When people have a little pain in the knee joint, not many people at first pay attention to it. But in vain. This may be the first bell of a serious illness. Synovitis is an insidious disease. A sharp pain affects the knee joint. Puncture is one of the treatments for this ailment. Many are afraid to perform this surgery, but doctors say that there is nothing terrible in it. Are there risks of an adverse outcome after a puncture? How to conduct it correctly? We will try to answer these questions in the article.
What is the insidious disease synovitis?
If pain is localized in the knee joint , the doctor should be consulted immediately. These may be the first signs of synovitis. This disease can occur at any age. It arises due to injuries, arthritis, allergic reactions.
Around the knee joint begins to accumulate in large quantities of liquid, so that any movement of the foot causes acute pain. There are the main symptoms by which this disease can be determined:
The knee increases in size.
A redness or cyanosis appears around the joint.
Increased body temperature (in rare cases).
What if the knee joint hurts? Puncture will help to cope with the disease. The doctor removes excess fluid, then the antibiotic is injected into the leg, the patient immediately feels relieved.
The disease is dangerous because if the problem is not rectified in time, the knee joint can collapse, hitting the meniscus. To cope with this problem, surgical intervention and long-term treatment will be required.
Causes of the disease
Faced with acute pain in the knee, the patient should immediately consult a surgeon. In 90% of cases, synovitis is diagnosed. It can occur for several reasons. Allocate the following types of disease:
Infectious. Occurs quite often in those people who are ill with serious ailments, for example, AIDS or tuberculosis. Infection penetrates the knee joint, resulting in the formation of a liquid.
Aseptic. Very often found among athletes. It occurs as a result of bruises and injuries of the knee, meniscus, ligaments. Also quite common among people suffering from arthritis.
Allergic. Doctors say that the percentage of occurrence of this type of synovitis is quite low.
If the doctor diagnosed synovitis, treatment should be followed immediately. Otherwise, complications are possible.
Is puncture necessary?
Many patients are interested in: "If the knee is bothering, is puncture mandatory?". Doctors give an unambiguous answer, it is simply necessary. First, this procedure is almost painless. No special training is required for its conduct. Secondly, the patient immediately after the removal of fluid will feel relief.
Some patients are cautious about puncture, believing that the doctor can make a mistake and cut the bone. This manipulation is common for a traumatologist or surgeon. This process can not be attributed to the operation. The procedure is carried out without anesthesia, takes no more than 7-10 minutes.
If the patient has fluid in his knee, what to do, the doctor will tell. The main rule is to get help from a specialist in time to avoid complications.
Treatment of a complex disease
After the doctor diagnosed synovitis, treatment begins on the same day. In fact, it is not difficult. The first thing experts do is remove excess fluid. Manipulation is carried out in the office, on the couch. To do this, a thin needle is inserted into the knee joint, the liquid is pumped out using a syringe. The resulting cavity is filled with an antibiotic to remove the infection.
After the procedure, the patient needs to ensure complete rest. It is better to conduct treatment in a hospital. The knee joint is fixed with an elastic bandage, the administration of antibiotics and the administration of ointments are prescribed.
That the disease does not arise again, it is necessary to find out the cause of the appearance of the disease. This is done by a rheumatologist or surgeon.
How to perform a puncture
Hearing that the doctor is going to remove fluid from the knee with a syringe, many patients experience panic and fear. Their first question: "How do punctures?". In the procedure there is nothing complicated. An experienced specialist will cope with the process in 7-10 minutes. In this case, the patient should not feel acute pain.
There are certain points of puncture of the knee joint. The doctor mentally divides the patella into several parts, the needle is inserted laterally into the soft zone. If the specialist feels that he has bumped into the bone, it is necessary to detach the syringe and slightly shift the needle.
An important rule: the procedure should be carried out when the patient is in a recumbent position, the limbs are unbent.
In the treatment of synovitis, puncture is performed only once. During the procedure, all excess fluid is extracted and the process of treatment with antibiotics and ointments for external use begins.
When the procedure should be abandoned
There are situations when the puncture should be abandoned:
Increased coagulability of blood.
On the skin are wounds or abscesses.
The patient has psoriasis.
In all other cases, the procedure is mono. The main thing is to select an experienced specialist so that the manipulation was done correctly.
On forums you can often meet the question: "Does the knee ache, puncture is necessary or can you do without it?". Doctors are convinced that without this procedure cure synovitis is difficult enough. It is necessary to first remove excess fluid, and then prescribe antibiotics and the use of ointments.