How to treat synovitis of the knee joint

Begin the treatment of synovitis of the knee joint immediately!

The synovitis of the knee is a disease in which the synovial membrane of the joint becomes inflamed and an excess fluid( effusion and exudate) is formed in it. When synovitis of the knee joint, treatment should be given due attention and seek medical advice from the .Most cases of synovitis are recorded in the knee joint as a result of injuries and infection( cuts and other injuries).In some cases, synovitis develops due to hemophilia, allergies, arthritis, or bursitis.
Sometimes doctors select a primary exudative knee synovitis that appears without visible trauma. In such cases, the cause may be a moving articular body, injured articular cartilage, a severed meniscus or joint instability due to static changes or deficiency of the ligament apparatus.

How to treat?

If you are concerned about synovitis, first of all you need to see a doctor for complex treatment. First, the doctor finds out the true cause of synovitis, because it determines how to treat the disease in each specific case. After determining the appearance of excess fluid in the joint cavity, the doctor prescribes corrective therapy, with which you can get rid of it. Treatment of the knee joint from synovitis is always discussed individually, since depending on the degree of damage and the nature of intraarticular secondary changes, conservative treatment or treatment with the help of surgery will be used.

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The onset of

treatment In acute knee joint synovitis, surgery is the first stage. It is necessarily accompanied by a full-fledged medical correction of tissue development in the joint and a course of restorative treatment.
With temporary( transient) synovitis at the beginning of treatment, joint puncture and evacuation of intraarticular fluid are performed, as well as stabilization of the knee joint with the help of a knee or pressure bandage.
Some cases require more rigid stabilization of the damaged joint, for example, by applying a tire. In such cases, the diseased leg can not be loaded for 5-7 days, in parallel, a course of hypothermia( therapeutic effect of cold) is performed. For a longer period of time immobilization of the limb is undesirable, since complications such as joint stiffness may occur.

Pathogenetic treatment

Chronic knee synovitis is treated with medications that neutralize the underlying causes of the disease. With this diagnosis, salicylates, indomethacin, brufen, rumalon, heparin, achimotripsin and glucocorticoid medicines are effective. It is also recommended to use physiotherapy, it is prescribed from the third day of treatment. Chronic synovitis is effectively treated with magnetic therapy, UHF, heparin electrophoresis( lazonil or kontrikal) and phonophoresis of corticosteroid hormones. It should be noted that with a chronic synovitis it is dangerous to engage in self-medication, so consult a doctor so that he can write out the most effective medications.
Speaking of heparin, although it shows high efficiency, it can not be used at an early stage of the disease( for example, immediately after an injury), as it can provoke severe bleeding near the injured knee joint.
Diagnosis of "chronic synovitis" can be avoided if during an acute period to begin treatment with a specialist in a timely manner.

Treatment of chronic synovitis

If the synovitis of the knee joint has passed into the chronic stage, which is accompanied by a constant presence of effusion during relapse, as well as abundant infiltration of the synovial membrane. In such cases, doctors prescribe inhibitors and proteolytic enzymes, for example, hyaluronidases, proteinases, lysozyme, etc. In addition, preparations can be prescribed that are aimed at stabilizing the lysosomal membranes, designed to reduce their permeability. For this purpose, counterkal or traciol may be used, they are taken by courses, between which a few days of the interval are mandatory.
To affect the enzymes of lysosomes and reduce their permeability, small doses of corticosteroids may enter the list of necessary drugs. For example, hydrocortisone emulsions, dexazone, Kenalog 40 and other medications. Such intra-articular treatment has a strong antiproliferative and anti-inflammatory effect, due to which the synovial environment in the affected joint quickly returns to normal.

Surgical treatment

In some cases, chronic synovitis does not respond to treatment with conservative therapy, then surgery is necessary. Surgical intervention is also shown when the patient in the synovial membrane found irreversible processes: the formation of hypertrophic villi and petrificata or sclerosis.
Depending on the severity of the synovitis of the knee joint and the extent to which inflammation has spread, the operation of the synovectomy may be partial, subtotal or total. During the operation for the treatment of synovitis, a cavity of the knee joint is opened with a cut of the type of Payra. During the operation, the surgeon removes deformed menisci, foreign bodies, examines the integumentary cartilage and excises the synovial membrane transformed by pathology.
In the post-operation period, hemostatic, anti-inflammatory therapy is prescribed, as well as thorough hemostasis. The patient's leg is placed on the Béler's niche and is not loaded for several days after surgery. After surgery, complications such as contracture of the knee joint or synovitis recurrence are possible.
Synovitis can be treated not only by the above methods, but also with the help of folk methods. To find such recipes, you can go to the forum dedicated to folk medicine. Using the forum, do not forget that recipes of folk remedies should help cope with the disease, and not cripple. Therefore, it is important to remember that the use of folk methods is important to discuss with a specialist, he will tell you what is best for you in your case of synovitis and what recipes should be abstained.

Synovitis of the knee joint and its treatment

Synovitis is an inflammation of the synovial membrane lining the inside of the joint cavity. This inflammatory process can develop in any joint. But most often there is a synovitis of the knee joint. After all, our knee performs complex functions when walking, running, carrying gravity. Therefore, the knee joint is more prone to traumatization and various inflammatory, degenerative diseases, including synovitis, to a greater extent than the rest.

Predisposing factors

The synovium, or, simply, synovia, is represented by a layer of cells inside which cover the fibrous capsule of the joint. These cells secrete a synovial fluid that accumulates in the joint cavity. This liquid is rich in proteins, carbohydrates, minerals. Due to this, the articular cartilage of the knee is fed. In addition, the articular fluid plays the role of a kind of lubricant. The amount of it, despite the large size of the knee joint, is small - not more than 2 ml. After all, the fluid not only constantly stands out, but is absorbed by synovia along with the products of vital activity of the articular cartilage. It is due to the balance of secretion( secretion) and resorption( absorption) that the volume of synovial fluid remains constant, and the knee joint performs the functions assigned to it.

It is noteworthy that the balance of secretion-resorption is quite fragile, and when inflammatory processes are easily disrupted in the direction of increased secretion. In these cases, the synovial fluid increases in volume and undergoes qualitative changes. It reduces the amount of nutrients, and sometimes there are pathological inclusions - bacteria and their toxins, blood and pus. The main reasons for the development of synovitis of the knee joint:

  • Knee Injury
  • Rheumatic diseases( rheumatism and rheumatoid arthritis)
  • Allergic reactions
  • Respiratory, intestinal and urological infections
  • Sepsis
  • Specific infections( tuberculosis, syphilis)
  • Knee joint swelling
  • Exchange disorders -gout
  • Knee arthrosis due to age-related degenerative changes in the knee joint.

Often, the inflammatory process affects not only the articular membrane, but also its own patella ligaments, intraarticular ligaments and tendons of the hip muscles. Some of these ligaments also have their connective tissue membranes;tendon sheaths, which are covered from the inside by the synovium. Tenosynovitis develops in the inflammation of these tendinous vaginas.

Symptoms of

The main symptoms that manifest synovitis and tenosynovitis:

  • Pain
  • Redness of the skin
  • Increased knee volume
  • Difficulty in knee movement.

Increased knee with synovitis

These signs may have varying degrees of severity depending on the causes and characteristics of the course of synovitis of the knee joint. Often they are accompanied by common symptoms - fever, general weakness, violations by other organs. In this regard, distinguish acute and chronic synovitis. Another synovitis is divided into microbial and aseptic. Microbial - this is the result of injuries, sepsis, tuberculosis. The cause of asepsis is gout, degeneration( arthrosis) of articular cartilage, allergic reactions.

Quite often, but not always, microbial synovitis is acute, and aseptic - chronically. Especially difficult are purulent synovitis. A pyogenic infection can penetrate into the joint cavity with blood flow during sepsis or through open wounds with injuries. In the latter case, blood can accumulate in the joint cavity in addition to pus. The accumulation of blood, pus, or joint fluid( hydratrosis) leads to the stretching of the joint capsule, which leads to pain. The faster the volume of effusion increases, the greater the pain. Inflammatory reactions and hydratosis lead to edema of soft tissues. As a result, the configuration of the knee joint changes. In turn, all these factors - traumatic damage, inflammation, hydrarthrosis and edema disrupt the normal operation of the knee joint. As a result, motor disabilities progress to varying degrees, until complete immobilization.

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Why there may be pain in the knee from the side

Aseptic allergic, gouty or rheumatic synovitis mostly proceeds chronically. Chronic or moderate synovitis is characterized by an erased clinical picture. The pain is not sharp, the motor impairments are poorly expressed, and the general symptoms( fever, intoxication) are absent. Although most of these synovitis occur cyclically, when moderate flow or remission( remission) is replaced by violent exacerbations.

A special place among knee synovitis takes the so-called.reactive synovitis. It develops in response to intestinal, urogenital( urogenital) or respiratory( respiratory) infection. And the microbes themselves are not found in the joint cavity. Apparently, the pivotal immune response plays the main role here, as with rheumatism, when the immune system damages its own connective tissue. Reactive synovitis of the knee joint begins acutely, but in the absence of treatment they easily pass into a chronic form.

Treatment methods

Treatment of synovitis of the knee joint should be carried out in a complex way, applying methods such as:

  • Immobilization
  • Puncture of joint joint capsule
  • Medicines
  • Physiotherapeutic procedures
  • Folk remedies.
Immobilization is carried out in order to protect the knee joint from physical exertion at the time of exacerbation. To do this, use tires, gypsum longes and special orthopedic devices - orthoses. The duration of immobilization, as a rule, is not more than a week. Otherwise, muscle atrophy and joint stiffness develops.

Fluids accumulated in the joint cavity, blood and pus are evacuated by puncture. Steroid hormones( Kenalog, Diprospan) are introduced into the site of the removed fluid, which have an anti-inflammatory effect. In the course of inflammation in the joint, toxic products are formed, many of which have a protein structure. These products are cleaved by the introduction of proteolytic enzymes into the articular cavity. To such include Contrikal, Trasilol, Gordoks. In addition to steroid hormones and proteolytic enzymes, antibiotics can be introduced into the articular cavity of the knee. Severely leaky septic or reactive synovitis of the knee joint requires intramuscular or intravenous administration of potent antibiotics( Ceftriaxone, Metrogil).

I definitely use gels, ointments containing indomethacin, diclofenac, naproxen, and other non-steroidal anti-inflammatory drugs. These drugs suppress inflammation, anesthetize, relieve swelling, and prevent the formation of joint effusion. In chronic synovitis, or in the recovery period of acute synovitis, chondroprotectors are prescribed, which help to restore the articular cartilage as soon as possible. These include Rumalon, Chondroitin sulfate, Chondroxide. These drugs( injections, pills and ointments) are applied for a long period of time.

Physiotherapeutic treatment of synovitis of the knee joint is in addition to drug therapy. The main types of physical procedures are amplipulse, diadynamic, phonophoresis with Hydrocortisone, paraffin, ozocerite. With traumatic and arthrosis synovitis with a violation of the structure of the knee joint, various types of surgical reconstructive plasty are performed.

Traditional treatment

Traditional treatment of the knee synovitis is carried out with the help of various herbal infusions, broths and ointments. Here are some of the most popular recipes:

  • Half a cup of crushed comfrey root pour 1 bottle of vodka. Infuse for 2 weeks. Take 1 hour.spoon 3 times a day.
  • 1 cup grass comfrey mixed with 200g.fresh baked lard. The mixture should be kept in the refrigerator for at least 5 days. The resulting ointment should be rubbed into the knee joint.
  • 2 tbsp. Spoons of crushed laurel leaves pour a glass of olive or sunflower oil. Infuse for 2 weeks, periodically shaking. Then strain, and rub into the affected joint.
  • Half a glass of rye grains boil in a liter of water for 20 minutes. Then drain the broth, and add to it half a liter of honey, 2 tsp of barberry and 200 g of vodka. The resulting mixture is infused for 3 a dark place. Then strain and take inside 3 tbsp.spoons 3 a day. Of course, folk remedies, for all their effectiveness, can not replace drugs, physical therapy and surgical treatment. Ignoring the conventional medical means in the treatment of the knee synovitis can lead to persistent impellent disabilities with subsequent disability.

    Synovitis of the knee joint: symptoms, causes and treatment

    Symptoms of non-infectious form of the disease

    The main symptoms of aseptic disease are an increase in the volume of the knee joint and the absence of a pain syndrome. This phenomenon is caused by the fact that the synovial fluid in the articular bag when irritating the synovial membrane sharply increases in number in just a few hours. The emerging swelling in the knee joint area prevents free movement.

    Symptoms of aseptic type have the following form:

    • increase in volume occurs from several hours to 1-2 days;
    • the affected area does not have a high temperature;
    • , when pressing on the patella, it immerses into the joint, and then again floats up;
    • general weakness.
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    Symptoms of acute disease

    Unlike asepsis, acute synovitis of the knee joints can be accompanied by sharp pain. Therefore, if there is a suspicion of an infectious form of the disease, it is extremely important to contact a doctor as soon as possible, which will identify the causative agent of the infection and prescribe the necessary therapy.

    Symptoms that accompany a sharp purulent form:

    1. joint is enlarged;
    2. has redness in the knee area, which is hot on palpation;
    3. increased body temperature;
    4. general condition is characterized by weakness and nausea;
    5. there is a painful syndrome at a flexion-extension of a leg.

    Especially acute disease with pyogenic infection. Disease bacteria often enter the joint cavity along with the blood flow or through open wound. The accumulated blood, pus and articular fluid cause expansion of the joint bag, which causes painful sensations.

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    Symptoms of the chronic form

    As for the chronic form of the disease, often its symptoms do not have pronounced signs and in addition to the swelling of the knee joint, there can be characteristic dull pain. In addition, the chronic synovitis can be determined by the following additional signs:

    - fast fatigue during movements;- limited mobility of the knee joint;- A crunch, frequent dislocations.

    The chronic form most often includes allergic, gouty or rheumatic synovitis, in which symptoms such as fever and intoxication are completely absent.

    However, they are characterized by a cyclic course: chronic synovitis may be in remission for a long time, after which it is replaced by violent exacerbations.

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    Reactive synovitis in the knee joint

    Reactive synovitis of the knee arises due to intestinal, urogenital( urogenital) or respiratory( respiratory) infection. A feature of this type of disease is that the pathogens in the joint cavity are not detected and the immune system begins to destroy its connective tissue.

    The reactive synovitis of the knee joints most often begins with an acute form, but in the absence of proper treatment passes into a chronic form.

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    Consequences of synovitis

    Tenosynovitis is a complication of the disease. The disease is an inflammation of the tendon tissues located in the vagina of the joint. Such a reaction most often occurs against the background of strong deposits of calcium salts. Tenosynovitis is accompanied by the following characteristic symptoms:

    1. puffiness around inflamed areas;
    2. pain syndrome in the area of ​​inflammation;
    3. all movements are accompanied by severe pain;

    In advanced cases, tenosynovitis causes chronic lameness.

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    Diagnosis of the disease

    Before treatment of the synovitis of the knee joint, it is necessary to undergo a diagnosis, since obvious symptoms can not always accurately indicate the cause of the disease. In order to determine synovitis and tenosynovitis, in addition to external examination, the doctor conducts a synovial fluid intake. The procedure is practically painless, therefore, the use of local anesthetics is not required.

    A fine needle is used to draw off a small amount of liquid, after which an antibiotic is mandatory introduced into the knee cavity, which, even in the absence of infection, is necessary for preventive purposes.

    The obtained puncture is sent to the laboratory for research to determine its transparency, the amount of protein, the presence of blood cells, and also for the sowing of microorganisms.

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    Treatment of disease

    Tenosynovitis and synovitis of the knee joint, the treatment of which begins with the complete resting of the joint joint, involves the imposition of an immobilizing turgid bandage on the inflamed area. Alternatively, you can use a knee or a special knee arti. Application of dressings is carried out for not more than 5-7 days.

    For the time of joint immobilization, medication is prescribed, which includes:

    • the use of nonsteroidal drugs that relieve pain and eliminate the inflammatory process. As a topical treatment, you can use ointments such as Indomethacin, Voltaren, Diclofenac;
    • administration of inhibitors of proteolytic enzymes. Specialists recommend the introduction of joint drugs such as Gordoks, Trasilol;
    • in severe cases, intra-articular corticosteroids such as Kenalog-40 or Dexamethasone are prescribed.
    • antibiotics, the minimum course of treatment is no more than 10 days;
    • to improve microcirculation inside the joint compound apply Nicotinic acid, Tiatriazolin, ATP, as well as various vitamin complexes.

    After 7 days, further treatment involves the rejection of drug therapy in favor of physiotherapy and physical therapy, which last about 3 months.

    Surgical intervention

    In some cases, medication does not bring the desired result, and then more radical methods are prescribed.

    During the surgical operation, the joint cavity is opened to clean the articular cartilage and remove the degenerate zones of the synovial membrane.

    Synovitis and tenosynovitis is treated operatively in the following cases:

    • the inflammatory process is chronic;• sclerosing the synovium;

    Synovitis of the knee joint - symptoms, causes, treatment

    Synovitis of the knee joint is an inflammation of the synovial membrane of the joint, as a result of which fluid( effusion) accumulates in the joint cavity. The effusion accumulates in the joint bag and the tendon attachment sites to the bone. This kind of inflammation can occur in any joint, but more common synovitis of the knee joint. And this is due, first of all, to the fact that the knee joint has the maximum load when walking or running, as well as the lion's share of bruises and injuries, which is the cause of many diseases of the knee joint, including synovitis.

    Athletes and people whose professional activities are associated with heavy physical labor( builders, miners, loaders, etc.) are the most affected knee joint synovitis, elderly people, as well as people suffering from arthritis or arthrosis of the knee, regardless of age and genderactivities.

    Synovitis of the knee joint: symptoms

    • The very first symptom - the knee joint becomes smooth and smooth, swelling and redness appear, and the skin in the knee area becomes hot.
    • Within a few hours the puffiness sharply increases, the joint becomes stiff, inactive.
    • Pain in the knee, increasing with movement and palpation.
    • Patella fracture - the patella is immersed in the joint when pressed, which also signals the presence of swelling and fluid in the joint cavity.
    • Increased body temperature, general weakness.
    • Sometimes - an increase in inguinal lymphonoduses.

    Synovitis of the knee joint: causes

    It is known that a small amount of fluid is present in the joint, which is necessary as a lubrication between individual parts of the joint and facilitates the effects of friction and sliding that occur during normal joint operation. This fluid is called synovial, and it is produced by the cells of the inner shell of the joint. When the synovitis of the knee arises, these cells begin to produce much more synovial fluid, the composition of this fluid changes as a result of the inflammatory process, resulting in exudate( effusion) and the joint is not able to fully exercise its functions.

    The causes of synovitis of the knee joint can be very diverse:

    • Knee injuries, bruises, wounds.
    • Metabolic disorders, diabetes, gout.
    • Atopic dermatitis, eczema, sepsis.
    • Infectious diseases - syphilis, gonorrhea, brucellosis, tuberculosis, as well as viruses( influenza, angina, etc.).Infection can get into the joint with fractures and knee injuries, when microorganisms can penetrate into the joint cavity from nearby furuncles or abscesses or from other sources if the rules for rendering assistance in such injuries are not observed. Most often an infectious synovitis of the knee joint causes pneumococci, streptococci or staphylococci, less often pale treponema or tuberculosis bacteria.

    Also in medical practice there are a number of cases when it was not possible to establish the true cause of synovitis of the knee joint.

    Synovitis of the knee: types

    • Non-infectious( aseptic) - occurs as a result of injuries, autoimmune diseases and metabolic disorders.
    • Infectious - occurs as a result of penetration of the pathogen in the knee joint.

    By the type of the affected synovial bag:

    • Supratellium synovitis of the knee joint.
    • Purulent-hemorrhagic.

    Synovitis of the knee: stages

    1. Acute - synovitis symptoms are characterized by constant progression and include severe pain, great swelling, redness of the skin.
    2. Chronic - the symptoms are mild, but periodically worsen, which is due to the lack of timely treatment. Syndrome of knee joint: consequences of

      The acute form of the disease requires immediate treatment to prevent the transition to a chronic form, since the chronic synovitis of the knee joint is much more dangerous, leading to a decrease in joint mobility and even to complete immobilization of the knee. In chronic form, there is a violation of the development of synovial fluid, which prevents the normal operation of all structural elements of the knee joint. Further arthritis or arthrosis develops, various knee deformations occur.

      The most severe consequence of synovitis is sepsis of blood, when the infection enters the bloodstream and spreads throughout the body. In this case, even a lethal outcome is possible.

      Synovitis of the knee joint:

      diagnosis Usually, with knee joint injuries, patients turn to a traumatologist. After the examination of the knee, a joint radiograph is given which gives information not only about the consequences of a fracture or a knee injury, but also the general condition of the joint, allowing the suspected synovitis of the knee joint. However, to fully diagnose synovitis of one X-ray image is not enough, therefore, perform a puncture of the synovial fluid, paying attention to its color and consistency, as well as the content of urate salts, protein or various pathogens of infection in it.

      Additional methods for diagnosis of synovitis of the knee joint are general and biochemical analysis of blood, MRI or CT of the joint, endoscopic arthroscopy, joint ultrasound. With non-infectious synovitis, consultation with an endocrinologist, an allergist, a rheumatologist is necessary.

      Synovitis of the knee joint: treatment of

      In most cases, the treatment of synovitis of the knee joint is outpatient. With an acute synovitis, it is necessary to fix the knee in the straightened position with a dense pressure bandage. The bandage can not be worn for more than a week, otherwise the joint may become tight, which in the future can limit its mobility. With acute pain while waiting for the help of a doctor, you can apply cold for 10-15 minutes. In the future, it is necessary to strictly follow the prescribing doctor's instructions.

      Medicated treatment of synovitis of the knee joint is performed approximately as follows:

      • Non-steroidal anti-inflammatory drugs( NSAIDs) - ketonal, indomethacin, brufen.
      • Glucocorticosteroids - dexamethasone, hydrocortisone, betamethasone.
      • When infectious synovitis - tetracyclines, macrolides, cephalosporins, depending on the pathogen. If there is no data on the pathogen, then sulfanilamides( sulfalene, metronidazole) are prescribed.
      • Injection of heparin to improve blood circulation.
      • Chondroprotectors for restoration of cartilaginous tissue - arthra, teraflex, rumalon.
      • Inhibitors of proteolytic enzymes - lysozyme, trypsin, collagenase.
      • Local treatment - ointments diclofenac, fastum gel, voltaren-gel, indovazin, for treatment of wounds - antiseptics.
      • Physiotherapy - electrophoresis with hydrocortisone or dimexide, magnetotherapy, ultrasound, mud therapy, ozocerite, paraffin, and also massage and physiotherapy exercises.

      In case of ineffectiveness of drug treatment or development of complications due to severe lesions of the synovium, a surgical operation is performed - partial or complete synovectomy. After performing the operation, rehabilitation therapy is performed: first the limb is immobilized, pain medications and antibiotics are prescribed, then gradually the knee load is increased with the help of physiotherapy and exercise therapy. In the later stages of rehabilitation it is recommended to perform a set of physical exercises for the knee, to engage in exercise bikes, and also to take the first steps with the operated leg.

      Synovitis of the knee joint: treatment with folk remedies

      • Ointment from comfrey - take 200 g of pork fat and 1 cup of fresh grass comfrey, stir and insist 4-5 days in the refrigerator. The resulting ointment should be rubbed into the knee 2 times a day and fixed from above with an elastic bandage. This ointment is very helpful in restoring cartilage tissue after surgery.
      • Bay oil - 2 tablespoons of the crushed laurel leaf it is necessary to pour 200 g of sunflower oil. Close tightly and press for 7 days. This oil should be rubbed into the knee several times a day and at night, fixing an elastic bandage.
      • Egg compress - whisk 1 egg, salt well and lubricate the affected area on the knee by wrapping the top with a normal bandage. Hold for half an hour, then rinse with running water.
      • Infusion - stir in the meat grinder 3 lemons, 100 grams of garlic and 200 g of celery root, put the mixture in a three-liter jar, then fill it with water to the top. Infuse 2-3 hours, drink 60 ml 3 times daily before meals. The course of treatment is 25-30 days.

      It should be remembered that treatment of synovitis with folk remedies is of an auxiliary nature and is used exclusively after consultation with the attending physician. To treat synovitis of the knee joint with folk remedies without the help of drug therapy or surgery is inexpedient, and quite often even dangerous is the aggravation of the situation.

      Synovitis of the knee joint: prevention

      • Avoiding knee injuries, excessive loads on the knee joint.
      • Protection of the knee joint with knee pads, for example, when rolling on rollers, playing sports.
      • Prevention and timely treatment of infectious diseases, allergic and endocrine diseases.
      • Proper nutrition, saturated with vitamins and calcium, which strengthens bone and cartilage tissue.
      • A healthy lifestyle, mobility that keeps joints toned and reduces the risk of accidental injuries.
      • Regular preventive examination in the orthopedist, endocrinologist, allergist, rheumatologist.

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      Synovitis of the knee joint - types, causes, treatment

      In most cases, a unilateral synovitis is diagnosed, but several joints are sometimes affected at the same time.

      Synovitis of the Knee: Causes and Symptoms

      Causes of the disease:

      1. Aseptic synovitis can occur in the following conditions and diseases:

      • With significant tissue destruction as a result of mechanical knee injury, intraarticular lesion is a traumatic synovitis;
      • With hemophilia, if a hemorrhage occurs in the joint cavity;
      • As a result of endocrine disorders;
      • Post-traumatic synovitis is caused by joint irritation with cartilage fragments, bone damaged by the meniscus;
      • Reactive synovitis occurs with general intoxication of the body, under the influence of mechanical stimulation in the area of ​​the synovial membrane;

      2. Infectious synovitis occurs when penetrating the synovial membrane of pathogenic microorganisms from the environment, contact, lymphogenous or hematogenous from foci of infection in other organs:

      • Nonspecific synovitis causes streptococci, staphylococci, pneumococci, angina viruses, acute respiratory viral infections, influenza, herpes;
      • Specific synovitis causes tuberculous mycobacteria, pale treponema;

      3. Allergic synovitis occurs when contact with allergens, if the synovial membrane is marked with increased sensitivity to them.


      1. Swelling due to the development of the inflammatory process, causing a significant increase in the size of the knee joint;
      2. Periodic or persistent aching pain in the area of ​​the affected joint;
      3. Disturbance of joint function, limitation and soreness of movements;
      4. With a purulent synovitis, the severity of general condition, weakness, chills, increased body temperature, increased regional lymph nodes;
      5. Chronic synovitis is characterized by fast fatigue of the limbs when walking, slight restriction of movements in the affected joint, aching pain in the knee, the appearance of dropsy( hydrarthrosis) over the joint surface.
      Diagnosis of the disease and determine its cause allows the characteristic localization of the pathological process, the results of the study obtained with fluid puncture, as well as such diagnostic methods as ultrasound, MRI.

      Video - synovitis of knee joint on ultrasound

      Steps of treatment of synovitis of knee

      Stage 1 of treatment: puncture - puncture of joint and sucking of synovial fluid from its cavity with subsequent laboratory examination of seized exudate. Puncture is performed without anesthesia, since it is practically painless, antibiotics are injected into the joint cavity simultaneously to suppress the foci of infection and to prevent infection after the procedure;

      2nd stage: immobilization for the purpose of providing a rest joint. It is carried out by imposing a tight bandage, fixing knee pads, applying tires, gypsum longes.

      Stage 3: elimination of the cause that caused synovitis: elimination of the effect of allergens, treatment of infection, underlying disease;

      Stage 4: symptomatic therapy to eliminate pain and inflammation. Depending on the situation, treatment can be conservative or operative;

      Stage 5: general restorative therapy;

      6th stage: physiotherapy procedures, physiotherapy exercises to restore impaired knee joint functions.

      Drug medication for synovitis

      The administration of medications is performed exclusively individually in accordance with the specific clinical case of the disease and the patient's condition. For the treatment of synovitis, the following drug groups are used:

      • Non-steroidal anti-inflammatory drugs for pain relief: indomethacin, ketonal, ketoprofen, brufen;
      • Glucocorticosteroids in the form of injections into the joint cavity for the removal of acute pain syndrome: hydrocortisone, betamethasone, methylpredisylone;
      • Antibiotics for infectious etiology of synovitis;
      • Sulfanilamides in the absence of data on the causative agent of the disease;
      • External therapy: ointments diclofenac, indovazin, fastum-gel, voltaren-gel, antiseptics and heparin ointment - in the presence of wounds and abrasions;
      • Preparations for the improvement of tissue regeneration and circulation;
      • Chondoprotectors for stimulating the restoration of cartilaginous tissue.

      Surgical treatment of synovitis

      The absence of results in conservative treatment, the progression of the disease, the development of irreversible changes( sclerosis of tissues, the formation of hypertrophic villi and petrificata) in the synovium are indications for surgical treatment. Partial or complete synovectomy may be performed, depending on the severity and area of ​​the pathological process.

      During the surgical operation, the doctor opens the cavity of the affected joint, removes damaged structures and foreign bodies, excoriates the synovial envelope transformed by pathology, and performs arthroplasty of the articular cartilage. After synovectomy, a splint is applied to the knee so that the joint is immobilized for at least 4 days, blood-resurrecting, antibacterial and anti-inflammatory therapy, hemostasis.

      Treatment of synovitis with folk remedies

      Traditional medicine recipes should be used only under the supervision of the treating physician, as an additional method of treatment. With the advanced form of the disease and significant damage to the joint, folk remedies are ineffective.

      1. Comfrey officinalis has anti-inflammatory, antitumor and bactericidal action, promotes rapid regeneration of the epithelial cover. From it prepare broths, tinctures which accept inside, put on the sick joint in the form of a compress or ointment on the basis of the refined pork fat.
      2. A mixture of lemon( 3 pieces), celery roots( 200 g) and garlic( 100 g) has a good anti-inflammatory effect. All ingredients are passed through a meat grinder, filled with water to a volume of 3 liters, infused for several hours. Infusion drink for a month 3 times a day before meals in a single volume of 60 ml.
      3. Oil from a bay leaf sick joint rubbed before going to bed. Laurel leaves are ground in a coffee grinder, 2 tablespoons of the powder obtained are poured with 1 glass of olive or sunflower oil, the drug is insisted in a tightly clogged container for 1 week.
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      How to treat inflammation of the joint-synovitis

      Marina Goryacheva

      SYNOVIT - inflammation of the synovial membrane of the joint with the formation of effusion in it. The knee joint is most often affected. Distinguish between acute and chronic synovitis. In acute synovitis, pain, increased local temperature, effusion in the joint are observed. Chronic synovitis is characterized by unsharp pain, a periodic accumulation of effusion in the joint;with prolonged existence develops deforming arthrosis. The diagnosis is clarified by examining the fluid obtained from joint puncture( the kind of cells, crystals, the amount of protein, microflora).In addition to the therapy of the underlying disease, puncture of the joint is applied, a pressure bandage is applied, immobilization of the limb is made with a gypsum lantabe, physiotherapy is prescribed. When acute synovitis treatment is carried out in a hospital. For the removal of inflammation, various non-steroidal anti-inflammatory drugs can be used. To clarify the nature of the disease and the most effective method of treatment, you need to contact an orthopedic specialist.


      The causes of synovitis in all people are different. The cause of synovitis may be very far from the knee joint and, at first glance, not to have anything to do with this joint.
      But it's not. For example, the causative agent of synovitis( infection) may be in the large intestine and, if it is not found and not treated, no other treatment will help. The reasons can be several dozen and for each of the reasons there are methods of treatment. For example, the cause can be various infections, either a disruption of the thyroid gland, or parasitic invasion, or accumulation of uric acid, etc. Synovitis often occurs after joint trauma, as well as arthritis, allergies, hemophilia.
      Important for synovitis - the knee joint must be firmly bandaged with a soft bandage.
      Anti-infectious and anthelmintic agents must be present in treatment.
      COMPOSITION: mistletoe white, yarrow, St. John's wort, oregano, thyme, echinacea, leaf of birch, eucalyptus, bearberry, walnut, calendula, tansy, immortelle, celandine grass, cotton grass, valerian roots, calamus, althaea, licorice. PREPARATION: table. Spoon the herbs( without top) with 2 cups of boiling water. To boil 2 minutes, to insist 1 hour, to filter. Take between meals, drink all the cooked infusion in several receptions throughout the day. The course of treatment is not less than 3 months.
      As the strongest anthelminthic agent I recommend using black nuts tincture, which is used for any oncology and other diseases: blood, skin and infectious diseases, stomach, intestine and liver diseases, cleans the blood and the body as a whole, expels the parasites. Take tincture of 1 teaspoon 3 times a day for 20-30 minutes before meals.
      Very often the occurrence of synovitis is preceded by traumas that are often overlooked or not taken into account, dislocations and cracks in the joints often contribute to the progression of the disease. In the folk healing, herbal treatment for the treatment of the consequences of injuries( splices of bones and joints), the comfrey medicinal is used. It is believed that the comfrey can be used with advantage in any bone pathology - damaged tissues quickly restore the epithelial cover where the necrosis process has already reached deep layers. Comfrey has the property of providing regenerative, bactericidal, anti-inflammatory, antitumoral, wound and bone-healing effects.
      Comfrey roots are used fresh or dried. Fresh roots are very difficult to maintain - they quickly mold. Dried the same roots do not lose their healing power - they can be stored in a dry, well-ventilated room for a year! And use it when necessary.
      For oral use, you can use alcohol tincture or decoction of the roots. For tincture: 1 part of ground roots into 5 parts of vodka. Insist 2 weeks. Take 20-30 drops 3 times a day. For broth: 1 tbsp.a spoonful of roots on a glass of boiling water. Do not boil! Insist in a thermos, strain and drink in equal parts throughout the day.
      If you rub in equal proportions the roots of the comfrey with porcine unsalted fat - you will get a wonderful ointment for rubbing joints, fracture sites. You can also make compresses on sore spots: 2 tbsp.spoons of crushed roots into 2 cups of boiling water. Infuse the night in a thermos.
      Treatment of synovitis comfrey, tincture of a black nut and anti-infection collection should be carried out in a complex. Take tinctures and collection in parallel, with a break of 15-20 minutes, externally do compresses and use ointment. The course of treatment is long, at least 3-6 months.

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