Treatment For Bursitis In North Dakota
At The Bone & Joint Center, our board-certified and fellowship-trained orthopedic surgeons regularly treat a wide range of bone, muscle, and joint problems, including knee bursitis. We offer effective and state-of-the-art treatments to get you back to doing the activities you enjoy as soon as possible.
If you are suffering from bursitis pain, make an appointment with one of our experienced physicians by calling us at 424-2663 or request an appointment online now. We look forward to serving you!
Practice Good Sleep Hygiene For Better Sleep
Sleep hygiene means having good sleeping habits. Done methodically, these habits can help you have a good nights sleep. This, in turn, will help you manage knee pain better.
A common habit is going to sleep and waking up at the same time every day. Your body will get used to it, making you feel sleepy around the same time.
If you can, make sure your room is dark and quiet with a comfortable temperature. Also, its best to avoid watching TV or scrolling on your phone before bedtime.
Housemaid’s Knee Due To Other Causes
Most episodes of housemaid’s knee will settle with supportive treatment and do not require medicines or surgery.
Supportive treatmentThe following may be suggested:
- Resting the knee.
- The use of ice packs on the knee .
- For kneeling, the use of a thick foam cushion or knee pads – these can help to prevent the condition from coming back.
- A physiotherapist can help by teaching you some exercises if your knee joint is affected by a reduced range of movement.
- A stick or a cane can help with walking.
Housemaid’s knee treatment using medicinesNon-steroidal anti-inflammatory drugs , such as ibuprofen, can be taken for mild-to-moderate pain caused by housemaid’s knee. These also help to reduce inflammation.
If housemaid’s knee becomes more troublesome, your doctor may suggest that they draw out the fluid from the bursa, using a small needle. They can then inject a steroid medicine into the bursa to counteract the inflammation. The idea is that the fluid will no longer accumulate. Infection must be excluded beforehand, as the steroid injection can make any pre-existing infection worse. You are unlikely to develop complications after this procedure. However, occasionally the following may occur:
- The inflammation of the bursa can come back.
- You can develop infection, bleeding or damage to the tendon joined to the kneecap.
Surgical treatmentIn rare cases when housemaid’s knee does not go away, or keeps coming back and is causing intolerable symptoms, surgery may be necessary.
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How Can I Prevent Bursitis
Although knee bursitis cannot always be prevented, there are measures you can take to reduce the chances of getting it or to stop it from reoccurring. These measures include:
- Taking regular breaks If youre putting pressure on your knees for long periods, take regular breaks to rest your knees, stretch your legs, and take the pressure off your knees.
- Keeping to a healthy weight Carrying excess weight can put added pressure on your knee joints.
- Wearing kneepads If you are on your knees for long periods, or if you participate in high-impact activities or sports, try using kneepads to cushion your knees and alleviate the pressure.
- Avoiding squatting for long periods of time Excessive or repeated bending of the knees puts more pressure on them and increases the force on the joint.
Try A New Sleep Position
The goal is to find a position that lets you have quality sleep.
People with knee pain may find that these positions help ease pain:
- Sleeping on your side, with a pillow between your knees.
- Sleeping on your back, with a pillow under your knees.
They help reduce joint stress which may provide pain relief.
That said, avoid positions that put pressure on the bursa. They can make your knee pain worse.
On the other hand, some people have tried these positions and havent felt much relief. For them, another option is buying a knee pillow. If thats you, talk to your doctor about which design will be best for your needs.
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What You Can Do
- Your symptoms and when they began
- Key personal information, including major stresses and your and your family’s medical history
- All medications, vitamins and other supplements you take, including doses
- Questions to ask your doctor
Take a family member or friend along, if possible, to help you remember the information you’re given.
For knee bursitis, basic questions to ask your doctor include:
- What is the most likely cause of my symptoms?
- Are there other possible causes?
- What tests will I need?
- What treatment do you recommend?
- Will I need to limit my activities?
- Are there self-care measures I can try?
- Are there brochures or other printed material I can have? What websites do you recommend?
Don’t hesitate to ask other questions.
Causes Of Knee Bursitis
Common causes of knee bursitis include:
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What Other Conditions Cause Knee Swelling
Prepatellar bursitis is typically easy to diagnose because it causes significant swelling at the front of the knee. Other types of arthritis that commonly cause knee swelling include:
- Rheumatoid arthritis
These conditions tend to affect knee function more than knee bursitis. For example, putting weight on a gouty knee may be excruciatingly painful.
For a full list and description of conditions that cause knee swelling, read What Causes a Swollen Knee ?
What Can I Do To Prevent Bursitis
Try the following measures to prevent bursitis:
Warm up before exercising or before sports or other repetitive movements.
Start new exercises or sports slowly. Gradually increase the demands you put on your body.
Take breaks often when doing repetitive tasks.
Cushion at risk joints by using elbow or knee pads.
Stop activities that cause pain.
Practice good posture. Position your body properly when doing daily activities.
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Sleep Issues Can Worsen Pain
Some people may feel throbbing knee pain the day after a bad nights sleep. Again, this doesnt always mean your injury got worse.
Research has shown that lack of sleep can increase your pain perception. Meaning, it can make you feel more pain compared to when youre well rested.
And, it doesnt have to be something extreme, like pulling an all-nighter. A study found that 4 hours of sleep restriction for 2 consecutive nights can make you feel more pain.
So, if you have sleep issues, treating them can also help reduce pain.
How Do You Treat Kneecap Bursitis
Generally, treatment depends on the cause.
In infective prepatellar bursitis, we suggest high-powered antibiotic tablets. Sometimes, patients need to be in hospital for intravenous antibiotics. Occasionally, you may need surgery to remove the infection.
In non-infectious prepatellar bursitis, simple treatments are usually effective. Firstly, avoiding activities that aggravate bursitis such as kneeling is helpful. Secondly, knee padding and stretches for bursitis in the knee can protect the knee from further friction. Finally, anti-inflammatory tablets such as ibuprofen can reduce inflammation.
Sometimes, in cases that dont settle with simple treatments, you may be offered a cortisone shot as the next step.
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How Long Does Knee Bursitis Take To Heal
Most patients should notice that the bursitis settles down within several weeks, whether this is due to the activity modification or whether this is due to the commencement of a course of antiinflammatory medication. If neither of these are effective after 3 or 4 weeks then consideration of an injection should be given.
If the patient does wish to proceed with injection as an intervention then typically these injections will take several days to become effective and should provide significant pain relief that will hopefully be semi-permanent in nature .
What If It Still Doesnt Go Away
Firstly, make sure you protect yourself before resuming any kneeling activities. Use kneepads or a gardeners kneeling mat to reduce the risks of another flare up. But if your bursitis persists, there are other things we can do to help. Steroid injections are sometimes used though not routinely, since they can have a weakening effect on the tissues. Another option for a serious case of prepatellar bursitis might be a bursectomy, where parts of the tissue are carefully removed during keyhole surgery. Mr Bailey wrote a short paper on this some years ago, which you can read if you have a particular interest in the detail here.
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How Can You Prevent Bursitis
Because most cases of bursitis are from overuse, the best treatment is prevention. Its important to avoid or change activities that cause the problem. To prevent bursitis:
- Learn proper posture or technique for sports or work activities.
- Avoid sitting or kneeling too long. These positions put a lot of pressure on joints.
- Maintain a healthy weight to reduce pressure on joints.
- Use cushions and pads when you kneel or put weight on your elbows.
- Ease into new exercises or activities to avoid injury.
- Take breaks if youre doing a repetitive task.
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How Is Chronic Knee Bursitis Diagnosed
It can be difficult to tell whether your knee soreness or swelling is bursitis. Luckily, if symptoms are mild to moderate you can start a general treatment program for knee health that will promote recovery. However, if symptoms are more severe you may want to seek help first. This might require an exam from your doctor or physical therapist first to make sure you are properly addressing your knee deficits.
Your doctor may use the following methods to render a diagnosis.
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What Is The Treatment For Prepatellar Bursitis Of The Knee Are There Home Remedies For Knee Bursitis
The treatment of any bursitis depends on whether or not it involves infection. Non-infectious prepatellar bursitis can be treated with ice compresses, rest, and anti-inflammatory and pain medications. When ice packs and anti-inflammatory drugs are not effective, knee bursitis can require aspiration of the bursa fluid and/or a local cortisone injection. This procedure involves removal of the fluid with a needle and syringe under sterile conditions and can be performed in the doctors office. Sometimes the fluid is sent to the laboratory for further analysis. Noninfectious knee bursitis can also be treated with an injection of cortisone medication into the swollen bursa. Cortisone injections are sometimes done at the same time as the aspiration procedure.
Try The Rice Protocol To Reduce Swelling
This is the most common home remedy for knee swelling. RICE stands for:
- Rest. Avoid activities that worsen your symptoms.
- Ice. Cold temperatures can help you reduce swelling temporarily.
- Compression around the knee joint. This should help regulate your inflammation.
- Elevation. Elevate your knee above your heart. This puts gravity in your favor and, again, helps fight off inflammation. When youre sitting or in bed, simply prop your knee with a couple of pillows.
This protocol will be most effective during the first few days of bursitis. It may relieve pain as well, helping you get back on track faster.
How to do this at home?
- Lie on your back.
- Apply ice on the affected bursa. If the cold is uncomfortable, place a towel between your skin and the ice pack.
- Use compressive wraps or knee sleeves around your swollen joint. It should feel snug not loose or tight.
- Prop your injured leg on top of some pillows to elevate the knee joint above your heart.
- Do this for 10-15 minutes, 2-3 times per day, or as suggested by your physical therapist.
If your bursitis pain gets worse, loosen the compression and/or remove the ice.
Some people dont like using ice together with compression and thats okay. Just use one or the other.
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What Is Knee Bursitis
The knee joint is surrounded by three major bursae. At the tip of the knee, over the kneecap bone , is the prepatellar bursa. This bursa can become inflamed from direct trauma to the front of the knee. This commonly occurs when maintaining a prolonged kneeling position, thereby causing irritation of the prepatellar area. It has been referred to as housemaids knee,roofers knee, and carpet layers knee, based on the patients associated occupational histories.
Strain of the large tendon below the kneecap can cause both tendonitis and infrapatellar bursitis. This bursa of the knee is located just under the kneecap beneath the large tendon that attaches the muscles in front of the thigh and the kneecap to the prominent bone in front of the lower leg. This bursa is called the infrapatellar bursa, and when inflamed, the condition is called infrapatellar bursitis. It is commonly seen with inflammation of the adjacent tendon as a result of a jumping injury, hence the name jumpers knee.
What Type Of Doctor Treats Knee Bursitis
Many doctors are qualified to diagnose and make treatment recommendations for knee bursitis. Examples include:
- Primary care providers, such as family medicine doctors and internists
- Doctors who specialize in sports medicine, such as physiatrists
A doctor may refer a patient to another specialist depending on the patients unique health circumstances.
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Whats The Difference Between Pes Anserinus Bursitis And Tendinitis
Pes anserinus bursitis refers to inflammation of the fluid-filled sac in the knee joint. Tendinitis is a condition characterized by inflammation of the tendons.
A note from Cleveland Clinic
Knee pain can be debilitating and interfere with your quality of life. Fortunately, pes anserinus bursitis can be effectively treated, especially when diagnosed in the early stages. Your healthcare provider can determine a personalized treatment plan to ease your painful symptoms and help you return to normal life.
When Is Surgery A Good Idea
There is hardly any research on when an inflamed bursa should be surgically removed, so there arent currently any general recommendations.
If the bursa is also infected with , surgery is often recommended right away in order to drain pus or remove the entire bursa. But if you dont have an increased risk of complications, you can wait: Then the bursa is only removed if its still inflamed after several days of treatment with . The risk of complications is higher in people who have a weakened immune system, for example due to a chronic disease such as diabetes.
If there is no bacterial infection, doctors often wait even longer. The bursa is typically not removed unless other treatments havent improved the symptoms enough after several weeks or the bursitis keeps returning at short intervals .
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What Causes Bursitis In The Knee
To understand what causes knee bursitis, it is helpful to know more about the prepatellar bursa and bursae in general:
- A bursa is a thin, slippery, fluid-filled sac that serves as both a cushion and a lubricant between kneecap and skin.
- The prepatellar bursa is normally just 0.1 inch thickabout the thickness of 2 quarters stacked on top of each otherand 1.5 inches in diameter.2
- When inflamed, a bursas normally thin lining thickens and produces excess fluid. The excess fluid collects in the bursa sac, causing it to swell.
- When the prepatellar bursa is inflamed, it fills with fluid, causing the front of the knee to look swollen.
There are many reasons a prepatellar bursa may become inflamed, such as repeated irritation, an injury, or an underlying inflammatory condition. Repeated irritation from kneeling is the most common reason.
What Does Bursitis In The Hip Feel Like
An individual with bursitis in the hip will primarily complain of pain and tenderness along the hip joint. There may also be swelling and warmth along the hip joint. The intensity of the pain around hip is quite sharp during the initial few days, but tends to wane away after a few days and may become dull and achy. The pain will be felt more when getting up from a sitting position and getting out of the bed. Sitting for a long period of time on a chair may also cause symptoms of hip pain in cases of bursitis in the hip. Sleeping on the affected side is also extremely painful for people suffering from hip bursitis.
The symptoms of acute bursitis of hip can flare up over days and then calm down whereas individuals with chronic bursitis of the hip will have symptoms that last for days to weeks altogether without any change in the symptoms. The symptoms of chronic bursitis tend to recur every once in a while.
An individual with acute bursitis may go on to develop chronic bursitis if the patient incurs an injury to the affected hip joint. As the disease condition advances, the bursa tends to become thick which makes the swelling and pain even worse and the flare ups will be even more difficult to tolerate. This will also cause limitation in function and movement of the hip joint. It can also cause muscle atrophy.
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