Synovitis-What is Synovitis?
Synovitis is a multiple diseases, the diseased parts of the knee.Synovitis is likely to cause patients with temporary or long-term part of the loss of labor, both for patients and harm to society.The synovitis Although many effective treatments, but there are still many patients still can not be cured.
Synovitis - the disease etiologyThe knee is the human synovial membrane up to the articular surface of the largest and most complex of the knee joint, due to the extensive and synovium in the limb than the superficial parts, so many opportunities to suffer of synovitis injury and infection, synovitis mainly due to knee sprain and a variety of intra-articular damage, caused by a group of syndrome. Such as the meniscus, synovial injury, cruciate ligament, or ligament injury, intra-articular damage, dislocation, and knee osteoarthritis secondary to knee chronic synovitis and joint loose body. Another reason is the infection of synovial tuberculosis, which commonly is, generally speaking, rich synovial blood vessels, blood circulation is good, strong bacterial resistance, but in the case of M. tuberculosis infection, disease progression is slow, the The symptoms of good times and bad, this is one of the knee joint chronic synovitis.
Synovitis of the knee in the elderly are mostly secondary to osteoarthritis of the knee, mainly due to cartilage degeneration and bone proliferation of Biochemistry, mechanical stimulation, secondary knee synovial edema, exudation, and the plot and solutions. In the young people due to the acute creation and chronic injury. Acute trauma include: knee sprain, meniscus, lateral collateral ligament or posterior cruciate ligament injury, intra-articular effusion or sometimes hemorrhage, manifested as acute traumatic synovitis of the knee. Sometimes due to a simple knee synovial damage caused by light, such as trauma or chronic knee strain. With wind, cold, wet evil invasion, to make the knee gradually swelling and dysfunction, chronic knee synovitis.
Young people have synovitis reasonYoung, knee synovitis caused mainly due to a knee sprain and a variety of intra-articular injury, such as meniscus, synovial damage, cruciate ligament, or ligament injury, joint effusion, or sometimes blood clots, manifestations of acute knee traumatic synovitis. Intra-articular damage and dislocation, sometimes due to a simple knee synovial damage caused by light, such as trauma or chronic knee strain. With wind, cold, wet evil invasion, to make the knee gradually swelling and dysfunction, chronic knee synovitis. Another reason is the infection of synovial tuberculosis, which commonly is, generally speaking, rich synovial blood vessels, blood circulation is good, strong bacterial resistance, but in the case of M. tuberculosis infection, disease progression is slow, the The symptoms of good times and bad, this is one of the knee joint chronic synovitis. Chinese medicine believes that this disease was due to exogenous all evil, joint injuries, acupuncture point blocked, the accumulation of effusion caused through the membrane Xiaotong cream transdermal drug delivery principles, and its direct effect on the synovial site, with blood stasis, gone through the network, the effect of relieving rheumatism and cold, can effectively promote local blood circulation, improve the nutrition of the surrounding tissue, prompting the joints blocked the the microcirculation restore the smooth flow of synovial fluid re-attributed to the dynamic balance of generation and absorption of
Elderly have synovitis reasonSynovitis of the knee in the elderly are mostly secondary to osteoarthritis of the knee, mainly due to cartilage degeneration and bone proliferation of Biochemistry, mechanical stimulation, secondary knee synovial edema, exudation, and the plot and solutions.
Excessive movement is the main cause ofJoint swelling type of swelling mainly after excessive exercise, pain of varying severity. Non-swelling type, joint pain, often accompanied by mild swelling. The study confirmed that the two types of substantially the same, but the synovial degree of pathological changes vary. The researchers found that when the knee for a long time after the excess movement of a single action, the synovial tissue congestion and edema, red and white blood cells and cellulose oozing with intra-articular pressure is increased and the oxygen partial pressure decline was a positive correlation, and when the exudation faster than the synovial compensatory absorption rate, joint effusion, and thus make the intra-articular pressure continues to rise, the vicious cycle of the oxygen partial pressure continued to decline, for a long time of synovial degeneration of adipose metaplasia, and chronic aseptic inflammation in the formation, thus that the excess movement after the traumatic synovitis, not only hit with repeated poke out of the articular surface, joint capsule damage, but also plays an important role in the course of the development and prognosis.
Synovitis - pathology diseaseInjury of the synovium, synovial showing congestion, edema and neutrophil infiltration. Synovial blood vessels to dilate, plasma and cell extravasation, and produce large amounts of exudate, active synovial cells produce large amounts of mucin. Exudate containing erythrocytes, leukocytes, bilirubin, fat, mucin, and cellulose. In severe cases, joint effusion was bloody. Joint swelling and limitation of activity. If not promptly treated, may occur late synovial hypertrophy, intra-articular adhesions and cartilage degeneration. If the repeated injuries, synovial reaction can become chronic, showed infiltration of lymphocytes and plasma cells. These phenomena are nonspecific synovial reaction. The severe damage caused by the synovial defect heal faster, which is due to the regeneration and proliferation of synovial cells, while other tissues and cells can biochemical synovial cells. Severe proliferative arthritis of the knee, synovial villous edema, hypertrophy, thickening, the formation of many different sizes and shapes of synovial folds, fiber hyperplasia of the connective tissue group under the synovium and synovial tissue biology of aging , the synovial tissue regeneration and repair capacity is significantly reduced.
Synovitis - the performance of diagnosticThe majority of knee synovitis, is complicated by the circumstances of the above the knee injury, but can also be a separate disease or secondary to osteoarthritis of the knee,
Synovitis for the elderly. More young people have a history of acute knee injury knee injury began to occur with mild edema, pain, activity limitation and claudication. Usually 6 --- 8 hours after injury, reactive synovial effusion, and knee edema, fever, not activities. The examination revealed limited knee flexion and extension activities, squatting difficulty, and accompanied by pain around the joint may have limitations for pressure pain point, floating patella test positive. Synovium of chronic injury, may be no obvious history of trauma, mainly knee weak and limited mobility, swelling, persistent, did not dare squat. Increased activity, increased rest after mitigation. Chronic illness, palpable to the knee joint capsule hypertrophy sense. More than those of the knee joint effusion or recurrent effusion, to do joint effusion examination, it reflects the nature and severity of synovitis. Therefore, joint aspiration and synovial fluid examination, the knee joint synovitis diagnosis and differential diagnosis are important reference value.
Knee traumatic synovitis, often misdiagnosed as "benign joint pain, given purely symptomatic treatment, poor results and often left the after-effects. Exudative synovitis and synovial fluid changes in the degree of intra-articular pressure and oxygen partial pressure decreased positively correlated, so raising the oxygen partial pressure of the joint cavity, reducing intra-articular pressure, promote inflammation and synovial membrane repair role.
Synovitis - synovial membrane (capsule) and clinical manifestations of inflammation:Once synovitis: joint pain, joint swelling was not obvious, or accompanied by mild swelling, walking creak snapping on downstairs or force, joint pain or discomfort.
2, second synovitis: joint swelling, pain is not obvious, squat bent discomfort, individual patients with muscular dystrophy, excessive swelling after exercise. Morning symptoms are relatively mild increase the evening.
3, severe synovitis: joint swelling, pain and more obvious, and accompanied by effusion, bone spurs, free bone. Hyperplasia of bone: joint pain, swelling significantly, the downstairs is more powerful, rigid and flexible activities creak sound bombs.
4, chondromalacia patella: there is no strength in the joints and knees when walking, jogging, playing soft legs, unable to flexion and extension. Downstairs when the pain got worse, and rest when symptoms disappear.
Meniscus: walking legs is easy to do fresh. Occasional leg suddenly unable to walk, the legs feel like something do not live in the same, you have to take a break to return to normal. General love of sports or occupations, the damage probability is relatively high. The long duration of time associated with calf muscle atrophy. There are still some special populations, synovitis onset of symptoms in the ankle, hip (hip bone); symptoms and other joints are different; but the pathology is essentially the same. The treatment is basically the same, only need to choose a different acupoint application can be.
Synovitis treatment:(1) Synovitis -Massage Therapy
Synovitis (1) Tuirou point method: the patient supine, the knee from top to bottom, Shun its veins repeatedly Tuirou to 1 to 2 minutes. (2) pulling knees France: Position of the patient as above, the muscles relax, the doctor first gently, a slight flexion and extension knee back and forth, and finally try to full flexion of the knee, then straighten the limb. (3) scraping tendons, and tendons law: patient supine, at the top of the patella outside, inside the bottom of the use of a thumb flexion knuckles, put the inside of the pain points; another palm of your hand above the flexor thumb, thumb out scraping arm strength to promote several times. (4) joint effusion can be used hammer, beat, beat France, alternately. Hammer for real boxing, hit as a fist, strike the patellar soft tissue and thigh extensor side of the big leg flexion and extension of 20 to 30, beat a real fist, fists on the part of the same point with arm strength under pressure, repeat 1-2 times . Shoot without boxing but with the palm of your hand to beat the popliteal fossa, shooting wrist shells.
2 Synovitis - puncture therapy
More joint effusion, tension, joint puncture, effusion and accumulation of blood totally pumping net, to the intra-articular injection of sodium hyaluronate, which is the main component of synovial fluid. Studies have shown that arthritis in a variety of pathological changes is closely related with the reduction and physical and chemical properties change. Injection of sodium hyaluronate following: covering the surface of the articular cartilage, can protect the articular cartilage, prevent or delay further degeneration; the protection of the synovial membrane to remove the pain caused by substances, significantly reduced the role of pain; to improve the status of joint contracture, increase joint activity; degenerative joint synovial fluid to improve the role.
(3) Synovitis -drug treatment
Acute phase of synovial injury, blood stasis stagnation, rule-based new swelling to stasis of Health, March 7 powder oral. Chronic wet missed, muscles and tendons relaxation is weak, governance expelling wind and dampness, strong muscles and tendons, oral administration of Rhizoma wins wet Decoction, outside the paste dogskin cream; pathogenic cold than the Sheng can also be cold-dispelling Qufengchushi, side by The Aconitum soup.
(4) Synovitis -fixed and practice therapy
The synovitis Early bed rest, Taigaohuanzhi available elastic bandage bandaged, and to prohibit weight. During treatment for quadriceps contraction and relaxation activities, exercise, late knee flexion and extension exercises should be strengthened, elimination of joint effusion, to prevent quadriceps atrophy, and prevention of recurrent synovitis attack, to restore the knee flexion and extension functions, have a positive effect.
Synovitis - TCM plaster therapy
The synovium is mainly distributed around the joint. The same in the joint cavity, secrete lubricating fluid lubrication of the joints. Stimulation or direct stimulation of synovial injury inflammatory response of various etiologies (eg, hyperostosis, arthritis, joint tuberculosis, rheumatism, and traumatic injuries, bone, joint injury, soft tissue injury, surgery, etc.) stimulation of synovial inflammation is the secretion of exudate. Produce pain, strictly speaking, as long as the joint exudative effusion, as evidenced by synovitis exists, and its main joint congestion and swelling, pain, increased exudate, joint effusion, activities, squatting difficulty, limited functionality.
Synovitis aseptic inflammation caused due to poor microcirculation, the main symptom is to produce effusion, synovial layer of membrane surrounding the joints around the organization, which not only is the joint organization of a layer of protection, and also produce synovial fluid, lubricant for joint activities. Generation and absorption of the synovial fluid is a "dynamic equilibrium" when the synovial fluid reabsorption obstacles, due to the production of synovial fluid and the absorption of dynamic equilibrium was broken, the production of synovial fluid is greater than the re-absorption, we will have "joint stagnant water ". The treatment of synovitis conditioning micro-circulatory system, as long as the micro-circulation, water will cycle disappeared, the same inflammatory lifted water period so as not to fatigue, to reduce the frequency of pumping fluid injection, excessive Pumping injection will stimulate the proliferation of synovial connective tissue group fibers, as well as the aging of the synovial tissue, synovial tissue regeneration and repair capacity was significantly lower, then the treatment is too much trouble. Chinese plaster therapies. Principle: external application of plaster to stimulate the nerve endings, through reflection, dilation of blood vessels, promote blood circulation, improve the nutrition of the surrounding tissue, and promote the synovial fluid absorption, the return to make it and absorb the dynamic equilibrium to achieve the elimination of the bursa within the synovial inflammation of healing purposes.
