synovial inflammation of the joint

synovial inflammation of the synovial membrane is caused by stimulation of the inflammation, resulting in the secretion of fluid imbalance in the formation of a joint lesion of the effusion.

IntroductionThe knee joint is the most synovial joint in the whole body, so the synovial inflammation is more common in the knee.when the knee is directly affected by violence, long-term weight-bearing chronic strain, indirect knee sprain, injury during surgery, strenuous physical activity or super strength training, incorrect habit movements, the joint itself degeneration, knee anti-Zhang, and even improper wear can be caused. Traumatic synovial membrane injury , synovial congestion, swelling, synovial cells active production of large amounts of fluid, which contains plasma, white blood cells, phagocytic cells, etc.。 Normal synovial fluid is alkaline liquid, because of the increase of exudation after injury, the accumulation of acidic products in the joint, the synovial fluid becomes acidic, promotes the cellulose precipitation,if not in time to clear the effusion, the joint synovial membrane long-term inflammatory stimulation reaction, prompting the slip film gradually thickening, and the fiber is machine, causing adhesion, affecting the normal work of the jointMove. The synovial cells secrete liquids that lubricate and nourish the joints, and the heat generated by the knee during movement is entirely dependent on the synovial fluid and its blood circulation to circulate. When the joint is affected by extrinsic and intrinsic factors, the synovial membrane reacts, causing congestion or edema, and oozing the liquid,manifested as joint swelling , pain, dysfunction. It can also be said that there is fluid in the joint cavity , there is a slip membrane inflammation。SymptomsSynovitis is a disease of aseptic inflammation,General anti-inflammatory drugs do not work, is clinically difficult to cure the stubborn disease。 Most of the knee synovitis, is in the above-mentioned various knee injuries and other cases of concurrency, but can also be isolated or secondary to the knee osteoarthritis, the latter mostly for the elderly. In young adults, there is a history of acute knee injury, knee joint began to occur mild edema, pain, limited activity and limp. Usually 6---8 hours after the injury of synovial fluid, knee swelling, fever, not afraid of activity. The examination found that the knee flexion and stretch activities are limited, squat difficult and accompanied by pain, the joint can have localized pressure pain point, floating patella test positive. Chronic injury of the synovial membrane, may have no significant history of trauma, the main manifestation of knee weakness and limited activity, swelling continued not to retreat, dare not squat. Increase when the activity increases, after rest to alleviate. A chronic illness, can be palpable to the knee cystic hypertrophy feeling. The synovial membranes are mainly distributed around the joints. In the joint cavity, the secretion of lubricating fluid lubrication joints. In the cause of various causes (such as bone hyperplasia, arthritis, joint tuberculosis, rheumatism and traumatic injury, bone injury, joint injury, peripheral soft tissue injury, surgery, etc.) stimulation or direct stimulation of the synovial membrane injury to produce inflammatory response, and the synovial membrane on the stimulation of inflammation is secretion of infiltration fluid, pain, strictly speaking, as long as the joint has exudate effusion , the presence of synovial inflammation was demonstrated, and its main manifestations were swelling of the joints, pain, increased exudation, joint effusion, difficulty in squatting, and limited function. Synovitis is due to the lack of microcirculation caused by aseptic inflammation, the main symptom is the production of fluid, synovial membrane is wrapped around the joint of a layer of membrane tissue, it is not only a layer of protection of the joint tissue, but also produce joint fluid, for the joint activities to provide "lubricating fluid." The production and absorption of joint fluid is a "dynamic balance", when the joint fluid in the heavy absorption barrier, because the joint fluid production and absorption of dynamic balance is broken, the joint fluid production is greater than the heavy absorption, there will be "joint water."Treatment MethodsDrug TherapyThe drugs for the treatment of synovitis are mainly divided into two categories: oral and topical. Topical drugs are anti-inflammatory drugs, can be removed by eliminating inflammation to alleviate the symptoms of synovial strain or trauma without therapeutic effect. The oral medication part has the same mechanism as the external medicine, and there are few drugs for effective treatment of synovial lesions. Patients in the selection of drugs should pay attention to screening, carefully review the function of the drug indications, such as the instructions due to synovitis caused by pain, swelling, effusion, and so on, that the drug has only anti-inflammatory effect of relieving symptoms.fixed and practicing therapyEarly bed rest, elevation of the affected limb, the elastic bandage can be pressurized and the weight is forbidden. During the treatment period can be used as a four-head muscle contraction activity exercise, late should be addedstrong knee flexion and extension exercise, which to eliminate joint effusion, prevent four head muscle atrophy, prevent synovitis recurrent attack, restore knee flexion function, has a positive effect.?? TCM Plaster TherapyUkrainian. Gold, the treatment of synovitis is mainly conditioning microcirculation system, as long as the microcirculation is unblocked, stagnant water also disappeared, the same inflammation is relieved, as far as possible not to fatigue during water, reduce the frequency of pumping injections, excessive pumping will stimulate the synovial tissue fiber hyperplasia, as well as synovial tissue aging, so that the synovial tissue regeneration and repair capacity significantly reduced, and then Treatment is more troublesome.principle:The meridian of the human body is composed of meridians and collaterals, which is the main line, the offshoot, the meridians criss-cross, constitute a large net in the human body, the acupoints are the intersection of the meridians and collaterals. "Chu disease in the inside, will shape in the outside." When symptoms occur in a certain part of the body, the treatment should follow the direction of the meridian, in the "Ah is the point" and its corresponding acupoints at the same time, and follow the corresponding treatment of the disease with the combination of vertical and horizontal plaster therapy, in order to achieve a cure for the specimen, completely cut back the root cause of the goal, paste stimulation points, Improve the nutrition of surrounding tissue, promote the absorption of liquid in the synovial sac, so that it re-production and absorption of dynamic balance, to eliminate synovial inflammation in the synovial sac and heal. The treatment of synovitis, Western medicine, many think, has not been able to make the pathological reversal of synovitis, patients can only use pain medication, pain-relieving needles, extraction fluid and so on to alleviate the symptoms.Puncture TherapyIntra-articular puncture injection is one of the most direct and effective green therapies, taking knee synovitis as an example to explain the principle of the treatment of synovial inflammation of the knee joint, intra-articular puncture injection according to the patient's different conditions, through the joint cavity puncture will be different concentrations of three oxygen injection to the lesion, to achieve the purpose of treatment: ① Intra-articular puncture With normal saline repeatedly wash the lesions of the joint cavity, in order to facilitate the original lesion in the joint solution of inflammatory exudate and shedding small lesions of the tissue debris, reduce the inflammatory substances. ② the inflammation and exudation of the synovial membrane by injecting concentrations of 20-80ug/ml ozone 5--20 ml into the joints around and within the joint cavity, 1--3 minutes. ③ According to the condition can be combined with the drug at the same time injection, to the joint cavity to give appropriate supplementary body physiological needs of the substance of sodium hyaluronate, increase its lubrication and resistance to mechanical effects of biological functions. Intra-articular ozone injection therapy can eliminate joint swelling within 6-24 hours, relieve joint pain, and achieve the goal of treating osteoarthritis and restoring joint function.Life AftercareAvoid strenuous exerciselong-term, excessive, strenuous exercise or activity is one of the basic causes of synovial degeneration.。 Especially for discreet joints (such as the knee joint, hip joint), excessive movement of the joint surface force increased, wear intensified. Long-term strenuous exercise can also make the bone and surrounding soft tissue over-stress and pull, resulting in local soft tissue damage and bone stress uneven, resulting in bone hyperplasia.Proper physical exerciseAvoiding long-term strenuous exercise is not inactivity, on the contrary, proper physical exercise is one of the best ways to prevent bone hyperplasia. Because the nutrition of articular cartilage comes from the joint fluid, and the joint fluid only by "squeeze" to be able to enter the cartilage, promote the cartilage metabolism. Proper movement, especially joint movement, can increase the pressure in the joint cavity, facilitate the infiltration of the articular fluid into the cartilage, reduce the degenerative changes of articular cartilage, thereby alleviating or preventing synovitis, especially the hyperplasia and degenerative changes of articular cartilage.timely treatment of injuriesJoint injuries include soft tissue injury and bone injury. Bone hyperplasia of joints is often directly related to intra-articular fractures. Because the fracture is not completely reset, causes the articular cartilage surface to be uneven, thus produces the traumatic arthritis. For patients with intra-articular fractures, if they can be treated in a timely manner, the anatomical reduction can be avoided, and the occurrence of traumatic arthritis and articular bone hyperplasia will be eliminated.

synovial inflammation of the joint