Synovitis of the knee joint: treatment in a clinic in Moscow

Kinds

Depending on the course of development and clinical signs, three different forms of pigmented villonodular synovitis are distinguished:

• intra-articular;
• diffuse;
• extra-articular.

Often the pathology affects the knee joint, sometimes the hip, calcaneocuboid and ankle.

Causes

Until today, scientists have not been able to discover the exact cause of this disease. However, there are several fairly solid and plausible versions. Previously, experts were inclined to believe that pathological changes represent a granulomatous inflammatory process in the synovium (synovitis). However, now that medicine has made great progress in diagnostic research, it has been revealed that chromosomal aberrations and indicators of atypical proliferation are present in the newly formed cells of the inner layer of the joint capsule. This means that the process is similar to the development of a tumor focus. Therefore, most medical professionals are now inclined to assume that the disease is a slowly progressing benign tumor formation.

Most often, the immediate cause of development is direct trauma. According to statistics, young girls are most often affected.

Treatment of synovitis of the knee joint in Moscow without surgery

With synovitis of the knee, the soft tissues located around the joint experience inflammation: swelling, redness of the skin, and difficulty moving occur. The inflammatory process can occur without infection. However, if infection occurs (due to a serious injury or injection into the joint), the process enters the purulent stage.

Consultation with a specialist in Moscow

If esudate (liquid that is released during inflammation) accumulates in the joint cavity, it is most likely synovitis. And since all inactive bone joints belong to a specific system (including immunity, mucous surfaces, various fluids, hormones), any part of this system can cause pathologies in the joints. For example, an imbalance of water and salts in the body occurs due to metabolic disorders. As a result, there is less synovial fluid, and the composition and quality of the lubricant for the surfaces of the joints deteriorates. The lubricant turns into a viscous substance that is unable to prevent the destruction of the joint and protect it from inflammation and friction.

The work of the joints is also associated with the functioning of the gastrointestinal tract, pancreas, liver, gallbladder, endocrine organs, and kidneys. Therefore, when treating chronic synovitis, it is necessary to work with all these components.

In case of severe pain and acute inflammation, the doctor first of all eliminates the disturbing symptoms using reflexology and herbal medicine techniques. Reflexology also helps bring the synovial membrane to its normal physiological state. Then the goal of treatment is to work with the blood supply system: osteopathic techniques will help with this, as well as methods of influencing biologically active points of the body.

For chronic synovitis, according to reviews, the use of shock waves (SWT) has a good effect. However, if synovitis is of an infectious nature, it is first necessary to treat the infection and only then prescribe physiotherapeutic procedures - otherwise the infection can spread further. Proper use of shockwave therapy will help avoid surgery, since during the procedure calcium deposits can be softened and removed from the body without causing pain and unnecessary stress to the person.

Example. The East Clinic doctor was visited by a 48-year-old patient who had noticeable swelling and redness in the area of ​​her left knee, which caused pain. It comes four years after a woman suffered an injury when she fell on a metal object and injured her knee, which then required stitches. The doctor examined the patient, paying attention to the condition of her skin, the white membrane of the eyes and joints. The patient was then scheduled for an MRI, which showed that fluid had accumulated in the joint cavity.

Having ruled out the possibility of infection, the doctor first used reflexology to relieve pain, and then began to restore blood flow in the tissues using manual methods. The inflammatory process decreased significantly, and in combination with acupuncture, it was possible to normalize the synovial membrane. In addition, the doctor applied kinesio tapes to the knee area and prescribed a set of exercise therapy exercises to the patient to relieve her of limited movement in the damaged joint and strengthen the ligaments and muscles of the lower extremities. In addition to therapy, the doctor prescribed herbal medicine sessions.

The patient got rid of the inflammatory process in the knee, the range of joint movements was restored. Body weight returned to normal, metabolism improved, and hormonal levels returned to normal. The effectiveness of the treatment was confirmed by MRI data.

How to stop going to doctors and pharmacies and get real help?

• Expert level of specialists - we consult with doctors with more than 25 years of experience.
• Team opinion - doctors of several specialties cooperate with each other to achieve the best result.
• The consultation lasts as long as necessary to understand the situation in detail.

Statistics

PVUS accounts for about 1% of all joint diseases, and is somewhat more common in women. The predominant age for detection of pathology is 2-3 decades, less often - children and old age. The disease is monoarticular. Any joint can be affected, but the predominant localization is the knee (80% of all cases).

Etiology and pathogenesis.

In the first report about PVUS, owned by Ch. M.E. Chassaignac (cited from P. Byers et al., 1968), who in 1852 described damage to the tendon sheaths of two fingers, suggested the sarcomatous nature of the process. In subsequent years, the disease was described under various names, but always with the addition of the suffix “oma”. A number of authors [Chistova P. M., 1971, 1973; Jaffe H. et al., 1941; WyllieJ., 1969] obtained data confirming, in their opinion, the inflammatory nature of the disease.

At present, the tumor nature of the process and the possibility of its malignancy are completely excluded. Features of the ultrastructure of xanthoma “foamy” cells, which, along with fibroblastic ones, are the most numerous elements, allow us to suggest that the basis of the pathology is a local disorder of lipid metabolism [Rodionova S. S., 1981; Mikhailova L.N. et al., 1983]. In this case, the phenomena of inflammation develop secondarily, since an admixture of segmented and plasma cells is not always present. In addition, data have been obtained [Rodionova S.S., 1981] on the development of a delayed-type hypersensitivity reaction in PVUS, and therefore the participation of altered immunological reactivity in the pathogenesis of the process cannot be ruled out.

The spread of pathological tissue into the bone occurs along the nutrient canals. The primary cause of the spread is an increase in intra-articular pressure due to excessive growth of pathological tissue. More frequent bone damage when PVUS is localized in the hip and ankle joints is due to a well-developed capsular-ligamentous apparatus, which prevents capsule stretching.

The accumulation of tissue at different depths in the bone leads, due to pressure, to microfractures of the adjacent bone beams and the formation of cavities of different sizes filled with altered synovial tissue. A certain role in the spread of the process into the bone and the formation of cavities is played by lytic enzymes secreted by macrophages, the activity of which is increased not only in the joint effusion, but also in the affected synovial tissue [Rodionova S. S., 1981].

Depending on the stage of the disease, we choose one or more treatment methods in Moscow:

Therapeutic massage, osteopathy, manual therapy

Helps bones and joints take the correct physiological position, relieves pain and spasms, relaxes muscles.

Acupuncture in Moscow

Work on biologically active points. It affects the affected area and the body as a whole. Eliminates the cause of the disease and removes the symptoms.

In addition, according to indications, the following are used: taping, pharmacopuncture, FormTotix insoles, exercise therapy with an instructor and other methods. The choice of procedures depends on the current condition; taken together, they act faster and give a more lasting result.

Synovitis of the knee joint symptoms, causes and treatment in Moscow

Synovitis of the knee joint is not a common disease, but it does occur. This is an inflammatory disease, most often of the knee joint, which is accompanied by the production of synovial fluid.

The knee joint, with synovitis, swells due to the formation of fluid in it, and looks a little awkward.

Synovitis of the knee joint in Moscow causes of occurrence

The causes of reactive knee synovitis are varied. The disease can be triggered by various types of injuries, infections that penetrate through damaged tissue (for example, a cut, wound, abrasion), congenital or acquired joint pathologies, autoimmune diseases, endocrine diseases, nervous and even allergic diseases.

Symptoms of synovitis of the knee joint in children and adults can indicate the specific stage of the disease. So, in the acute form, swelling occurs, which accompanies pain, redness and increases in intensity.

Which doctor treats bilateral secondary post-traumatic synovitis of the knee joint and how to cure it. Exercise therapy gymnastics.

Chronic synovitis of the right or left knee joint is not difficult to distinguish. With it, dropsy begins, and the nature of periodic pain is mild.

There are many types of knee synovitis, and the manifestation of each type depends on the cause of the disease. For example, reactive acute synovitis of the knee joint occurs due to infection: intestinal, urogenital, respiratory. As a rule, such synovitis begins with an acute form. And if it is not cured in time, it will go into the chronic stage.

Minor reactive mild synovitis of the knee joint, what is it and what to do. How to cure in children and adults.

The treatment of villonodular knee synovitis is carried out by a general practitioner. But, upon examination, he can refer you to more specialized doctors: a traumatologist, rheumatologist or surgeon.

When approaching the treatment of moderate knee synovitis, attention is paid to its appearance. If it is rheumatoid or psoriatic synovitis, then the treatment regimen is as follows:

• the use of chondroprotective agents (their use preserves the tissues of the knee joint);
• anti-inflammatory drugs;
• reducing the load on the joint (usually the doctor recommends that the patient use a cane, crutch or wheelchair to give the damaged joint a “rest”;

Diagnostics

A biochemical blood test will help identify the presence of disease in the body.

The diagnosis is established on the basis of a series of clinical tests and instrumental studies. It is important to differentiate villous synovitis from other types of inflammation of the synovium, since this pathology cannot be treated with standard methods.

Mandatory examinations:

• radiography;
• blood chemistry;
• tissue biopsy of the affected joint;
• analysis of synovial fluid.

The exact type of disease can only be determined based on a biopsy. Examination of a fragment of the synovial membrane allows one to detect villous growths and determine the nature of the disease.

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