Chronic synovitis performance is a little bit big on the knee discomfort, empty feeling, or knee weakness, always feel less powerful and flexible than the opposite knee, serious when there is pain, affect work and mood
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When the plantar fascia is repeatedly injured due to various reasons, it causes aseptic inflammation of the plantar soft tissue, which leads to heel or plantar pain and induces plantar fasciitis, also known as heel pain
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Nowadays, there are more and more people running for fitness
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Some foreign scholars suggest that plantar fasciitis is more like a degenerative or tissue weakening lesion
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③ After pain relief, the incidence of iliotibial tract syndrome can be reduced through the exercise of gluteal muscles, quadriceps femoris and other muscles near the joint
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It can occur in children, young people and middle-aged and old people
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Methods ① in acute stage, the principle of protection, rest, ice compress, pressure and elevation (price) should be followed
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④ For patients with conservative failure and intractable Iliotibial pain, arthroscopy and iliotibial release can be used
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Ten thousand runners ran all the way north to the Olympic Celebration Square
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It is connected from the hip down to the outside of the knee, mainly to maintain the stability of the knee in the standing position, and can bend the thigh, which will produce friction between the fascia and the outside of the femur during running
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There are many reasons for synovitis, mainly the following two kinds: in most cases, it is caused by knee joint degeneration and cold, cold or sudden increase in activity
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Synovium is a kind of soft tissue attached to the inner wall of the joint cavity
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If the articular cavity is compared to a room, the synovium is the wallpaper of the room
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It may be related to the imbalance of plantar biomechanics, which can be seen in all kinds of people, mainly including long-term standing people, such as athletes, long-distance runners, patients with high body mass index, diabetes and the elderly
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The more you run, the more painful it is
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Although the symptoms of heel pain are small, the changes of body structure and function caused by heel pain include posture deviation, tenderness of medial arch of foot, limitation of ankle dorsiflexion, etc., which greatly affect people’s life and reduce the quality of life
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Let’s cheer for our marathon competitors and learn about synovitis 01, synovitis, or joint cavity hydrops
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There is a pair of natural “insoles” under the arch of the foot, which play a role of cushioning and shock absorption in running and jumping
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Improper running posture, improper training methods (running down the mountain or often running along the same side of the road), excessive training, or insufficient flexibility of the iliotibial band for various reasons will cause repeated excessive friction between the iliotibial band and the femur
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Ice compress was applied to the outside of the knee joint within 48 hours, and external application of Votalin emulsion could reduce inflammation
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There is a needle like feeling on the lateral side of the knee, which can be relieved by rest
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Many beginners often feel muscle pain, ligament strain, knee injury, foot pain and so on because of running
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② For patients with severe pain, taking local drug injection combined with muscle exercise can play a very good pain, at the same time, assisting quadriceps femoris and calf muscle massage near the pain point can relieve the pain
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Elastic bandage was used to bandage and elevate the affected limb to reduce swelling
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This “insole” is composed of plantar fascia and plantar fat pad
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Patients with large amount of joint cavity effusion can limit the activity of the knee joint
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Corticosteroids can inhibit prostaglandin mediated inflammation and pain, so they can play a role in chronic inflammatory conditions
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Author: Zhang Bo of Wuhan Union Medical College Hospital today, the Beijing half marathon of 2021 Beijing International Long Distance Running Festival started at Tian’anmen Square
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It usually starts after running for a certain distance
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At the same time, puncture and extract joint cavity effusion to reduce the pressure in the joint cavity, and improve the symptoms of joint pain and limited flexion and extension activities (aseptic requirements must be strictly implemented during operation to prevent joint infection)
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Its main responsibility is to secrete synovial fluid, that is, to secrete lubricant to the joint and protect articular cartilage
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It is the quickest way to relieve pain by using orthosis or wearing stable shoes, but it can’t fundamentally solve heel pain
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Many people think that there is a relationship between pain and bone hyperplasia
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Ankle sprain is one of the most common sports injuries, accounting for 40% of all sports injuries.
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Some scholars also use ultrasound to observe plantar fascia dynamically, and under the guidance of ultrasound, the needle tip directly reaches the lesion site to achieve accurate injection treatment effect, which is more effective than traditional closed injection
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Under normal circumstances, the sole of our foot is arched structure
MRI can show the iliotibial tract thickening, edema and effusion in the knee joint, which is helpful for the diagnosis
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Because of severe inflammation, some athletes can show extensive pain in the lateral knee, even at rest
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The typical symptom is pain in the most prominent part of the lateral knee joint when running or going down the mountain
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These discomfort will not only consume the enthusiasm for running, but also cause more serious pain because of untimely treatment
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Under normal circumstances, the iliotibial band has a certain elasticity and toughness, and friction will not produce symptoms
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If there is no continuous remission, corresponding treatment measures should be taken
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The specific etiology is still unknown
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Stop running, especially downhill
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Synovitis of knee joint is not limited by age
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This situation is more common in beginners, or athletes who have not been trained systematically before, and suddenly win the lottery and finish the half marathon by force; Secondly, it was found that there were joint diseases in the past, which could not be cured
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The etiology of iliotibial tract syndrome à j ì The bundle is the thickest fascia on the outside of our thigh
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The pain is often severe in the early stage of walking; The plantar fascia will become loose after walking for a certain distance, but the pain will gradually relieve; If walking for a long time or strenuous exercise, the times of plantar fascia being pulled gradually increase, it will cause pain again and continue to exist
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When a variety of reasons lead to synovial inflammation, synovial secretion of fluid is too much, there will be symptoms
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After the race, the old diseases recurred, most commonly in the knee joint, followed by the hip joint
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When physical therapy and non steroidal anti-inflammatory drugs are ineffective, corticosteroid injection can be used for local injection
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Therefore, this paper invited Dr
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02 symptom heel pain is the most annoying running injury
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In fact, there is no correlation between the two
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Symptoms acute synovitis usually has swelling, pain, limited activity, stiffness and inflexibility of the knee joint, which can be seen clearly from the appearance
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03 treatment of acute sports injury caused by synovitis: usually need oral non steroidal anti-inflammatory drugs, with joint immobilization for 1-2 weeks, limit knee flexion activities, at the same time to avoid joint cold, acute phase to avoid exercise, reduce walking distance, appropriate rest can often be cured
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Traditional treatment mainly includes oral non steroidal anti-inflammatory drugs, ice compress, massage, stretching exercise, wearing foot arch orthosis device and extracorporeal shock wave therapy
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Zhang Bo, Department of orthopedics, Wuhan Union Medical College Hospital, to popularize the science of “horse racing” for the common orthopedic complications and treatment measures
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Our joint cavity is like a closed cavity
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The typical manifestations are: when you get up in the morning and go down to the ground or walk suddenly after rest, you suddenly have a larger and faster traction on the plantar fascia, and then cause sharp and short-term stabbing pain on the inner side of the heel
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03 treatment plantar fasciitis attack, it is best to stop running exercise, first rest for 2 weeks, usually can alleviate
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In the long run, the iliotibial band will be taut, swollen and inflamed, causing pain on the outside of the knee joint
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