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!

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.

It has now disappeared completely and not returned. I have little doubt your patches worked the miracle on my elbow and heartily endorse their claims to fame.

Jim K
Lancashire, United Kingdom
Baker's cyst on the back of knee

Thank you, this is my second round of patches.

First, I had a baker’s cyst on the back of my knee, used 6 patches, pain and cyst GONE!

Have had no problems since. So, I gave the rest to a friend. He said his went away but only used 4, so wants to try more, and I have had something come up on my wrist, going to try patches. Will see what happens.

Susanne M.
Missouri, United States
Elbow swollen up to the size of a golf ball

I was diagnosed with severe bursitis in my left elbow, and I saw an orthopaedist who attempted to aspirate it and also injected cortisone with absolutely no effect.

A couple of weeks later, he aspirated over 30 cc’s of fluid, and the next day all the fluid had returned. The only alternative offered was surgery, which he pointed out had limited success. That’s when I found your treatment and ordered an initial 10 patches, which greatly diminished the swelling. I re-ordered more patches to finish off the treatment, and I have absolutely no swelling or discomfort now.

I would unhesitatingly recommend your treatment to anyone with bursitis. The results are amazing; Regards Jim

Jim N
Florida, United States
General Bursitis

So far the patches are working great. Thanks.

Janet H
QLD, Australia
Shoulder bursitis and tendentious

Eight years ago I had a work place accident and injured my left shoulder (bursitis and tendentious). After extensive physio & sports rehab the doctors advised me to get cortisone injections.  Not only was this a painful procedure, it didn’t work! I proceeded to have physio treatment off and on for the next 8 years, […]

Belinda W
SA, Australia
Baker's cyst

Hi Toky,

Thank you very much for sending the patches to Ukraine.

My mother finds them very helpful and asked if I could get her more.

Regards

Vitaliy V
Ternopil Region, Ukraine
Baker's cyst

Dear Toky,

Thank you for the OSMO patches.

I’m seeing a big reduction in the swelling and pain.

Thanks

Margery D
New York, United States
Hip bursitis

Hello,

Just to let you know, I had bursitis so bad in my hip I was missing work.

A co-worker had some of your patches and told me how well it worked for him. In four days the pain in my hip was all gone.

I don’t know what magic is in those, but thank you.

Connie H
Colorado, United States
View More Testimonials Disclaimer
Have a Question?
Back to Top