Chapter 12: Bursitis and synovitis Flashcards Preview

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Flashcards in Chapter 12: Bursitis and synovitis Deck (37):
1

Defined as inflammation of a bursa.

Bursitis

2

________ - is a sac lined with synovial membrane filled with synovial fluid. It protects tissues from abrasion, due to friction against adjacent structures.

bursa

3

Naturally occurring bursas

true bursa

4

Bursas that develop as a result of, or in response to, friction, ex – in bunions.

false bursa

5

Locations of bursa commonly becomes inflamed.

  • Shoulder
  • Elbow
  • Hip
  • knee
  • Ankle
  • Foot

6

What is the Bursa in the Shoulder?

subacromial subdeltoid bursa

7

Bursa in the elbow that protects tricep tendon from external impact.

olecranon bursa

8

Two major sections of subacromial bursa/subdeltoid bursa.

  • Medial portion (subacromion)
  • Lateral portion (subdeltoid)

9

Prepatellar bursa is also known as:

housemaid’s knee

10

What is Bursa in the ankle?

calcaneal bursa

11

Bursa of the foot is called:

bunion (false bursa)

12

Bursa of the hip is called:

trocanteric and ischial bursa

13

What are the causes of bursitis?

  • Overuse (excess friction)
  • Direct trauma S
  • econdary to trauma, ex – dislocation, fracture Inflammation in adjacent structures
  • Rheumatoid Arthritis
  • Bacterial infection

14

What are the signs and symptoms of bursitis?

  • Local swelling
  • Pain usually constant
  • Pain exacerbated when bursa compressed, either directly, or by joint movement or muscle contraction

15

If without treatment signs and symptoms of bursitis will last for how many days?

 can last 10 days or less, becoming a dull ache,and fade in 4 – 6 weeks

16

What is the onset of bursitis following the trauma?

12 to 72 hours

17

Test used to identify bursitis.  

Fluctuation test 

18

Fluctuation test: tap on the bursa and it creates a _____________ .

wave-like flutter

19

Aim in the treatment of bursitis. True or False:

1. Decrease swelling and pain

2. Prevent or decrease adhesion formation in bursa

True

20

What are the treatment for acute bursitis?

  • Passive relaxed ROM to proximal and distal joints
  • Acute techniques can be used proximal to inflammation.
  • If bursitis is due to trauma - Swedish massage, proximal to injury if indicated.

21

What are the treatment for subacute bursitis?

  • swelling technique
  • Origin & Insertion
  • Golgi Tendon Organ
  • muscle approximation
  • Active Assisted ROM (in range, pain free)
  •  Trigger Points
  • Swedish massage proximal to injury
  • Reflexive techniques distal to injury

22

The following are treatment for chronic bursitis. Except:

1. Myofascial Release

2. Swedish massage

3. Trigger points (stretching)

4. Passive Relaxed ROM

5. Joint mobilization

Except: 4

23

Hydrotherapy is used in bursitis by using:

cold donut roll or ice massage

24

Remedial Exercises in Subacute bursitis.

Passive relaxed – (therapist moves it) Gentle active free Isometrics

25

Remedial Exercises in chronic bursitis.

Progress to full function Strengthen to reduce friction on structural elements

26

Home care for bursitis includes:

  • Hydrotherapy
  • Remedial exercises
  • Re-educate recreational or occupational activities to prevent repetitive action syndrome

27

True or False:

Bursas become adhered after repeated bouts of inflammation and as a result, do not swell up as much over-time but the pain is just as severe.

True

28

It is the Inflammation of a synovial membrane.

Synovitis

29

_______________ - membrane lining the capsule of a joint (or bursa).

Synovial membrane

30

Synovial membrane can also be called:

synovium

31

The following are causes of Synovitis. Except:

1. Trauma/subcutaneous injury such as contusion or sprain

2. Irritation produced by damaged cartilage

3. Exposure to warm environment

4. Joint infection

5. Joint pathologies

Except: 3

32

True or False:

In acute synovitis the joint has swelling, become tense but no pain. 

False

  • Synovitis is painful especially at night

33

Give Three signs and symptoms of synovitis.

  • Joint congestion
  • Membrane itself can be swollen
  • Increased fluid in joint cavity (effusion)

34

In chronic synovitis what happened to the articular structures?

Articular structures become irregularly thickened from formation of fibrous tissue

35

True or False:

In chronic synovitis what happened movement is still allowed. 

False

  • Movement in synovitis is restricted

36

What are the signs and symptoms of chronic synovitis?

  • Joint grating and creaking
  • Possible increased accumulation of fluid (chronic effusion)
  • If effusion persists after initial acute inflammation, there will be a decrease in ROM with a boggy end-feel

37

What are the contraindications of synovitis?

In acute and subacute stages, Do not stretch muscle crossing joint or use joint mobs to stretch joint capsule, in order to restore movement. Just maintain ROM using Active Free ROM.