Treatment principles:
1, the disease is caused by chronic injury inflammation, so limiting injury-causing movements, correcting poor posture, enhancing muscle strength, maintaining non-weight-bearing activities of the joint and changing posture regularly to disperse stress is the key to treatment.
2, physical therapy, massage and other methods can improve local blood circulation, reduce adhesions, help improve the symptoms. Local application of topical non-steroidal anti-inflammatory drugs or Chinese medicinal preparations and then heated by electric blowers can also receive better recent results.
3, local injection of adrenocorticotropic hormone (Bonisolone acetate, methylprednisolone, etc.) can help to inhibit damaging inflammation and reduce adhesions, which is the most commonly used and effective method in clinical practice. This therapy has been used in China for more than 40 years, and the majority of patients have been relieved of pain as a result. However, according to the author’s statistics, there have been secondary infections that are difficult to treat after injection; drug injection into the artery caused vasospasm, embolism and
Injecting the drug into the artery has caused vasospasm, embolism and necrosis of the segment of the motor system with chronic injury; injecting into the nerve sheath has caused neuritis; repeatedly injecting into the tendon sheath has caused spontaneous rupture of the tendon; injuring the pleura has caused pneumothorax and injecting into the sacral canal by mistake has caused transient lower limb paralysis and other serious complications. Therefore, care must be taken when using them:
(1) clear diagnosis, must be chronic injury inflammation, rather than bacterial inflammation or tumor;
②Strict aseptic technique;
③The injection site is accurate;
④In accordance with the prescribed dose and method (usually 0.5-1ml of corticosteroid plus 0.5-4ml of 2% lidocaine at a time depending on the site, once every 7-10 days, 3-4 times for a course of treatment. After an interval of 2-4 weeks, a course of treatment can be repeated);
⑤ If local swelling or even red heat occurs within a short period of time after injection, in addition to close observation, broad-spectrum antibiotics and hot compresses, local corticosteroid injection should be stopped again regardless of whether the course of treatment is completed.
4, non-steroidal anti-inflammatory drugs used in clinical non-steroidal anti-inflammatory drugs no less than 40 kinds, long-term use are not pushing the degree of side effects, including the gastrointestinal mucous membrane damage is most common, followed by kidney, liver damage.
The following points should be considered when using:
① Short-term use of drugs when necessary;
(2) Use of rubbing agent for limited and superficial lesions;
③In order to reduce the damage to the gastrointestinal tract, cyclooxygenase 2 inhibitors, precursor drugs and various extended release agents, enteric tablets, suppositories, etc. should be preferred;
④For those with poor renal function, short half-life drugs and drugs with less effect on renal blood flow, such as thiophene and propionic acid, can be used;
⑤ In order to reduce the impact on liver function, we can use drugs with simple structure and no nitrogen, and avoid using indomethacin and aspirin;
(6) should not use two NSAIDs at the same time, because the efficacy is not increased, but the side effects are multiplied.
5.Surgical treatment for some non-surgical treatment is ineffective for chronic injuries, such as stenosing tenosynovitis, nerve entrapment syndrome and tendon sheath cysts and other feasible surgical treatment. Prevention of most chronic injuries are possible to prevent their occurrence. Athletes, theater, acrobats for scientific training; assembly line workers regularly for interval exercises; long-term fixed posture workers, regular changes in posture, etc. can help to disperse stress, improve blood circulation, to reduce local cumulative injury. When chronic injury symptoms first occur, in the active treatment at the same time, patients should be reminded to pay attention to the injury local short-term braking, in order to consolidate the effect, reduce recurrence.
Preventive prognosis folding edit this paragraph
1, handicraft and semi-mechanized industrial workers, sports workers, theater and acrobatic performers, ambulatory workers and housewives are prone to such diseases;
2, prevention of most chronic injuries are possible to prevent its occurrence. Athletes, theater, acrobats for scientific training; assembly line workers regularly do interval exercises; long-term fixed posture workers, regularly change posture, etc. can help to disperse the stress motor system chronic injury, improve blood circulation, in order to reduce local cumulative injury;
3, when chronic injury symptoms first occurred, in the active treatment at the same time, the patient should be reminded to pay attention to the injury local short-term braking, in order to consolidate the effect of treatment, reduce recurrence.
4.Bed rest, minimize the weight-bearing and large activities of the joint, in order to slow down the process of lesions. Take anti-inflammatory and analgesic drugs as prescribed by the doctor during the attack period, and try to take them after meals. Wet and hot compresses can be applied locally to the joints. The diseased joint should be protected by a knee brace. Pay attention to weather changes, avoid humidity and cold, and avoid wearing high heels.