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 just send you an other order of patches, It helps me a lot especially to sleep because I am always in pain with my bakers’cyst so I do not want to run out of patches. Thank You

Lilianne L
Ontario, Canada
Baker's cyst

I recently ordered the OSMO Patches – and have already felt the pain decrease on my baker’s cyst..    Thank you. 

Patricia N
Arizona, United States
Ankle and hips (trochanter bursitis)

Thank you very much. I have used the patches on three areas with amazing results. One was on my ankle…12 hours later the pain was completely resolved. The other two spots were on my hips for greater trochanter bursitis. One hip had been injected with cortisone and local anaesthetic on Monday. The patch applied on […]

Mandi D
NSW, Australia
General Bursitis

Hi Toky Just letting you know that I received my patches on Tuesday.  I used them on Tuesday and Wednesday night and have had a wonderful result, with the bursitis basically disappearing. Thank you so much, having no pain is wonderful. Regards

Kerry L
QLD, Australia
Knee problems

Hi Toky Sorry my delay in responding to your email.  I have been off line.  Thank you so much for the patches, I have been putting up with pain for months since a fall. I have used them on my knees the last two nights, what a difference, I cannot believe it…  Lucky timing my […]

Judith W
Palmerston North, New Zealand
Joint Pain - Swollen Knee

Just to give you an update: I finally received my order and I’m very happy to say that this helps me a lot with the swelling on my knee. Thank you.

Ofelia V
NY, United States
Shoulder problems

Dear Danniel, I’ve just ordered my second lot of patches and have noticed a vast improvement in my shoulder. I just wanted to let you know I think they are working and will continue to use them. Thank you and I will be telling people all about your website.  Regards

Janet R
SA, Australia
General Bursitis

Thank you for the bursitis patches.  My husband has used them every night for 7 days and it is almost completely gone. He feels really good about it. Best regards,

Emmanuella G
New Jersey, 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