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Periostitis of the bone

 
, medical expert
Last reviewed: 04.07.2025
 
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Periostitis of the bone is a disease that is characterized by an inflammatory process in one of the layers of the bone, or in all layers (in cases of advanced disease).

Periostitis, which literally translates into Russian as "periosteum" is a disease characterized by inflammation of one of the layers of the periosteum (lower or upper), which eventually spreads to all other layers. Since the periosteum and bone are in close proximity to each other, inflammation can quickly spread from one to the other. If the disease is detected at a later stage or complicated by improper therapeutic treatment, excessive loads, surgical treatment may be required.

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Causes of bone periostitis

Periostitis of the bone can develop in different parts of the body. This disease often manifests itself as a result of injuries, bruises, serious cuts, fractures. In addition, the causes of periostitis of the bone are interaction with other foci of inflammation (muscles or bones).

The cause of the disease can also be allergic or inflammatory processes in other tissues, which are eventually transmitted to the periosteum, continuing to progress. Less common is bone periostitis, which occurs as a result of a general disease of the body or any specific ailments that lead to the formation of toxins in the body.

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Symptoms of bone periostitis

The main symptoms of bone periostitis are a feeling of pain during various movements, discomfort and slight swelling in the areas of inflammation. The skin color in the affected areas does not change, there are no spots, redness or bluish tint. If bone periostitis occurs as a result of a bruise or fracture, then after 2-3 weeks all the symptoms and the inflammation itself pass. In case of exacerbation and fibrous growth of bone tissue, the disease becomes chronic. This stage, among other things, is characterized by reddening of the skin. If bone periostitis is not treated therapeutically at this stage, a serious complication may arise in the future, which will lead to bone damage and purulent periostitis.

Periostitis of the tibia

This type of disease occurs as a result of serious and prolonged physical exertion without prior preparation. The main symptom of this type of periostitis is pain in the posterior inner part of the shin, which appears some time after the exertion. Very often, periostitis of the tibia occurs in soldiers in their first year of service or in athletes after a break in training or particularly difficult, unusual exercises for the body. The external sign of the disease is slight swelling of the affected area. No changes are observed on the skin. When palpating the shin, there are also painful, unpleasant sensations. Periostitis of the bone in the first 20 days cannot be determined on an X-ray, only after this period, using an X-ray and a doctor's examination, can a diagnosis be accurately made.

If a patient suspects periostitis of the tibia, he should immediately stop physical activity, thereby reducing the risk of development and complications of the disease.

Periostitis of the tibia

Periostitis of the bone most often occurs in areas where the bone is poorly protected by soft tissues. The causes of the disease are bruises, fractures. The ulna and tibia are especially vulnerable. Most often, the inflammatory process in these areas goes away on its own within a few weeks.

Very rarely, periostitis of the tibia can cause complications, the formation of new bone tissue and the need for therapeutic or even surgical (in particularly severe cases) intervention.

Periostitis of the fibula

Periostitis of the fibula can be both an independent focal disease and the first phase of periostitis, which develops into a disease of the tibia. Periostitis of the fibula often occurs as a result of a long-term varicose process. Like any other type of periostitis, the disease of the fibula is accompanied by painful sensations when loading the shin, palpating the site of injury and an inflammatory process. No signs appear on the skin at the first stage.

Periostitis of the humerus

Periostitis of the humerus is often characterized by the formation of pus in the affected areas, as in other tubular bones, such as the femurs, less often - the tibia. This disease occurs as a result of infection from the outside, or infection from other organs.

In mild forms of humeral periostitis, the affected areas, as in other cases, are swollen, and pain and discomfort are felt when palpated or under load. Such mild forms of periostitis may subside on their own after a few weeks, provided there are no loads or irritating factors. There are no manifestations on the skin.

Periostitis of the humerus can occur as a result of excessive stress or serious injury.

Periostitis of the nasal bones

Periostitis of the nasal bones is a disease of the nasal bones, which is characterized by an inflammatory process, pain and slight swelling in the early stages. The causes of the disease are various injuries to the nose, fractures, infectious infections from other organs. With periostitis of the nasal bones, there is a deformation of the nose, touching or palpation is accompanied by severe pain. Periostitis of the bone must be diagnosed, examined and treated taking into account all previous, even the smallest injuries and diseases of the whole body.

Periostitis of the calcaneus

Periostitis of the heel bone occurs for the same reasons as in other parts of the human body - as a result of injuries, bruises, infection. This disease of the heel bone can eventually lead to the formation of a heel spur.

Periostitis of the bone is very difficult to diagnose correctly at the early stages of the disease, but if there is a suspicion of this disease, then any strong physical activity on the focus of the disease should be stopped. On the skin, manifestations are often not observed. Signs of the disease are painful sensations in the affected areas, discomfort and slight swelling.

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Diagnosis of bone periostitis

X-rays record the disease only in the later stages, when some deformation of the bone already occurs. In the initial stages, only external signs appear - swelling, redness of the skin.

At the first signs of anomaly (pain, swelling, discomfort), any physical activity on the suspected affected area should be significantly reduced. Diagnosis of bone periostitis includes taking into account previous injuries, diseases of the whole body, infectious diseases of other organs adjacent to the affected area.

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Treatment of bone periostitis

Treatment of bone periostitis in the early stages may include only a maximum reduction in loads on the affected area, which will last from 2 to 3 weeks, until the inflammation and recovery have completely subsided. In this case, the entire recovery process can take place at home. The pain should be relieved with cold and painkillers, and in addition, antibacterial therapy should be carried out.

For more effective recovery, drugs such as sulfadimizine or sulfadimethoxine, biseptol, analgin or antihistamines, such as diphenhydramine, diazolin, suprastin, are prescribed.

In addition, conservative treatment also includes anti-inflammatory drugs such as lornoxicam, which accelerate the attenuation

Inflammation and accelerate the process of complete recovery. The dose of each drug must be selected individually, according to the instructions or doctor's orders.

For the general health of bones, it is advisable to use preparations containing calcium, for example - 10% solution of calcium chloride, calcium gluconate, calcium lactate and, of course, vitamins, especially vitamin C.

In home treatment conditions, it is necessary to use means that will help to fight infection as effectively as possible. These can be warming Vaseline dressings for 10-12 hours and dry heat, for example, "Sollux", Minin's lamp or blue light.

To relieve pain with folk remedies, you can use pork fat (apply pieces of fat to the swollen areas) or lemon balm decoctions (which are also used to treat the affected areas, relieving pain and swelling). The main task is to eliminate irritation and infection.

To speed up recovery and consolidate the effect, it is necessary to carry out physiotherapeutic procedures - UHF and paraffin, massage and therapeutic (light) physical training.

In case of purulent periostitis of the bone, only surgical intervention is used. The doctor makes an incision in the affected area, disinfects the areas around this place, and inserts a drain through which the pus comes out. Recovery after surgery is on average longer than full-fledged conservative treatment.

If we are talking about periostitis of a tooth, then such a tooth is often removed, and for 4-6 days regular rinsing with a warm solution of potassium permanganate or 1-2% solution of sodium bicarbonate is recommended.

Treatment of periostitis of the tibia

Treatment of periostitis of the tibia with physical exercises is permissible only if they help to strengthen the muscles in general, and not overstrain them. Do not do physical exercises through pain, this can only harm. If the symptoms do not go away for more than 3 weeks - you should immediately do an X-ray, after which serious therapeutic or even surgical treatment may be needed.

Since periostitis of the tibia often occurs as a result of overloads, the best prevention here is to always sensibly assess your capabilities in certain strength and physical exercises. Treatment of the periosteum always proceeds slowly, so you should patiently avoid significant loads for quite a long time.

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Prevention of bone periostitis

Prevention of bone periostitis includes several important points. First of all, it is strengthening the muscles of all parts of the body with the help of physical exercise. To prevent periostitis of the shin bones, you should also take a serious approach to choosing orthopedic shoes.

We must not forget about the importance of correctly calculating our own strength when performing any physical exercise, especially after long breaks.

Bone periostitis can also occur as a result of infectious diseases. Therefore, any anomaly and ailment of your body should be taken seriously and responsibly.

Prognosis of bone periostitis

Periostitis of the bone requires careful and long-term treatment, but with the right and timely approach it is not a serious disease. Only in case of neglect, prolonged ignoring of signs and symptoms may therapeutic or surgical intervention be required. Surgical treatment is mandatory in cases of purulent periostitis of the bone.

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