(044) 495-2-888
Order a call back
Ambulance

Enthesopathy - treatment, signs of the disease

Enthesopathy - treatment, signs of the disease

Causes of development, symptoms and treatment of enthesopathy

Enthesopathy is a disease in which pathological changes can affect three structures of the human body - ligaments, tendons and joint capsules. These structures are united by two factors - they consist of connective tissue and are attached to bones. These attachment points are called enthesis in medicine, and all the pathological processes occurring in them are called enthesopathy.

Causes of enthesopathies

The causes of enthesopathies of tendons, ligaments and joint capsules are most often a person's professional activity. For example, the disease is diagnosed in dancers and runners, athletes and those who are forced to regularly experience physical stress at work. Obese people are also prone to enthesopathy.

Sometimes the disease appears as one of the symptoms of some other pathology and most often indicates progression:

  • reactive or infectious arthritis;
  • psoriatic or enteropathic arthritis;
  • gastric ulcer disease.

Clinical picture

The main symptom of the disease is discomfort at the site of development of the pathological process - for example, a symptom of enthesopathy of the knee joint will be severe pain with a small load on it, swelling of the skin around it and redness, it becomes increasingly difficult to move the knee.

Even such a pronounced clinical picture does not make it possible to make a diagnosis after the first examination of the patient - the doctor must necessarily conduct a number of tests (blood analysis, X-ray, ultrasound, magnetic resonance imaging). It is necessary to differentiate the disease from autoimmune and systemic pathologies of the connective tissue. Diagnosis must be made in time - further progression of the disease provokes its spread: signs of enthesopathy of the thigh muscles appear when the patient loses the ability to walk independently.

Treatment of enthesopathy

The acute phase of the disease requires medication. In advance, the problem area is provided with rest - if enthesopathy of the hip joints is diagnosed, the patient is prescribed strict bed rest. Medicines can be prescribed:

  • powerful painkillers, which simultaneously have an anti-inflammatory effect - Diclofenac, Nimesulide;
  • local anesthetics (injected directly into the source of pain) – Novocaine, Lidocaine;
  • hormonal drugs - Diprospan, Kenalog;
  • chondroprotectors - glucosamine sulfate.

Medical appointments are made by the doctor after examining the patient and clarifying the diagnosis. It is necessary to take into account the general state of health of the patient.

Physiotherapy is of great importance in the treatment, which is prescribed after the elimination of acute symptoms. For example, with enthesopathy of the ischial hump, massage and physical therapy are prescribed. There is a set of recommended physical procedures:

  • electrical stimulation;
  • laser treatment;
  • paraffin therapy;
  • magnetotherapy;
  • electrophoresis;
  • shock wave therapy.

Doctors rarely prescribe surgical treatment of enthesopathy - for example, when the disease has already started and conservative methods do not help. Arthroscopic operations are performed, which have a number of advantages over the classic dissection of soft tissues to open access to the desired part of the body. If enthesopathy of the patellar ligament is diagnosed in an advanced form, when the patient has stopped moving in the joint and moves with the help of a cane or crutches, then the doctors will cut the ligament, remove tissues with dystrophic changes and stitch everything up again.

Surgical treatment takes a lot of time, there will be a long recovery period, and in the following years the patient will need to regularly undergo sanatorium-resort treatment and prophylaxis in hospitals.

Updated: 21.06.2025
15.8К views
Leading doctors of MM Dobrobut
Malysheva Oleksandra Yuriivna
Physician; A general practitioner is a family doctor, 14 experience (y.)
Diakunchak Yaroslav Emiliianovych
A general practitioner is a family doctor; Pediatrician; Physician, 19 experience (y.)
Kireiko Viktor Petrovych
Pediatric orthopedist-traumatologist; Orthopedist-traumatologist, 16 experience (y.)
Lobach Stanislav Ihorevych
Orthopedist-traumatologist, 27 experience (y.)
Romanenko Dmytro Oleksandrovych
Orthopedist-traumatologist, 7 experience (y.)
Pidnebesna Liubov Viacheslavivna
Pediatrician; A general practitioner is a family doctor; Physician, 12 experience (y.)
Dorofieiev Yevhen Olehovych
Orthopedist-traumatologist,
Batrak Volodymyr Petrovych
Orthopedist-traumatologist, 25 experience (y.)
Zaitseva Viktoriia Hryhorivna
Orthopedist-traumatologist, 35 experience (y.)
Stelmakh Ihor Mykolaiovych
Vertebrologist; Orthopedist-traumatologist; Rehabilitation specialist, 38 experience (y.)
Lebedko Serhii Anatoliiovych
Orthopedist-traumatologist, 29 experience (y.)
Nuzhnyi Yurii Pavlovych
Pediatric orthopedist-traumatologist, 15 experience (y.)
Tryhubenko Serhii Lvovych
Orthopedist-traumatologist, 30 experience (y.)
Zahorodniuk Anna Volodymyrivna
Physician; A general practitioner is a family doctor; Pediatrician, 17 experience (y.)
Somina Viktoriia Mykolaivna
Pediatric orthopedist-traumatologist, 19 experience (y.)
Skobenko Yevhenii Oleksandrovych
Orthopedist-traumatologist, 19 experience (y.)
Shmahoi Vasyl Leonidovych
Orthopedist-traumatologist, 28 experience (y.)
Burdeniuk Serhii Anatoliiovych
Orthopedist-traumatologist, 36 experience (y.)
Ryzhkov Bohdan Serhiiovych
Orthopedist-traumatologist, 9 experience (y.)
Korol Iryna Yevheniivna
Physician; A general practitioner is a family doctor; Pediatrician, 13 experience (y.)
Buhlak Andrii Ihorovych
Orthopedist-traumatologist, 15 experience (y.)
Shypot Orest Hryhorovych
Pediatric orthopedist-traumatologist; Pediatric surgeon, 15 experience (y.)
Zasadniuk Ivan Andriiovych
Orthopedist-traumatologist, 24 experience (y.)
Myts Yaroslav Volodymyrovych
Vertebrologist; Orthopedist-traumatologist, 24 experience (y.)
Tarnavskyi Ihor Volodymyrovych
Orthopedist-traumatologist, 24 experience (y.)
Koziianchuk Ihor Yuriiovych
Orthopedist-traumatologist,
Fedoryna Eduard Aleksandrovich
Orthopedist-traumatologist; Neurosurgeon,
Parii Vasyl Bronislavovych
Orthopedist-traumatologist, 33 experience (y.)
Skorobagatov Andrey Nikolaevich
Pediatric orthopedist-traumatologist, 27 experience (y.)
Oliinyk Yurii Vasylovych
Pediatric orthopedist-traumatologist; Ultrasound doctor, 26 experience (y.)
​Chupakhin Yurii Anatoliiovych
Orthopedist-traumatologist, 28 experience (y.)

Do you have any questions?

If you would like to find out more information about the service or make an appointment at MS Dobrobut, leave a request and our coordinator will contact you.

By submitting requests you agree to User agreement MN «Dobrobut»