How are soft tissue injuries to the joints treated, including Baker’s cysts and Bursitis?

Primary treatment of Soft tissue injuries (STIs) are based mostly on the rules of R.I.C.E (rest, ice, compression, and elevation) and Avoid H.A.R.M (Heat, Alcohol, Reinjury. These are stated to be most critical in the 48-72 hours following the injury (1).

STIs frequently result in bleeding and tissue damage followed by an inflammatory phase that is a necessary part of the tissue repair (2). Though the inflammatory process is a very important component of healing, when it continues for too long a period it may cause further swelling and this could then be negative to the process of healing (2). The aim of R.I.C.E is to reduce the amount bleeding and leakage of inflammatory mediators into the affected tissue to minimise the amount of swelling and associated pain and discomfort.

If swelling is minimised early, this will help the injury to resolve quicker and should also result in a reduction of pain.

Immediately following a STI a release of prostaglandins and histamines will occur within the injured area and damaged capillaries will leak cellular waste (water, dissolved electrolytes and proteins) into the encompassing tissue (2). White blood cells are then recruited into the region to get rid of damaged tissue. As soon as the process starts, fluid accumulates in the intercellular space causing oedematous swelling. A decrease in swelling is frequently associated with a decrease in pain and discomfort. This could be a result from the reduction in pressure and/or a decrease in pain mediators in the associated tissue.

While the body has inbuilt mechanisms to get rid of oedema through re-absorption, it doesn’t always do this efficiently, which can then lead directly to an extended process of healing, continuing pain and the likelihood of chronic inflammation followed by the formation scar tissue (2). Additionally there are other factors that may also lend to delayed healing. These may include non compliance with R.I.C.E in the primary 48-72 hrs, or an injury sustained in an area that might not easily or readily allow for adequate support and/or rest.

In such circumstances as mentioned above, the utilisations of NSAIDs or steroids are commonly advised to reduce and control the level of inflammation, swelling and associated pain. Unfortunately not all people respond well to treatment with these classes of medicines. Additionally, there are contraindications and risks connected to each of these classes of medicines.

1. Vic Gov DHS, (2008), Soft Tissue Injuries (Sprains and. Strains) Fact Sheet http://www.health.vic.gov.au/edfactsheets/softtissue-injury.pdf
2. Kumar V, et al. (2005). Robbins Basic Pathology 7th edition, (Chapter 2) W.B. Saunders Company: 33-59

The extract below is from the Victorian Government better health website and is pertaining to the treatment for bursitis;

“Treatment will depend upon the cause of the bursitis. Treatment aims to alleviate the symptoms as much as possible while the healing process takes place. Options may include pain-killing drugs, cold packs, gentle mobilising exercises and rest. Anti inflammatory medications or injections of corticosteroids may be used in cases of severe pain.

If infection is present, there is usually warmth, redness, pain and swelling in the areas affected. Treatment with an appropriate antibiotic is necessary. If the bursitis was triggered by overuse, it is important to avoid the particular activity.

Correct posture and joint protection are useful and braces or splints can decrease the stress on the areas and support good alignment. After a major attack, it is important to consider how recurrences can be prevented.” (3)

3. http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Bursitis?open

Testimonials

Real accounts by real people. Hear what they have to say!

Baker's cyst

I received the patches. Thank-you. I am happy with the results and will use this product in the future. Thanks,

Kevin G
Arizona, United States
Trochanteric Bursitis

Dear Toky, I wanted to let you know that the Bursitis Patches have worked on my Trochanteric Bursitis.  I cannot believe it. I do not have the pain or swelling there that I have had before.  It is very cool. I just wanted to let you know that, also.  We will see if it flares up […]

Jennifer P
Sunnyvale, United States
Shoulder bursa

Hello Toky, Thanks Toky. Last lot sure made a difference.  I was able to not be awakened by an aching bursa during the night.  One night before; was so bad that I had to sit in a lounge chair and ice my shoulder regularly through the night Told the doctor about the patches and twice […]

Al M
Southland, New Zealand
Shoulder bursitis

Hi, Have been using the patches now for 6 days, just wanted to know how long to use them for. I imagined until the area no longer has any fluid on the patch, have had bursitis in shoulder for 5 weeks now, have had only a small relief so far, Cheers

Ingrid
United States
Baker's Cyst

I just want to let you know that I had a very painful Bakers Cyst behind my right knee. I had around 20 patches, one each night and the cyst has gone. Such a great relief from the pain. I am back again buying more as I have some fluid on top of the knee, […]

Carole M
London, UK
Baker's cyst

Just want you to know that I was able to walk on the treadmill for 30 minutes yesterday without leg pain for the first time in over 2 years!  Thanks.

Bob R
Ohio, United States
Hip Bursitis

I have used the Osmo Patch for hip bursitis and it worked wonderfully on both hips! Absolutely nothing else worked.

Josephine S
MI, United States
Bakers Cyst on the knee

Hello Toky, 4 more patches to go, and I can report great improvement!  I can bend the knee, the lump in the back is so much smaller, (by half?) I think.  Not even thinking of a drain needle and cortisone shot at this point.  Your explanations are a little hard for me to follow medically, […]

Judy
North Carolina, United States
View More Testimonials Disclaimer
Have a Question?
Close

Do you have a question about OSMO Patch?

Simply complete the form below and we will get back to you shortly. Please note, our response does not constitute medical advice. Please consult your medical practitioner:

  • This field is for validation purposes and should be left unchanged.
Back to Top