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!

Bursitis in my Elbow

Attention Toky, Customer care.

Hi Toky, just to say we’ve ordered 20 more patches as the first lot really improved the Bursitis in my Elbow. It reduced the pain mainly, but although it seems full of fluid in the mornings the swelling has not reduced greatly.

Mind you it’s quite an art fitting them firmly to an elbow and still being able to move!

Regards

John W
QLD, Australia)
Baker's cyst

Hi,

The Osmo patch definitely helps my baker’s cyst (behind my left knee)!

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I use it every few weeks and the swelling and discomfort abate greatly!

Thank you

Linda M
California, United States
Elbow bursitis

Hi, I wanted to send you a testimonial on the patches.

I woke up one Saturday morning and saw a bulge on my elbow with fluid in there and decided to Google it. I learnt many people opted to drain it. That was not appealing to me at all!

I discovered the OSMO Patches and ordered them. After using the first 3 patches, I noticed my bursitis getting smaller. After the 9th it was almost gone, then totally gone after the 10th patch. Using your patches saved me from having a doctor drain the fluid…thanks!!!

If I know of anyone with bursitis I will be sending them to you ASAP!

Les S
Vancouver, Canada
Popiteal cyst

Dear Toky, Thank you for the OSMO Patches they arrived Friday 18th February just five days after I placed an order! OSMO Patches have the Wow factor. I used two patches at a time, one on the popiteal cyst and one on the calf. After four days the popiteal cyst was so much better. I […]

Bernice M
Avon, United Kingdom
Hip bursitis

Hi Toky,

I have received my patches and used one last night on my hip. It’s an absolute miracle!!

I have been suffering on and off for 3 years with Bursitis on my left hip. My GP has given me cortisone injections and anti-inflammatories, both of which have given some relief but not lasted and certainly not to this effect. I am due to have physio in the near future also.

I appreciate it has not cured the cause, but at least now I can work on that without the constant pain, and worse off all the lack of sleep.

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Debbie S
East Sussex, United Kingdom
Knee swelling and Pain

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Don C
FL, United States
Bursa on elbow

Hi, I want to add to your list of testimonials my experience.

I developed a bursa on my right elbow by supporting a heavy motor which was the size of a tennis ball. I was attracted by your lists of results and tried 10 patches. The bursa reduced in size to perhaps a golf ball, Determined to follow through, I bought 10 more and continued treatment.

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Jim K
Lancashire, United Kingdom
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 were on my hips for greater trochanter bursitis.

Both hips feel not completely pain-free, but a dramatic difference.

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Mandi D
NSW, Australia
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