转子的 滑囊炎
Overview
转子滑囊炎, 也被称为髋关节滑囊炎, is a common problem causing pain in the hip and along the outer upper thigh. 滑囊炎 refers to inflammation of a bursa (fluid-filled sacs that cushion joints), and 转子 指股骨(大腿骨)的顶端. 最常见于跑步者, 这种情况会影响骑自行车的人, 足球运动员和足球运动员. It can also result from a direct blow or fall onto the side of the hip. 除了, patients who’ve had a hip replacement or surgery for a hip fracture sometimes develop the problem.
我们治疗转子滑囊炎的入路
The orthopedic medicine team at UCSF includes primary care sports medicine doctors; orthopedic surgeons who specialize in sports injuries, including hip conditions; athletic trainers; and physical therapists. These experts work together to relieve pain and restore mobility, so that patients can return to their normal lives and favorite activities.
Most people with 转子ic bursitis recover with simple measures, 比如休息, 在患处敷冰, specific stretching exercises and use of oral 抗炎药物. If these first-line treatments fail, certain injections may provide relief. 对于持续性病例，手术是一种选择.
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迹象 & 症状
转子滑囊炎患者可能出现以下症状:
- pain or a burning sensation in the hip or outer edge of the upper thigh, with the feeling sometimes traveling toward the knee but rarely crossing the knee
- 髋骨外侧有压痛
- 躺卧和侧卧时疼痛
在早期, people may experience this pain only after engaging in a sport or other physical activity, but eventually it may be triggered simply by walking upstairs or uphill, 或者走很远的路.
诊断
在体检期间, a doctor checks for tenderness in the outer hip area as well as tightness of the iliotibial band (IT band), 从臀部延伸到大腿外侧的粗肌腱, 连接在膝盖下面的. X-rays may be ordered if the doctor suspects that bony spurs (small growths of bone) or calcium deposits may be adding to the problem. A diagnostic ultrasound or an MRI may be ordered if the diagnosis isn't clear or if the patient doesn't improve with treatment.
治疗
粗隆囊炎的初始治疗包括休息, 抗炎药物, 冰和拉伸.
- 休息. 这是治疗中最重要的部分. At least initially, patients need to avoid any activity that may worsen 症状. Prolonging inflammation in the area will only lengthen the recovery period. 然而, 一些类型的运动, 比如在平面上游泳和行走, 可能没问题, 只要不让情况变得更糟就行.
- 非甾体抗炎药(NSAIDs). 某些非处方药, 比如布洛芬或萘普生, 能减轻炎症和疼痛吗.
- 冰. Applying ice packs to the area can lessen 症状 by bringing down the inflammation. 最初, 这可以每三到四个小时做一次, and is especially helpful following exercise and physical therapy. A thin cloth or paper towels should be placed between the ice pack and skin to avoid damaging skin, and the pack should be applied for no longer than 20 minutes at a time.
- 伸展运动. 许多转子滑囊炎患者有一个紧绷的IT带. 伸展IT乐队的常规程序, along with strengthening exercises for the surrounding hip muscles, 通常在几周内就能改善症状. Massaging the IT band with a foam roller is also helpful, though it can be painful at first. Even after the pain is resolved, regular stretching is key to staying symptom free. 十大赌博平台排行榜可能会开结构化的处方, supervised physical therapy program to address the condition and keep it from recurring.
If the treatments above fail to bring adequate relief, there are other options to consider:
- 注射. Cortisone is a steroidal hormone that can relieve pain by reducing inflammation. It can be injected directly into the bursa in patients who continue to have pain despite adhering to their treatment regimen. 通常与利多卡因一起使用, 一种能立即缓解疼痛的麻醉剂, and ultrasound imaging may be used to guide placement of the injection. 在某些情况下, 十大赌博平台排行榜可能会考虑其他类型的注射, 比如触发点或富血小板血浆注射, 还有一种叫做干针的治疗技术.
- 手术. 在极少数情况下, 当非侵入性治疗没有改善的时候, 手术切除发炎的滑囊可能是一种选择. This minimally invasive procedure uses an arthroscope (an endoscope for joints) that can be passed through small incisions. 病人 generally go home the same day and can usually walk the following day with only mild discomfort.
复苏
小心谨慎, 大多数人很快就会感觉好起来, 症状会在6到10周内消失. Physical activities should be resumed gradually, so the problem doesn't recur.
常见问题
- 手术后我什么时候可以洗澡?
You'll need to keep the incisions clean and dry until your first post-op visit, 手术后大约一周. 当时, 你可能会被允许洗澡, but don't submerge the surgical site in a bathtub or swimming pool until three to four weeks have passed since your surgery.
- 我应该什么时候开始物理治疗?
You can start after your first post-op appointment, approximately one week after surgery.
- 我要拄拐杖多久?
Most patients need crutches only to help with balance and can stop using them within the first week.
- 髋关节滑囊炎手术后我什么时候可以开车?
一旦病人不再需要使用拐杖，他们就可以开车了, 通常在手术后的第一周内.
- 我什么时候可以回学校或工作?
Most patients are ready to return to school or desk work five to seven days after surgery. If you’re able to work from home, your initial recovery period may be easier. If you have a physically demanding job that requires prolonged standing, 步行或举重, you may need more than a month for a safe recovery and medical clearance before returning to work.
- 我什么时候可以重新参加娱乐活动?
一般, people are able to resume playing sports and pursuing other physical activities about six to eight weeks after arthroscopic surgery for 转子ic bursitis.
加州大学旧金山分校健康医学专家已经审查了这些信息. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
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