КАК ВЫЛЕЧИТЬ БОЛЬ В ЛОКТЕ? | Локтевой бурсит (Часть 2)

Hello, dear viewers of the Life Without Pain channel. Today with you is a doctor-traumatologist-orthopedist Krendikov Valentin, and we will talk with you about the treatment of elbow bursitis. As I said in previous videos, elbow bursitis is quite easy to suspect and diagnose, but the main problem in diagnosis is the cause of bursitis. So, the cause of bursitis can be an infection or overload or damage. Why is it important for us to know? Because, one way or another, the infection is treated with antibacterial drugs, if it is a tuberculosis bursitis, then, accordingly, drugs that affect tuberculosis, and if it is an overload or damage, then it is treated with anti-inflammatory therapy. Since these are different types of therapy, we must clearly define the causes of bursitis. In order to understand what kind of bursitis it is, in addition to the study, we can perform the function of this synovial bag. The function is a puncture using a needle, a fairly thin needle is used. As a rule, anesthetics are not used, because, by and large, only the skin and shell of this bag need to be pierced. Accordingly, as a result of the puncture, the contents of the bag are taken into the synovial bag. We get a synovial bag, either a transparent, light yellow serum, or a serum with blood, which tells us that there was a trauma, or it is a yellowish, muddy liquid, which tells us more about the infection, or a white, clean mucus. This is also an infectious story. So, after we have punctured, we can talk about which exudate we got. If we got a synovial bag, or a suspicion of a synovial bag, ideally, we need to send this exudate for research. It is called microbiological research. The sowing of this liquid is done on special Wednesdays, and within 3-5 days they wait for a sufficient number of microorganisms to grow on these Wednesdays. Why is this done? In order to look at the microscope, what kind of microbe it is, get acquainted with it, what is its name, find out whether it is positive or negative gram, and other features of microorganisms, name this microorganism. And the next thing to do is to understand which antibacterial agents it is sensitive to. Accordingly, a local killing of this microorganism of various types of antibiotics is carried out, and it looks at which antibiotic the microbe reacted to, and which one did not react to. As a result, the doctor receives in his arsenal in 3-5 days such a summary table, which microbe was received, and which antibiotics it reacts to. But this does not mean that the doctor should not do anything with the patient for all 3-5 days. As a rule, antibacterial drugs of a wide range of actions are prescribed. I will not name any specific ones here, because antibiotics are still a prescription drug, which is prescribed by a doctor, and which is classified as a prescription drug. After you have been prescribed antibacterial therapy, if it is an infection, then swelling, pain and inflammation, it all goes away. According to my experience, a patient does not experience any problems with bursitis for 3 days. After the doctor received this microbiological analysis, he checks with the data that he assumed, and if it is some kind of special type of microbe, and in 3-5 days the patient's condition did not normalize, and according to the results of the analysis we clearly see that this microorganism is not sensitive to the antibiotics that we gave, and we used antibiotics for the bulk of microorganisms, often found microorganisms, and here it turned out to be a special kind of microbe, which does not react to this antibiotic. Antibiotic change is made, taking into account the full results of the analysis. Accordingly, if he did not react to the first antibiotic, and we see that he is resistant to it, or it is bad for him, then we prescribe antibiotics from those on which they react. This is how we treat infectious bursitis. Infectious bursitis is treated a little easier, much easier. After performing the function of this bag, there are several options. Just seal this hole, or if we clearly see that there are no signs of infection, and a light yellow liquid, you can use a local application of glucocorticosteroids. As a rule, this is enough once. A small amount of 0.5 ml of glucocorticosteroids is injected through the same needle, to remove the active phase of inflammation. After that, a bandage is put on this area, and the patient is provided with rest. Within one week, the patient usually has a bursitis. Or, if we have contraindications for introducing steroid therapy, or we doubt whether it is infectious or not, then in this case, the standard anti-inflammatory therapy is used. These are not steroid anti-inflammatory drugs, as a rule, within 7 days in an adequate dosage. What drug does the doctor choose, taking into account the age, taking into account the accompanying diseases, and drug intolerance? Because sometimes it happens that the anti-inflammatory drug is better for patients to tolerate nemesulids, rather than oxycams. Well, taking into account all these interactions, the doctor chooses a drug for you for 7 days. It is very important to limit the load, especially in the acute inflammatory period, when we carry out anti-inflammatory therapy. To do this, you can use, respectively, fixers, motion limiters. And these are elastic fixers, as a rule. After you and I have removed inflammation, within 2 weeks, as a rule, this happens. In addition to anti-inflammatory drugs, for the removal of inflammation, physiotherapeutic procedures can be used. These are laser therapy magnets, and phonophoresis with hydrocortisone. After you and I have removed inflammation, for the prevention of pain syndrome, it is necessary to correct the way of life, correct the movements, because, as a rule, the main reason for the formation of bursitis is the wrong load and the wrong movement. As for what to pay attention to, as a result, during the load, it is necessary to avoid long static loads. For example, if you mow for a long time with a trimmer, then remember that it is necessary to mow for 15-20 minutes, no more. Then, accordingly, take a break. This is useful for your hands, and, in general, for the technique, it will serve longer. And in general, try not to provoke long static loads. Static load is a load on retention. When we try to hold something for a long time in one position, it leads to overloading the elbow area. And, accordingly, if this is a traumatic injury, then we try to limit our house from the items of furniture about which you are injured. If this happens systematically, if this is a one-off story, there is a fall from a bicycle or something else, we try to ride without falling. Well, it is impossible to cover everything, but I think that this information, which you heard today, was useful for you. Therefore, we remain useful to you. Live without pain on the channel. Enjoy life, live without pain. Goodbye. More than 10 years For more than 10 years, we have been dealing with spinal and joint diseases and achieved very good results. More than 90% of our patients with pain are treated in our hands. Removal of varicose veins with a laser. Why in the pain clinic? We work in the operating room, and this is sterile. There is an anesthesiologist nearby for the patient's safety. We have modern lasers, and I am always confident in the result. More than 2,000 Kaluzhans treated their vessels here and are satisfied with the treatment. When I dreamed of becoming a doctor, I thought I could save many people. 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