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Treatment of bursitis with shock wave therapy

лечение бугриста ударно-волновой терапией

Treatment of bursitis with shock wave therapy

Bursitis is an inflammation of the bursa. Synovial periarticular bags cover the joints and perform the most important function - they serve as shock absorbers when bones move relative to each other and surrounding tissues. Before stating the essence of the disease, we will give a small anatomical overview. On the outer surface of the femur, there is a large trochanter - a bony tubercle, to which muscles are attached that set the hip joint in motion. It is covered by a synovial bag. Under the action of provoking factors, its inflammation occurs, which is called bursitis. On the opposite side of the femur, there is another synovial bursa - the ilio-comb. Strictly speaking, its inflammation is also referred to as bursitis of the hip joint, but it is much less common than trochanteric bursitis. And both of these conditions are treated in the same way.

More often women over 30 years old suffer from bursitis of the hip joint.

Risk factors include:


Deposits of calcium salts or bone tissue (osteophytes) are also a common cause of bursitis.

Bursitis clinic

The clinic of bursitis of the hip joint is characterized by pain in the joint area, radiating along the outer surface of the thigh or into the groin area. The pain in the early stages is sharp, cutting and very intense. It provokes and intensifies the pain of lying on a certain side, adduction of the hip, walking up the stairs, squatting position. Pain syndrome leads to limited mobility in the joint and characteristic changes in gait. Over time, the pain becomes dull, aching, more diffuse. At rest, the pain usually goes away, but there are frequent attacks of nocturnal pain, which disrupts the patient's sleep. The longer the disease is, the worse the pain is relieved by pain relievers and anti-inflammatory drugs. In the absence of adequate treatment, chronicity of the disease is almost inevitable. Complications are possible in the form of adhesive capsulitis ("frozen joint syndrome"), which leads to complete immobility of the hip joint.

Бурсит тазобедренного сустава лечениеBursitis of the hip joint

If symptoms of bursitis occur, a consultation with an orthopedic traumatologist is indicated. Given the multiplicity of pathological conditions that can lead to pain in the hip joint, a thorough history and clinical examination is necessary. In many cases, they resort to additional examination methods: x-ray of the hip joint, ultrasound, MRI, etc.

In the initial stages, the disease can be defeated by conservative methods. Shows a sparing motor regime, the appointment of anti-inflammatory drugs, the use of canes and crutches while walking. Local treatment is also used: injections of an anesthetic and a hormonal drug into the synovial bag. Physical therapy, massage and physiotherapy methods, in particular, shock wave therapy (SWT), have a good effect. Usually, recovery can be achieved within a period of up to 1 month. In case of ineffectiveness of conservative methods, surgical removal of the bursa is recommended (both classical surgery and arthroscopic methods of treatment are used).

Treatment of bursitis with shock wave therapy

The use of shock wave therapy in the treatment of bursitis allows achieving a good clinical effect in the shortest possible time and avoiding surgical intervention. SWT has a disease-modifying effect - it eliminates the inflammatory process, strengthens the muscles of the hip joint, improves blood circulation, and accelerates tissue regeneration. As a result of the above processes, mobility in the joint improves, pain disappears.

The patient can return to full physical activity after the first procedures. Also, the use of shock wave therapy allows you to reduce the dosage of anti-inflammatory drugs, and subsequently completely abandon them. As a rule, 5-7 procedures are enough for a course of treatment, although sometimes you have to resort to a longer course - up to 10 procedures. The interval between procedures is 5-7 days. After the end of the course of treatment, even in the absence of clinical manifestations, it is necessary to conduct a control X-ray or MRI of the hip joint after 3-6 months, as well as a repeated consultation with an orthopedic traumatologist.