d. Treatment of Bursitis. Possible treatments include:
Physical therapy. This prevents limiting adhesions from developing.
By physician's orders, these procedures may be performed:
(a) Needle aspiration of joint. This procedure may be necessary to
relieve pressure, to evacuate blood, or to get a fluid sample for laboratory studies.
(b) Intrabursal injection. Hydrocortisone and one percent procaine may
be injected to relieve pain.
Systemic corticosteriods may be injected to reduce inflammation.
These conditions are much the same. inflammation of the lining of the tendon
sheath and the enclosed tendon surrounding certain joints. Wrists, shoulders. elbows
(tennis elbow), finger joints (trigger finger), ankles, and associated tendons are affected.
a. Signs/Symptoms of Tendinitis/ Tenosynovitis. Included are:
Swelling due to fluid accumulation.
Fluid accumulation in the affected tendon sheaths.
Inflammation of the tendons.
Irregular contours of the tendons. Friction rubs.
Pain on movement.
b. Treatment of Tendinitis. The same treatment is advised as for bursitis in
c. Treatment for Tenosynovitis (Tennis Elbow). The goal is to relieve pain.
(b) Aspirin or indomethacin for pain.
(2) Apply an immobilizing splint from the distal forearm to the elbow. (In two
to three weeks, this treatment usually relieves pain.)