NSAIDs, either selective cyclooxygenase 2 inhibitors (coxibs) or nonselective agents, are effective in treating episodes of nonseptic bursitis. It is prudent to avoid use of NSAIDs and coxibs in patients with known coronary artery or cerebrovascular disease, or those with multiple risk factors for cardiovascular disease, those with renal disease, and edematous states due to the increased risk of adverse cardiovascular side effects and/or the risk of acute renal failure. NSAIDS should also be avoided in patients with history of gastric ulcers and gastro intestinal bleeding.
The Trigger Point Therapy Workbook: Your Self-Treatment Guide for Pain Relief. can help you treat pain behind the knee by teaching you the techniques to find and eliminate trigger points. Author Clair Davies explains the trigger point phenomenon and muscle pain in everyday language. But what makes this book worth its weight in gold are the individual muscle trigger point treatments that Davies has compiled. His diagrams and step by step instructions help you locate which muscles are contributing to your pain, how to find the trigger point and treat it. It takes time and practice to master finding trigger points, but once you learn you have a tool and method to help relieve muscle pain throughout the body. If you are suffering from pain in the back of the knee that sometimes extends down into the calf, treating the trigger points in the plantaris muscle can help reduce or eliminate you pain. This book is a must-have for anyone interested in finding the cause and treating muscle pain.
The shoulder joint is under an incredible amount of stress due to the many forces that act upon it throughout the typical day. The shoulder must support the entire weight of the arm and whatever the arm moves, while also providing a wide range of motion. The deltoid muscle abducts the arm, which is a common motion performed while lifting heavy objects. As the deltoid muscle contracts superior to the shoulder, it rubs against the head of the humerus and the joint capsule, which would cause irritation to the delicate structures of the joint. The subdeltoid bursa absorbs the shock and friction at the joint to protect the underlying structures.