soft structure. The sizes of the tumor during the sedined bursite fluctuate from 5 to 9 cm. This is due to the features of the localization of the disease. It is impossible to diagnose the bursit on their own. For the establishment of pathology and appointment of treatment requires the help of a specialist.

How pathology is formed

The hip joint has a specific structure. The femoral bone of man has the top - spit. It is located in the bed of the pelvic bone. They are connected by tendons. The joint is surrounded by a muscular frame. It is necessary for giving the bones. To reduce bone friction when driving, the joints are covered with special pockets. These pockets are called bursami. Bursa contains a liquid that consists of proteins and acids. The bag performs an amortization function.

The hip joint is surrounded by three bursami:

Upper Bursa;
Sedal bag;
Iliac-swing bursa.

If a pathological change occurs in one of these bags, inflammation occurs. This process is accompanied by an increase in the volume of pocket walls and changes in its shape. In deformation of the walls, the bursa is a violation of the composition of the synovial fluid. Inflammation implies the defeat of the joint by a sedlicate bursite.

What affects the appearance of pathology

The sciatic shape of the bursita may develop due to a variety of factors. Experts identify the following causes of pathology:

Injury;
Professional features;
Excess weight;
Inflammatory diseases in the body.

Traumizing the sedlication joint leads to the development of various pathologies. In the injuries, the risk of the appearance of sedlicate bursitis increases. A strong pressure that turns out to be on the walls of the bursa leads to their deformation. The injured synovial bag is inflamed. The process goes into the cavity of the pocket. The patient develops a sedlicated bursitis.

With open wounds, infection of the synovial fluid can occur by pathogenic microorganisms. Power bacteria cause inflammation of the inner walls of the synovial cavity. This is due to the peculiarities of microbes. They feed on healthy fabrics and attack their cells. In case of bacterial damage, the bags specialists note the cluster in the liquid products of the life of the body and living individuals. Some types of bacteria are injected with bursa suppuration. With such damage, the bag is removed from the body completely.

The frequent cause of the sciatic bursitis becomes overweight patient. This arises due to the constant pressure of body mass on the walls of the synovial pocket. They change their shape, the pocket loses the main function of amortization. Allow the problem is possible only with a comprehensive treatment with a surgeon and a nutritionist.

Inflammatory pathologies that occur in other patient organs may entail the development of the disease. The process is accompanied by the transition of inflammation into the bloodstream, the lymphatic system. According to these fluids, inflammation can get into any organ, including the synovial bag. With this development of the disease it is difficult to identify reasons. Specialists carry out comprehensive diagnosis of the patient.

The profession of a person can adversely affect the health of the joints. Especially to such pathologies are inclined athletes. With constant running or jumping, the shape of the pocket is changed. He cannot accept his original shape. This pathology entails the development of inflammation of the walls of the synovial pocket. Also, the synovial bag may be inflamed and with a long stay in a sitting pose. Such pathology often occurs in people who work for a long time at the computer.

Symptomatics of the disease

A man suffering from a sedal bourgei complain about such signs as:

Pain in thigh bending;
Pulling pain due to long-term seating;
Swelling on the affected body of the body;
Fever.

The difference between the sedlicated bursitis is the localization of pain syndrome. Disciplous sensations in the patient appear in the process of flexing the hip joint. The pain is enhanced with a long sitting position or in a lying on one side. The syndrome is intensified at night and irradiates to the knee joint and lower back. The patient ceases to fall out, becomes sluggish and apathetic.

The main sign of the bursitis is the appearance of edema or tumor in the joint zone. Edema has clear boundaries. During palpation there is a liquid. If the edema begins to quickly increase in size, then it is necessary to urgently ask for help from a specialist.

With the suppuration of the synovial fluid, the patient climbs the body temperature. Patient fever. Treatment with antipyretic means helps slightly reduce the temperature. If the temperature is kept for a long time, then the risk of developing dyspeptic phenomena increases. The temperature is connected vomiting and diarrhea.

Diagnosis of pathology

To reveal the reason that led to the appearance of the disease, it is necessary to undergo a thorough medical examination. Doctors recommend passing such research as:

X-ray examination;
Ultrasound diagnostics;
Fluid sample from pocket;
Blood from the finger.

Radiography makes it possible to eliminate osteochondrosis or arthrosis in the affected joint. Arthrosis is accompanied by the emergence of the inflammatory process in the chance of the joint, and bursitis - on the walls of the bag. Also x-ray excludes fractures. They are relevant for fair sex. Many women at fall break the neck of the thigh, thanks to which they become disabled.

Ultrasound diagnostics is needed to determine the affected bag that has been inflamed. In the monitor, the increased bursa filled with a mixture is well visible.

Bursa fluid sample is taken to identify the nature of the disease. In it, specialists can detect the inclusions of purulent fibers, blood cell impurities or calcium, various products of bacteria. Impurities affect the selection of treatment.

Blood is taken to form an inflammatory process. Under the influence of the pathological process, an increase in the number of leukocytes occurs.

Methods of treatment

Treatment of sedlicate bursitis depends on the severity of the flow. If the form proceeds easily, then experts prescribe antibiotics and anti-inflammatory substances. Preparations quickly eliminate pathology. With severe form, removal of the synovial pocket or washing it is required.

Modern doctors spend the removal of bursa through a small incision made by a laser. Such intervention allows you to avoid bleeding. The patient is rapidly restored. If you can simply rinse the bag, then the operation is carried out under local anesthesia. After the operation, the patient can go home.

Many inflammatory processes in the joints do not have pronounced signs. Specialists are not recommended to independently assign themselves treatment. This should be done by a doctor.

Bursa is thin-walled pockets, the inner layer of which is lined with a synovial cloth. The cavities of the bursa are filled with liquid. These formations are located in the thickness of the connective tissue of ligaments and tendons in the places of the greatest friction.

To understand what bursitis is a hip joint and how to treat him, you need to learn some information about the anatomy of the hip joint. The hip joint is the largest formation of the belt of the lower limbs. It is formed by a masterpiece of the pelvic bone and the articular surface of the head of the femoral bone. Among the large bags in this area are distinguished:

sedlicated;
buttock muscle;
big spit;
iliac-swing;
diffrokeless locking muscle;
pear-like muscles.

The hip joint is tightly surrounded by muscles and tendons leading it in motion.

To prevent the friction of soft articular tissues among themselves and about the bone surface, each tendon is protected by a small bag (bursoy), which plays the role of a shock absorber and lubricating mechanism: the cells of the inner synovial shell of each bag are released by a special liquid - synovia comprising collagen and protein.

Trochanterite of the hip joint (TX) is a disease in which the inflammation of the part of the femoral bone occurs, which is called "big spit" or "Trochanter" (from where his name went).

Classification

Basically, the bursitis of the hip joint is developing in three bags:

Spinning:
- at the place of attachment of the middle buttock, pear, the upper and lower twin muscles to the big spit.
Iliac scallops:
- in the inner groin area of \u200b\u200bthe thigh, where the tendons of the iliac and lumbar and comb muscles are located.
Sedalized:
- in the field of fastening the tendons of the muscles of the back surface of the thigh (double-headed, semi-dry and semi-pepper) to the sedlicate bug.

The hip joint should be distinguished from the synovitis - inflammation of the synovial shell surrounding the joint itself - the articulation of the head of the femur with a masterpiece.

There is no generally accepted classification of bursita hip joint. But depending on the localization of the pathological process and the nature of the clinical flow, the disease may have several options. Disease can be classified according to ciphers in the ICD-10:

burst a large skewer of the femoral bone (M70.6);
sedal Bursit and others (M70.7);
syphilitic (M73.1) and Gonococcal Bursit (M73.0).

Burssites are divided according to their anatomical location. And on the etiological basis, pathology can be:

nonspecific;
specific (stafiloid or streptococcal, syphilitic, gonorrheal, tuberculous);
traumatic.

When progressing the disease, inflammation may acquire different forms, the nature of the contents of the bag changes. The faithful bursitis of the hip joint is divided into:

serous (liquid whisker or muddy);
hemorrhagic (blood detected)
purulent.

If the hip joint is progressing, unpleasant symptoms are focused not only in the jagoda zone, but also throughout the body; Therefore, conservative treatment must be started at the first complaints of the patient.

In the absence of medical events, a person loses its move, may even get a group of disability. The inflammation of the articular bag of hip joint is prone to chronic flow, i.e.

Signs of Bursitis in animals

The main symptoms of the bursitis are associated with painful sensations. They are sharp, always localized in the outer femoral area. In the initial stage of the disease, the pain is especially strong. As the inflammatory process develops, pain symptoms become less pronounced. The patient is concerned with other symptoms of bursitis hip joint:

Swipness at the place of the joint. Reaches significant size - up to 10 centimeters in diameter.
Tissue edema surrounding the mucous articular bag.
High body temperature, sometimes reaching 40 degrees.
Redness of the skin (hyperemia).
General deterioration of the state, loss of performance.
Violation of joint functions.

How to recognize and treat bursitis hip joint?

Code of ICD-10: M70.6 (bursitis a large skewer of the femoral bone), M70.7 (other bursites of the thigh)

The bursitis of hip joint is a disease that is associated with inflammation of the contents of the synovial bag (bursa).

Bursa or the articular bag is a bag filled with gel fluid that performs the role of a shock absorber and reducing the friction of the joints by one friend.

The hip roars can hit the sedlicate, iliac-scallonic or the leisure bag of the hip joint.

Bags of hip joint

Causes of the disease

Near the hip joint are several synovial bags, since this skeleton department is highly loaded. The causes of all hipboards are approximately the same:

strong and regular physical exertion on the hip joint;
intense sports training;
supercooling;
a variety of diseases, congenital anomalies and pathology (arthritis, arthritis, salt deposition, different lengths of limbs);
obesity;
passive lifestyle;
previously performed operations on the hip joint, suffered injuries and damage;
elderly age;
infectious damage to the articular bag;
violation of metabolic processes.

Causes of hip bessita

Main types of bursita hip joint: characteristic symptoms

Symptoms of illness depend on the location of the inflamed articular bag, as in each case they differ.

Symptoms of Bursita TBS

The main manifestation of the bursitis is pain in the hip joint, which is distributed mainly along the outer surface of the thigh. Early stages of pathology inherent acute and intensive pain. With the further development of the disease, the pain becomes not so apparent.

The main symptom of Bursita is pain. It applies to the outer surface of the femoral bone. It happens sometimes very burning. The patient cannot lie on the damaged side. The pain exacerbates at night, the patient has a healthy normal sleep. Pain signs are enhanced with the rise on the staircase, the rotation of the thigh.

In the area of \u200b\u200bthe scene of the femoral bag, swelling is palpable. When pressing on it, the pain is enhanced. The rotation of the joint is not broken. The progressive bursitis is characterized by the fact that in a lying position on a sore leg, pain is enhanced. This deprives a person full sleep. The pain is capable of irradiating down, lying on the side surface of the joint.

Characterized by the appearance of pain syndrome when walking with an irritation of the articular bag. In the first minutes of walking the pain is stronger, then she subsides. If in a sitting position to put leg legs, the pain is enhanced. The appearance of vegetative-vascular disorders is possible.

The external inspection at a spinning bursite of the hip joint shows the invariance of contours. It is explained by the fact that the spinning bag is reliably covered with butorous muscles, is in the depths of subcutaneous adipose tissue.

Burst (Trochanter)

The progressant bursitis meets most often, and mainly in women athletes, thanks to an anatomically wider pelvis, reinforcing the friction of tendons in the field of attachment.

The disease contribute to long distances.

Basic symptoms:

A sharp, burning pain that gives over the outer surface of the hip, increasing with rotational movements inward (pronation), squatting, lifting up the stairs.
It becomes impossible to lie on the sick side.
When bouring traumatic nature, the pain sudden and acute, traumatic damage may be accompanied by a click.
Upody other reasons (scoliosis, arthritis, etc.), pain symptoms grow up in the way, day by day.

Iliac-swing bursitis

Due to the connection of this bag with the articular cavity, the iliac-cresting bursitis in its symptoms resembles the synovit of TBS, which is the main sign of the coxit (arthritis of the TBS).

Symptoms:

Pain in the thigh, on the front of the inner surface, below the ligaments of the groin.
When the hip is extension, the pain is increased, for example, at the time of getting out of the chair or lift hips.

Sedal Bursit

Signs of bursitis of the hip joint are nonspecific and may occur with other diseases of this area. The main symptoms of the pathology are as follows:

soreness in the field of hip joint by the direction of the lesion at pressing;
movements cause discomfort, but stored in full;
swelling of surrounding tissues;
at subcutaneous arrangement of bursa and the low thickness of the fat layer, a compacted education is visible;
increase body temperature and intoxication syndrome during suppuration.

Note! Depending on the localization of inflamed bursa, pain syndrome has its own characteristics. So bursitis of a large skeleton of the thigh is accompanied by pain on the side surface with irradiation (spreading to the buttocks and in the knee area). This type of disease is more common in women after 40 years with overweight.

The bourssitis of the hip joint is considered the inflammatory process of the synovial bag, the function of which is to reduce the friction between the tendons, muscles and bones.

The symptoms of this disease are widely known, so when they first, their manifestation should be immediately accepted for treatment, including folk remedies.

Structure of Sustav

The composition of the hip joint includes three synovial bags. The symptoms of the inflammatory process can manifest itself in each of them.

When the hip joint, the hip joint symptoms and treatment depends on the pathology of the pathology.

This inflammatory orthopedic disease is widespread.

Mostly burst a large spit develops in the people of old age, a little more often in women than in men. The main symptom is pain over the region of a large spit and the lateral surface of the thigh.

The pain is intensified when walking, various movements and lying on the affected thigh. The beginning of the disease can be sharp, but more often symptoms are progressing gradually for several months.

In chronic cases, the patient with difficulty determines the localization of pain or experiences difficulties in describing pain, and the doctor may not give these symptoms of much or incorrectly interpret.

Sometimes pain resembles pseudoculopathy, irradiates down and in the side of the thigh. In some cases, the pain is so strong that the patient cannot walk and complains of diffuse pain in the whole hip.

Diagnostics. Inspection

In the diagnosis of bursitis of the hip joint, a complex of methods is used. A specialist conducts a conversation with a patient, as a result of which finds out the presence / absence of related diseases, possible preceding surgical interventions.

Special attention is paid to the careful examination of the patient, accounting for all its observations. The specialist takes into account complaints of increased soreness and sensitivity in the zone of the protruding sections of the thigh.

Of all the types of bursitis, the progressive bursitis is most often found. This form of pathology is characterized by burning pain in the zone of hip joint.

The pain can spread along the outer surface of the thigh. The patient is hard to stay for a long time on some side during rest or sleep.

The pain syndrome is enhanced with active movement - when walking, squatting, a sharp rotation of the thigh, the climb on the stairs.

The diagnosis is based on instrumental techniques:

Radiographic research. It is possible to detect the change in the bone, the joint in the field of a large spit.
Scintigraphy. Changes in the upper lathelial department, a large spit point to a bursitis or tendovaginitis.
Magnetic resonance tomography is the last word in the diagnosis of violations of the hip joint. MRI allows you to diagnose the pathology of soft tissues, changes in muscles, bones, salt deposits. Magnetic resonance tomography is recommended to perform all patients with testimony for surgical treatment of pathology.
Ultrasound examination is a highly efficient way to determine the presence of pathology in the TBS. The painting of the disease, obtained during ultrasound diagnostics, allows you to assign accurate, efficient treatment of the joint.

Diagnostic methods make it possible to resolve the treatment of bursita.

The best way to diagnose the brusitis of a large spit is the palpation of the region of the trochanter with the identification of point pain. In addition to a specific pain at deep palpation of a large spit, other painful points of the lateral group of the thigh muscles are detected. The pain is enhanced with external rotation and dismisses. The symptom of Trendelenburg is often positive.

Treatment of inflammation of the batch joint should begin to begin as early as possible. This contributes to the comprehensive, high-quality diagnosis of joint.

Treatment

Treatment of disease is usually starting with simple procedures. Most patients do without surgery.

Young patients doctors recommend to reduce the load on the affected joint and take a rehabilitation course, which includes classes for stretching muscles of the hips and buttocks. Inflammation should be treated with anti-inflammatory drugs.

Non-steroidal anti-inflammatory drugs remove swelling and pain.

To complete the restoration of the joints of the joint, it is necessary to follow the recommendations of the physiotherapist. He will select the patient with optimal procedures, taking into account the peculiarities of its body and contraindications.

When the liquid is accumulated in the brand, the puncture required to remove water and performing laboratory tests is made. During this procedure, in the absence of infectious diseases, a small dose of steroid hormones, such as cortisone, is introduced into the upper bag. Steroid medicines quickly remove inflammation, the anti-inflammatory effect lasts up to several months.

If conservative treatment helps to relieve inflammation, but pathological processes renewed after a while, if the movements and daily classes become difficult, doctors offer patient surgical intervention.

A cut of the brand bag and its excision is made. After removing the bag, the surgeon inspects a large thigh bone, existing irregularities on it are removed, the bone surface is smoothed.

After that, the incision gradually sewn.

The above describes the method of increasing the large fascia of the femoral bone. As a result, the fascia tension decreases, the load on the lecture bag is reduced.

Since in this area it is necessary to ensure the glide of wide fascia, a new capsule is formed from the existing tissues. It happens after a certain period of time after surgery.

In order for recovery to take place without difficulty, it is necessary to undergo treatment and rehabilitation.

The methods used in the treatment of bursita depend on the period of the course of the disease. So, in the initial stage of the disease for the successful recovery of the patient, the exercise of therapeutic physical education, the use of anti-inflammatory agents and compliance with the regime of the day, the main component of which is complete patient and minimize the strong physical exertion and activity.

To eliminate the symptoms of the bursitis of the hip joint, drug treatment begins with the use of anti-inflammatory non-steroidal drugs. It can be both oral preparations and ointments, gels, for example, "diclofenac".

Often, a 2% solution of novocaine is used in therapy together with hydrocortisone (glucocorticoid hormones) to remove severe pain syndrome. The patient is recommended to avoid the movements causing pain.

After the pain syndrome is stopped, you can perform light physical exercises aimed at training and strengthen the jagging muscle.

In advanced cases (if the above methods do not have the necessary therapeutic effect) resort to physiotherapeutic procedures - laser therapy, magnetotherapy, electrical hazing, deducational therapy, naphthalan appliqués. Sometimes in the treatment of bursitis, shock-wave extracorporeal treatment is effective.

The failure of these procedures will entail injections containing glucocorticoids (in the region of localization of the greatest pain), and sometimes to surgical intervention. The principle of operation with a spinning bursite is to weaken the voltage of the iliac and tibial tract.

Sometimes an excision is carried out by the brass bag. The forecast of recovery with such operations in the overwhelming majority is good.

Treatment of Bursitis with the help of recipes of traditional medicine is directed primarily for the relief of the inflammatory process. In most cases, absorbing compresses are used for these purposes.

For example, when ferouring the hip joint on the grater rubbed 1 tbsp. A spoonful of household soap, add a spoonful of honey, grated onions (1 tablespoon). The resulting mass is thoroughly stirred and placed on cotton fabric. The compress is applied to the inflamed area, wrapped with a woolen cloth, hold 2-4 hours. Treatment is usually carried out within seven days.

There is another effective compress recipe that helps to eliminate the manifestation of the disease (bursitis of the hip joint), symptoms. Drugs are made on the basis of two glasses of alcohol mixed with a bottle of pharmacy bile, two glasses of horse chestnut and aloe fruit.

The resulting mixture is kept over a week and a half. Then the linen fabric moistened in the medium is applied to the patient.

Keep the compress from 3 to 4 hours. Treatment is carried out within ten days.

In order to get rid of the bursita, the leaf sheet is used, the cabbage sheet. These vegetable agents have antitumor (delayed) effect.

Often, traditional medicine proposes to use vegetable compresses from beets, potatoes, cabbage. The vegetable is rubbed on a fine grater and laid onto a natural fabric with a layer of about 0.5-1 cm.

The healing compress should cover the field of edema (swelling section) completely. Treatment is carried out from 2 to 4 hours, during the week.

Begin the treatment of bursitis should be as early as possible. Performance will be more, the risk of developing complications will decrease. Conservative disease treatment is most accessible. It is recommended to limit the active movements in the sore leg. For a speedy recovery, peace is necessary. Avoid excessive activity.

Remove inflammation of nonsteroidal anti-inflammatory drugs. Often used voltar, diclofenak, ibuprofen. They remove inflammation, edema. The use of NSAIDs has advantages - quickly remove unpleasant symptoms, contribute to improving active movements.

Physiotherapy is an important link in the treatment of the faithful bursitis of the hip joint. Usually applied, depending on the case, heat, cold, UHF. Reduces the rally, inflammation when ferursite, contributes to the speedy recovery.

Immediately after injury to the joint, a cold is necessary. During chronic inflammation of the hip joint, the cold will make harm, the patient needs heat effect. The use of physiotherapy procedures is permissible after consulting a doctor.

In the presence of inflammatory fluid in the mucosa of the joint, its extraction is shown. This is done by puncture.

It is not hazardous for the joint. The extracted fluid is used for laboratory research for diagnostics.

Casting injections are shown. The composition of injections includes anti-inflammatory, analgesic drugs.

The effect is long. After injection, the patients are recommended to sleep on the pillow under the buttocks.

In rare cases, the injection is re-made.

When aggravating the disease, therapeutic measures are reduced to the following measures:

Pulse magnetotherapy: 15 minutes daily within ten days;
Infrared laser therapy on the affected area of \u200b\u200ba large spit, a duration of 10 days;
Deducive therapy;
Electrolyalgesia percellaneous 15 minutes, 10 procedures.

After reducing the intensity of the inflammatory process, treatment is prescribed:

Ultrasonic phonophoresis using hydrocortisone;
Appliques with naphthala;
Shock-wave therapy;
Local cryotherapy with dry air.

Operational treatment is applied if conservative does not give results. During operation, the doctor makes a cut in a brand bag. It is removed, it is examined by a big spit. Orthodification on it is removed, the surface is smoothed. The skin is sewn. The wound is covered with a sterile bandage.

Rehabilitation activities are aimed at the early restoration of the workability of the affected joint. In the first days of the postoperative period, the LFC is aimed at removing the echoes, pain. Then special exercises are prescribed to develop muscles. LFC duration in the postoperative period - up to four months. Treatment determines the doctor.

Prevention of reflective bursitis is aimed at the activation of physical exercises, fighting bad habits, diet. It is important that a person is not long in a standing position. Elderly persons show physiotherapy treatments, rest at the resort.

Treatment is mainly conservative, subject to peace and removal of the loads that led to inflammation of bags. More often there is enough temporary anesthesia and exercise:

Non-steroids are prescribed:
- ibuprofen, pyroxics, naproxen, celecoxib.
With pronounced strong pains, you can resort to crutches or canes.
When the sharp pain is stopped, proceed to therapeutic physical education, including exercises:
- on stretching (screching) of wide fascia and a lot of fascia, the iliac-beam tract and the blood muscles of the thigh;
- to strengthen the muscles of the buttocks.

Physiotherapeutic treatment

In physiotherapy, Bursita TBS uses mainly extracorporeal shock-wave therapy.

Treatment with a magnetic field, laser and therapy, electrophoresis, appliqués and other methods is most often useless, or plays the role of placebo.

Since physiotherapy is carried out mainly during the recovery period, it often coincides with the remission, in which the pains subside for some period of themselves.

Surgery

Surgical treatment in the bursite of the hip joint is used very rarely: there are much more serious reasons for operational intervention here:

fractures of hip necks, dysplasia, deforming arthrosis.

The bursite is practiced both arthroscopy and widespread operations.

In arthroscopy, the affected bursa is removed using two small suns: an arthroscope with a microscopic chamber is placed in one, a surgical instrument is introduced into another.

The treatment of bursitis of the hip joint with drugs is carried out in the acute stage of serous inflammation and with the exacerbation of the chronic process. Complex therapy uses the appointment of systemic and local funds, leafc and physiotherapy.

Conservative therapy

At the beginning of therapy, the immobilization of a soft bandage of legs in a physiological position in order to eliminate the traumatic compression. Medical treatment of the bursita of the hip joint includes a destination:

local drugs in the form of ointments, creams and gels, which include nonsteroidal anti-inflammatory agents (voltaren, diclofenac, fastum);
sleeping soft forms with the surface location of the focus of inflammation (spongilane, heparin ointment, trocsevazin, lioton);
paracetamol and ibuprofen, antipyretic tablets;
antibiotics with a purulent process or development of complications.

As local therapy with an analgesic target, a compress with a solution of analgin and dioxidine mixture is used. To do this, mix the contents of two ampoules and impregnated with gauze mortar. From above are covered with cellophane or compressor paper and a towel or a layer of wool. The duration of exposure is 8 hours, the course of treatment is 7 days.

With a subacute under the course of the acute phase, a physiotherapeutic effect on the area of \u200b\u200bthe hip joint is used. To accelerate the processes of recovery, reduce pain, improve the local blood circulation are prescribed UHF, electrophoresis, ozocenite and paraffin applications. It is possible to use mud.

Operational treatment

In case of incomplete resorption of pathological contents of inflamed bursa, frequent recurrences are carried out puncture with aspiration (sucking) of fluid. For this, after processing the place of the puncture, the disinfectant is introduced the needle to the bitch cavity and remove the inflammatory exudate. The cavity is then washed with antiseptic mortar and remove the needle.

Surgical treatment with excision, emptying and removal of the bag capsule is carried out with its suppuration, a breakthrough to the formation of purulent illuminations, calcification, injury with damage to the walls, a chronic process, which is notable for conservative therapy. The operation can be operated open or using the arthroscope.

Folk Methods

The treatment of a large spit bursitis consists in local injections of gluchorticoid in the form of a depot using a 3.5-inch needle of a 22th caliber, which ensures the achievement of a synovial bag. Injection accuracy increases X-ray control with radiocontrase injections.

Remove the swelling and pain helps the use of cold, ultrasound, warming up and UHF. The use of thermal impact or cold is convenient to perform at home by the method.

Treatment of the bursita of the hip joint is divided into conservative and surgical. Medical treatment of bursita must be combined with therapeutic physical education. If the painful process did not go far, doctors recommend conservative events. Include:

Limiting intense physical exertion.
Use when walking canes, crutches.
Ultrasound procedures, sometimes electrophoresis.

The cane reduces the load on the hip joint. Properly chosen "stick" makes it possible to shift up to 40 percent of the load from the sore joint. If the right leg is amazed, the cane is lying in his left hand, and vice versa. When a step is done with a sick leg, part of the body weight must be transferred to a cane.

Ultrasound procedures, electrophoresis reduce the intensity of the inflammatory process in the hip joint. The patient has improved health, it can better enjoy the limb.

It is impossible to achieve good results of treatment without medicinal physical education. The patient cannot strengthen the muscles in other ways to strengthen the blood circulation in the joint, to reduce the intensity of the inflammatory process of the near-handing bag. Before class gymnastics, it is worth consulted with a doctor. It will advise the necessary, effective therapeutic complexes.

For the treatment of Bursita TBS, preparations are used to reduce the intensity of the inflammatory process. Non-steroidal anti-inflammatory drugs were proved high efficiency - NSAIDs. The bursitis of the hip joint is treated with the help of drugs ibuprofen, naproxen, pyroxics, celecoxib. Means contribute to effective control over pain symptoms. NSAIDs have useful properties:

Reduction of pain;
Decrease in temperature;
Reducing the severity of the inflammatory process.

Sometimes for the removal of inflammation associated with him pain symptoms, the injections of corticosteroids are prescribed. One injection quickly relieves pain, improves the condition. Common corticosteroid preparations for the treatment of bursita - prednisolone, cortiisetin, dexamethasone, cortisone. Medicase treatment is carried out under the control of the doctor.

Upon inflammation of the occasional hip joint bag in rare cases, surgical intervention is necessary. Surgery is shown in the seriousness of the disease, when the excess amount of fluid accumulates in the bag. Remove with surgical drainage. The liquid from the joint bag is removed using a needle, a syphrenic syringe under local anesthesia, adhering to the aseptic rules.

Surgical removal of the affected bag (bursectomy) is used in exceptional cases - the presence in large quantities of calcium complications. Because of them, the mobility of the joint is limited. Small quantities are removed using a syringe. Large accumulations of calcium deposits are removed by a surgical method.

Complications and rehabilitation

The main complication of the refinery is the transition of disease from the acute stage in chronic. When chronizing the disease, in most cases, surgery is needed - operation.

As a rule, the symptoms of the bursite of the hip joint disappear in a maximum in a few weeks. However, there are cases where the symptoms of the disease do not pass within a few months, in which case we can say that pathology has passed into the chronic stage. In this case, pain syndrome and the restriction of the inner mobility of the thigh are saved.

Forecast when bouring is favorable, if you do not run the disease and prevent it in the chronic stage.

From possible complications:

chronic PBT tension syndrome;
limited mobility, especially internal rotation;
"Frozen" thigh - when involving a joint capsule (adhesive capsule).

Risk Factors Risk Bursitis

Bursith hip joint meets predominantly in women than in men. Mainly, pathology is diagnosed with the representatives of the fine sex of the middle or old age.

Young men are rarely diagnosed with "bursitis hip joint." Causes and treatment that is required to eliminate the manifestations of the disease can be quite individual.

Everything will depend on the body of a particular person. However, there are general factors, the impact of which leads to the development of pathology.

Bursitis of the hip joint, which is inflammation of the occasional synovial bag, a small cavity with a slight amount of liquid located around the joint may be due to injuries, physical overload of muscles and tendons. The unfavorable factors of its development also include farewellity, supercooling, obesity and a noticeable difference in leg length.

Prevention of inflammation

Burst hip joint can be warned. It is important to adhere to simple recommendations aimed at eliminating pathogenic factors. Need:

Avoid excessive repetitive load on the femoral joints.
Normalize body weight.
If necessary, whenever possible wearing orthopedic shoes.
Maintain physical activity at an optimal level. Exercise helps to avoid inflammation.

If the first symptoms of the disease appear, it is worth consulted with a doctor, to begin treatment as early as possible.

megan92 2 weeks ago

Tell me, who is struggling with pain in the joints? It's terribly sick ((I drink anesthetia, but I understand that I'm struggling with a consequence, and not with the cause ... Nifiga does not help!

Daria 2 weeks ago

For several years, fought with their sore thoroughts until this artician, some Chinese doctor, did not read this article. And has long forgot about the "incurable" joints. Such here

megan92 13 days ago

Daria 12 days ago

megan92, so I wrote in my first comment) Well, I duplicate, it's not difficult for me, catch - link to the article of Professor.

Sonya 10 days ago

And this is not a divorce? Why sell on the Internet?

yulec26 10 days ago

Sonya, in what country do you live in? .. On the Internet is sold, because the stores and pharmacies put their markup of the brutal. To the same payment only after receiving, that is, first looked, checked and only then paid. Yes, and on the Internet now everything is sold - from clothes to televisions, furniture and cars

Edition response 10 days ago

Sonya, hello. This drug for the treatment of joints is really not implemented through the pharmacy network to avoid overestimated prices. To date, order only on Official website. Be healthy!

Sonya 10 days ago

I apologize, I did not notice the information about the cash on delivery. Then, it's OK! Everything is in order - for sure if payment upon receipt. Thank you so much!!))

Margo 8 days ago

And someone tried folk methods for the treatment of joints? Grandma Tablets do not trust, suffer from pain poor for many years ...

Andrey a week ago

What folk funds I did not try, nothing helped, but it became worse ...

Catherine a week ago

I tried to drink a decoction from the laurel sheet, no sense, only the stomach spoiled himself !! I do not believe more in these folk methods - complete nonsense !!

Maria 5 days ago

Recently watched the transfer on the first channel, there is also about this Federal Program for Combating Diseases of Joints spoke. She is still headed by some famous Chinese professor. They say that they found a way to cure joints and back, and the state fully finances treatment for each patient

Good day, dear guests! Today we will find out, the main symptoms and treatment of the bursita of the hip joint.

This disease is inflammation in a near-hand synovial bag, which is involved in the quality motion of the muscles, and also reduces the friction between the bones.
Bursith should be attributed to the group of orthopedic diseases, in which exudate is formed in the articular cavity - inflammatory liquid.

So, we learn more what bursitis.

There are different reasons for the development of this disease. It may be an infection. It also bursitis is aseptic, that is, it arises with different joint injuries.
The infection of the iliac mass bag happens due to such reasons:

open wound;
with the movement of blood in the presence of other infectious regions in the body;
through lymph.

Disease can provoke viruses. There is also lime bursitis. It manifests itself in violation of metabolic processes and sediments of salts. Inxication or allergies can cause a disease.

Also on its occurrence may affect such factors:

the diseases of the spine - arthrosis, scoliosis, arthritis;
strong loads on the sore joint;
unequal foot length;
rheumatoid arthritis;
operation;
deposition of salts and osteophytes.

Breesita varieties

Bursitis manifests itself in three bags, titles occur from here. Object, iliac-swing and sedlicated.
There is also a similar disease - Sinovit, but it needs to be distinguished from Bursita.

This is the inflammation of the synovial shell that surrounds the joint.

Symptoms

So that the doctor can say how to treat the disease, you need to deal with the symptoms of the ailment. The main feature is an acute pain in the femur, which is felt from the outside of the hip.

In the first time, the pain is strong, and then gradually dults.
It is worth noting the following symptoms:

Swipping round shape.
Emission area around a synovial bag.
Increased temperature.
General malaise.
Problems with normal joint performance.

With a bursite, discomfort is observed in the outside of the hip. At the same time, difficulties arise with lying on the sore side.

Due to pain, it is difficult to walk and climb the stairs.
When the disease is transformed into a chronic state, the symptoms become not as pronounced.

Diagnostic features

To put an accurate diagnosis, the doctor conducts inspection and assigns special diagnostic methods. In case of inspection, the palpation of the hip joint and the faucer sample with the relief of the thigh is carried out.
In addition to analyzing pain symptoms, a radiographic study is performed. To exclude other pathologies, MRI and bone scans are carried out.

Special attention deserves the diagnosis of illness in children.

Treatment methods

Ilequofemoral bursitis and other species require conservative treatment. Anti-inflammatory drugs of nesteroid type are prescribed, helping to reduce the inflammatory process.

To facilitate the state, hormonal agents are also used in combination with anesthetics.
In simple cases, treatment is carried out outpatient. At the same time, medicines are introduced into a synovial bag.
Conservative treatment includes therapeutic physical education. Gymnastics depends on the flow of the disease.

Before this, physiothereders can be assigned, for example, ultrasound and electrophoresis. There is a good video with the healing complex of exercises.

Medical treatment

Medicase treatment is prescribed depending on the type of disease. With aseptic version, cool compresses are used, painkillers and anti-inflammatory.
The infectious type is relevant antibacterial therapy.

Antibiotics tablets apply:

Erythromycin;
Gentamicin;
Amoxicillin;
Tetracycline.

This type of drugs applies only to the prescription of the doctor, since there are many contraindications.
Sulfanimamides may be assigned: Sulfazine, phthalazole and bispetol. With a specific bursite used Nifuratel and Furazolidon.

In addition to removal of fluid from a synovial bag, drainage can be used, that is, washing through a small incision with antiseptic and antibacterial solutions.

Folk ways

Some feedback argue that you can be treated by folk methods. Some funds are really effective, but only in combination with the main therapy.

To be treated with folk remedies, you need to consult with your doctor.

The roots of the burdock are considered a good option. You need to take a tablespoon of the component and cook them in 500 ml of water. Then the compress must be made from the beam.
For the manufacture of compresses, you can also apply a white cabbage. It should be repeated with a rolling pin until juice appears, and then applied to the joint.
Celery tea is also useful.

You need to put a spoonful of seeds in a glass of boiling water, and then insist it within two hours.

Other methods of treatment

If the bursitis became chronic, then the operation will help. At the same time, Bursa is removed. After surgery, a tight bandage is superimposed.

After 10 days, the seams can be removed.
Also carry out manipulations to stimulate immunity. For this purpose is appointed from polyvitamins. It is recommended to drink fruit juices and decoction from a rosehip.
Physiosparces are effective for inflammation.

Methods are assigned:

uV - irradiation;
phonophoresis;
ultrasound therapy;
acupuncture;

After such procedures increase blood flow and swelling decreases. This improves metabolic processes.

Prevention Bursita

To prevent the development of the disease, special prevention measures are applied. First of all, it is necessary to inhibit mineral diseases in a timely manner. Sports people should apply special protection.

Helps physical culture and hardening from the occurrence of an unpleasant disease.

In addition, such rules should be followed:

We need to wear comfortable shoes.
Proper nutrition.
It is impossible to eat salty food.
It is important to consume more vegetables and fruits.
Periodic cleansings of the body from salt are needed.

At the first signs of swelling and pain, contact the doctor. The specialist will be able to determine the accurate diagnosis and assign the right therapy.

This should eliminate the load on the joint and limit physical activity. With timely identification of the disease, the treatment prediction is quite successful.

It is worth remembering that the folk recipes and painkillers will not give the necessary effect.
Control the weight and maintain muscles in tone. If you want to add something interesting and important on the topic, write in the comments.

Goodbye, dear guests of the site!

Bursith TBS is aseptic or infectious inflammation of the synovial bag of hip joint performing a depreciation function. The disease develops after various injuries, supercooling, heavy physical exertion, provoking factor can serve as overweight body and congenital abnormalities of the development of the musculoskeletal system. Patients complain about acute pain, general malaise and mobility limitation. Treat the pathology of medication or apply surgical methods of therapy.

Causes of Bursita

The development of bursitis leads frequent overloads of tendons and muscles with intense sports training, when a person repeats the identical movements repeated many times.

It can be running, cycling, performing exercises for stretching the front surface of the thigh, lifting the stairs, overwork.

Other reasons for the occurrence of Bursita:

mechanical injuries of the joint, fall;
chronic foci of infection in the body;
allergic diathesis;
rheumatoid arthritis;
sharp impact of immunity;
low-effective lifestyle;
obesity;
malignant tumors;
transferred surgical operations, endoprosthetic joints;
formation of osteophytes;
asymmetry of the legs.

Intensive loads on the hip joint cause increased pressure, the development of an acute inflammatory process.

The infectious type of bursitis is developing when the bag of pathogenic microorganisms in the cavity is hit during surgical interventions, obtaining open injuries or from chronic focus of bacteremia. If you cannot establish the nature of the development of the disease, etiology is idiopathic.

Types of Bursita TBS

The disease is classified taking into account the location of the pathological process, the causes of the occurrence and nature of the exudate in the bursa cavity. Depending on the type, clinical manifestations of bursitis and the degree of pain differs.

With regard to the causative agent of infection, there is no specific (tuberculosis, syphilis, gonorrhea) and non-specific, provoked by staphylococci or streptococci.

With the beginning of the inflammatory process in the cavity of the bag, a large amount of fluid accumulates, depending on its composition, the disease is classified:

hemorrhagic bursith is diagnosed when filling the bursa with blood;
purulent type arises against the background of infectious tissue damage;
fibrinous exudate accumulates when the fibrin deposits in the cavity of the bag;
lime bursitis is characterized by a cluster of calcium in the walls of the synovial bag;
calculosal type is accompanied by the formation of salt sediment stones.

During diagnostics, infected brusitis and aseptic without presence in the synovial fluid of pathogenic bacteria are separated.

Taking into account the clinical flow, the bursitis is acute and chronic.

In the acute stage, the symptoms are pronounced, there is a pronounced pain syndrome, a violation of the general condition, swelling and redness of the skin. When bourssitis chronic shape, the sign of the illness is smoothed, recurrences occur periodically.

Trochanterite

The deep leicory bursitis of the hip joint is formed under aseptic inflammation of the bag, which is located in the area of \u200b\u200bthe rear-line speaker (TroChanter Major) of the femoral bone. Such a type of pathology is diagnosed most often, they suffer mostly fat women of the ages: this is due to the anatomical features of the structure of the pelvis, high pressure on the joint and constant friction of soft tissues about the spit. Paints with trochanterite are localized by bone protrusion on the thigh, worried at night, while sleeping on the side, give to the buttocks, knee.

Iliac-swing bursitis

The location of the inflammatory bursitis of the iliac-scallop synovial bag in the hip joint is the Kepened from the lumbar-ileum muscle, Bursa is located along the surface of the TBS capsule, so the symptoms can resemble coxy. Pain occurs on the front side of the hip below the groove bundle, is enhanced by extending and assigning the limb. This type of disease is usually appearing against the arthritis or mechanical injury.

Sedal Baroundic Localization Bursitis

A sedlicated bursitis develops with inflammation of the synovial bursa located in the field of fixing the berry muscles and tendons to the sedlicate bugarh. The discomfort worries the patient when flexing the thigh, during the seating, walking, pressure on the affected area.

Bursa can be inflamed with frequent ride on a bicycle, pathology is also called "Weaver" disease, as it is often diagnosed in people leading a sedentary lifestyle, a lot of time spending at the computer.

Code of the ICD-10

According to the international system of classification of diseases, the large spit of the femoral bone is denoted by M70.6, sedanized - M70.7, uncomfortable - M70.9, other bursites - M70.8. Pathology belongs to diseases of soft tissues associated with load, overload and pressure.

Clinical signs of Bursita TBS

The main symptom of the disease is pain in a hip-made rolling articulation, its localization depends on which bag is amazed. Upon items, the unpleasant sensations may occur on the outer surface of the thigh, the iliac-sampling form of pathology is characterized by discomfort in the front of the groove zone, and the sedillastic causes the intense painful syndrome from the berbind region.

With an acute course, the pain burning, goes into the knee, the lower back, becomes the cause of insomnia, it is later dulled. The skin over the inflamed synovial bag is red, hot to the touch, edema fabrics, have a soft consistency. In the cavity of the bag, the liquid accumulates, purulent masses are formed in the infectious process. In such cases, a person is worried about the overtakers, the body temperature rises, the chill appears, the appetite is worse.

Due to severe discomfort, patients cannot fully move the limb, it is difficult to walk, they try to take a comfortable position, usually relief occurs with insignificant flexion and movement to the side.

The pain can be permanent, gradually increase over several days or sharply occur. Patients notice that symptoms of the disease appear immediately after falling or injury.

Diagnostics

When examining the patient, the doctor draws attention to the localization and character of pain. The person complains about the night attacks that appear during lying on the affected side of the body. Athletes discomfort occurs with the increase in the intensity of training. In the infectious disease there is hyperthermia, symptoms of general intoxication of the body.

What do you need to examine?

The doctor examines the pelvic area. When palpation of bones, joints, flexion, extension, assignment or extrusion of the limb, there is a sharp pain in the area of \u200b\u200bthe hip joint. Visually visible areas of redness of the skin, swelling can be noticeable weakly, but when tugs, a liquid accumulation is observed. In case of infectious roar, soft tissues are sealed, sharply painful.

How to examine?

One of the highly informative diagnostic methods is a faith test. The leg bend at an angle of 90 ° and slowly remove to the side, after which they omit. If there is a tension of the iliac and tibial fascia, the limb is not extended completely.

Typically, the received inspection and survey data is enough to establish a diagnosis. Additional research can be assigned to eliminate injuries, other diseases with similar symptoms, assessing the state of bone and cartilage tissues of the joint.

The puncture of the synovial fluid is taken for bacteriological analysis and determining the causative agent of the infectious process.

Calcifications, osteophytes are visible on the X-ray. CT, arthroscopy and ultrasound allow you to visualize the accumulation of fluid in the articular bag, signs of inflammation.

Who to contact?

Performs inspection and prescribes the treatment of Bursitis a traumatologist, surgeon, orthopedist or rheumatologist. In the recovery period, the therapy conducts a manual therapist, the doctor also assigns prophylactic procedures. The physiotherapist prescribes additional healing measures to accelerate the regeneration of damaged tissues.

Ways to treat Bursita TBS

To get rid of the symptoms of bursitis of the hip joint, prescribe treatment with anti-inflammatory drugs, chondroprotectors, make local injections of steroid hormones. In the event of the ineffectiveness of conservative methods, surgical intervention is carried out.

Physiotherapeutic procedures

Therapy of Bursita TBS begins with limiting loads on the joint, removal of acute inflammation and painful syndrome. After facilitating the state, exercises for stretching of iliac and tibial fascia and the strengthening of large berry muscles are prescribed. The complex of LFC classes is selected individually for each patient.

For treatment, the course of electrophoresis, laser, decimeter, magneto-, cryotherapy, naphthalan appliqués are used. Procedures help relieve muscle tissue spasms, relax tendons, reduce squeezing nerve endings.

Medical treatment of Bursita

For the removal of acute pain, swelling and inflammation, patients are prescribed non-steroidal anti-inflammatory drugs (diclofenac, ibuprofen), with antibiotics, hormonal means should be taken with a short course. Outwardly apply ointment with NSAIDs.

Local injections of glucocorticoids with anesthetics in inflamed Bursa help to quickly stop the attack. The injection is done in the most painful place. The puncture of the synovial bag is carried out to remove excess fluid and reduce pressure on the surrounding fabrics, nerve endings. Medical treatment allows for a short time to eliminate painful symptoms, swelling and restore the mobility of the limb.

Surgical removal of bursa

Treatment of the hip joint of the hip joint is shown in the ineffectiveness of conservative therapy and physiotherapy. The inflamed bag is removed by the artroscopic method (bursectomy). The operation is minimally invasive, access to the affected tissues is obtained through 2 small cuts. A camcorder and special tools are introduced into the holes.

The inflamed fragments are excised, Z-shaped plastic of the femoral bone was made to remove the voltage of the iliac path.

Removal Bursa by open burctomy is rarely used: it is more traumatic, more often causes the development of complications, the rehabilitation period is long.

Folk remedies

How to treat a hip bursitis at home? In addition to conservative methods of therapy, you can use folk remedies based on healing herbs. Recipes of alternative medicine are allowed to apply only after the consultation of the doctor and in the absence of contraindications.

Compresses

Remove acute pain, edema, irritation and inflammation help local appliques from chamomile decractions, sage, hormour, calendula flowers, Valerian root. The herbs are brewed with boiling water, insist and stammer to room temperature. In the leaky liquid, wet a piece of gauze and applied to the painful joint.

With purulent bursite, you can be treated with a cabbage or calanchete sheet, lubricated with honey. Such a means gives a good healing result: contributes to the absorption of an extra liquid, has an anesthetic and antioxidant effect.

Medical baths

To facilitate the state, you can take baths with eucalyptus, fir oil, healing sheep, hay pipe. Procedures help relax, reduce acute pain. Home treatment can be spent 2-3 times a week until complete recovery.

Info and decoction

For chronic roar therapy make alcohol infusion of propolis or perg. For its preparation, 20 g of a bee product is poured 200 ml of vodka and insist in a dark place for 10 days. The medicine is used for compresses, rubbing TBS.

Outdoor processing can be carried out with such a means: 20 peeled horse chestnut fruit peasants need 0.5 liters of vodka, add ½ teaspoon aloe vera juice and 1 bubble of medical bile. The use of such a medication accelerates blood outflow from inflamed bursa, removes swelling, pain.

Rehabilitation

The duration of the reduction period depends on the treatment, the degree of severity of the disease, the presence of related pathologies and the state of the immune system.

On average, rehabilitation takes from 2 weeks to 2 months.

The greatest terms of recovery are noted in chronic, purulent bursite and after open surgical intervention.

Prevention

The prevention measures of Bursita TBS refers:

control over the volume of physical exertion;
timely treatment of concomitant diseases;
before strength training, workouts should be done, stretching exercises;
classes for strengthening the discretion of the thigh muscles;
reception of vitamins with calcium, phosphorus additives;
balanced diet;
healthy lifestyle.

Possible complications and treatment prediction

If the treatment of the faithful bursitis of the hip joint (sedlicated, surface and deep) is not carried out on time, it goes into a chronic form.

Inflammation of TBS capsules can develop, violated the mobility of the articular compounds. Capsules are formed: a person is not able to divert and completely blend limbs. At the started stage, surgical removal of the bag is required.

The forecast of acute bursitis is favorable. Timely therapy allows you to quickly restore the functions of the pelvic articulation, reduces the risk of developing complications, the disability of the patient. The symptoms of acute inflammation take place in 5-10 days, the chronic form of pathology requires longer treatment.