In most of the problems affecting the muscle and connective tissue, inflammation develops with its medical expression. In fact, the word inflammation is not the exact equivalent of inflammation. Inflammation is the body’s reaction to fight germs. However, the inflammation in musculoskeletal system problems usually does not contain microbes. Instead, there is immune system activation caused by trauma, overuse , arthritis or rheumatism. In rheumatism, the immune system is abnormally activated against the body’s own tissues. In cases of trauma that causes tissue damage, an inflammatory response occurs for the purpose of repair.
A person with tennis elbow ( lateral epicondylitis ) asks the doctor, “Why does my elbow hurt?” When he asks, he may get an answer as “inflammation”. Although there is no visible swelling or redness, it may be surprising to say that there is inflammation. What is meant here is inflammation. Inflammation includes components such as increased permeability of blood vessels in that region, the migration of immune system cells to the tissue, edema in the tissue, and the start of repair activities of connective tissue cells. In other words, the inflammatory process is followed by tissue repair and healing. These processes are intertwined with each other. The ultimate goal of the body is to return the damaged tissue to its normal function for whatever reason.
In terms of physical therapy applications, it is very important to manage the inflammation and repair mechanism that plays a role in musculoskeletal problems. Because sometimes the body’s natural responses can be insufficient or excessive. The inflammation process may be prolonged and the repair period may not be started. Cold applications that reduce edema and inflammation come to the fore in acute injuries , while heating treatments that increase blood circulation and metabolism are used in chronic, that is, long-term problems.
Painkillers and Inflammatory Process
Of painful musculoskeletal problems, such as the damage of the shoulder tendon pain medications may be prescribed. These drugs, called non-steroidal anti-inflammatory drugs, also have anti-inflammatory effects, as the name suggests. In other words, when your doctor prescribes a drug from this group, he may want to take advantage of its anti-inflammatory properties along with its pain-relieving properties. Some pain relievers do not have an anti-inflammatory effect. We can give an example of the acetaminophen molecule.
Cortisone Reduces Inflammation
Cortisone injections can be used in the treatment of many problems such as lateral epicondylitis, shoulder impingement syndrome, heel spur, hand thumb tendinitis, nerve compression in the wrist, and knee calcification. Cortisone drugs have a very strong anti-inflammatory effect. In other words, they relieve the immune system flare-up in the area where they are injected with the needle. This is often enough for the complaints to pass or even for the treatment. Cortisone applied locally once or several times has a low risk of side effects in the body. Your doctor may recommend this treatment to you, taking into account the nature of the problem and your health condition.
PRP ve Proloterapi
Regenerative medicine methods, which have increased in popularity in recent years, also have an effect on inflammatory processes. For example, in PRP injections, platelet and growth factors, which have a role in tissue repair, are concentrated in the blood and injected into the damaged area with a needle. The prolotherapy method, on the other hand, aims to trigger the healing process by deliberately increasing the inflammatory response in the problem area.
As a result, when your physiotherapy doctor mentions inflammation, it is often nothing to worry about. He’s just trying to explain the problem you’re having to you in an understandable language. Of course, sometimes inflammation can also be used to mean a true microbial infection. In this case, symptoms such as swelling, redness, purulent fluid accumulation in the affected area, fever, weakness, loss of appetite may occur in the body. The infection requires antibiotic therapy and, if necessary, surgical removal of the inflamed fluid.