What Other Treatment Options Are Available
Your healthcare provider may recommend advanced treatment options such as:
- Antibiotics if you have an infection.
- Physical therapy to increase range of motion.
- Occupational therapy to learn how to move in ways that dont stress the area.
- Injection of a corticosteroid medication to quickly decrease inflammation and pain.
- Surgery to repair the bursa, if other treatments dont work after six months to a year.
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What Is Knee Bursitis
Knee bursitis occurs when 1 or more of the many bursae becomes damaged, irritated, or inflamed. Normally, a bursa acts as a cushion or friction-reducer between 2 body parts, such as between bone and skin, or bone and ligament or tendon. Bursae on the front of the knee serve as cushions between the knee cap and skin, and between the patellar tendon and tibia bone. Prolonged pressure or traumatic blows can injure a bursa, and repetitive motions can cause irritating friction on it, leading to the development of bursitis. In fact, “itis” means “inflammation.” When the bursa is injured, it can swell and become painful.
Knee bursitis can be caused by:
- Repetitive motions, including certain sports, such as running.
- Prolonged kneeling, as when cleaning floors, installing flooring, or praying in a kneeling position.
- Prolonged crawling, such as when laying carpet or flooring, or scrubbing floors.
- Direct trauma, such as being hit or falling on the knee.
- Knee surgery or knee joint replacement.
Key Points About Knee Bursitis
- Knee bursitis occurs when the sac of fluid in the knee, called the bursa, becomes inflamed.
- The main symptoms of knee bursitis are pain and limited mobility in the knee joint.
- Common causes of knee bursitis include frequent kneeling, a direct hit to the knee, an infection in the bursa, or overuse of the knees.
- Knee bursitis can be treated with a mix of home remedies and medical procedures that aim to ease inflammation and reduce symptoms.
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If You Need Stronger Treatment
Your doctor might try:
Aspiration: They use a needle to drain the fluid out of your knee. They can do this in their office. You wonât need to go to the hospital. It might hurt for a few days afterward. Youâll also wear a knee wrap to keep swelling down.
Steroid injection: The doctor can also give you a steroid shot in the swollen knee to ease inflammation. Itâs a stronger dose of the medicine than you could take as a pill. It should work quickly, but you your knee might be painful and swollen for a few days.
Physical therapy: Your doctor can refer you to a physical therapist. Youâll learn stretches and exercises to make your knee muscles stronger and the joint more flexible. The therapist can also fit you with a knee brace or sleeve to give you more support and control swelling.
How To Treat Bursitis Yourself
To help bring down swelling and pain you can:
- rest try not to move the joint too much and avoid activities that put pressure on it
- use ice gently hold an ice pack wrapped in a tea towel on the area for around 10 minutes at a time and repeat every few hours during the day
- take painkillers, such as paracetamol or ibuprofen, to ease any pain
It may also help to put extra cushions around the affected joint while you sleep, to help protect and support it.
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How To Treat Knee Bursitis From Running
Given the rarity of pes anserinus bursitis and the limited research on athletes, how to treat knee bursitis from running is not clear, nor is the knee bursitis recovery time.
So whats the best way to treat knee bursitis?
It stands to reason that a physical therapy program consisting of stretching and strengthening exercises should help.
A 2010 article by Milton Helfenstein Jr. and Jorge Kuromoto in the Portuguese medical journal Revista Brasileira de Reumatologia recommends treatment with ice packs, physical therapy, and anti-inflammatory medication.
The authors also mention that using a pillow or cushion between your legs while sleeping may take some pressure off the affected area if you sleep on your side.15
As for rehab exercises, Helfenstein and Kuromoto recommend stretching and strengthening the adductors and the quadriceps, particularly in the final 30 degrees of knee extension .
In the admittedly limited scientific literature on treating pes anserinus bursitis, anti-inflammatory injections seem to be the most common treatment.
Helfenstein and Kuromoto write that corticosteroid injections may be used, but caution that they must not be injected into the substance of the pes anserinus tendons themselvespresumably because of the well-known risk of rupture.
As a last resort, surgery to drain or excise the bursa is also an option.
You might be wondering, can I continue to run with knee bursitis?
Better to rest up now, than take longer later.
Surgical And Other Procedures
More-invasive treatments for knee bursitis treatment include:
- Corticosteroid injection. If the bursitis is persistent and not responding to basic treatments, your doctor might inject a corticosteroid drug into an affected bursa to reduce inflammation. The inflammation usually subsides rapidly, but you might have pain and swelling from the injection for a couple of days.
- Aspiration. Your doctor might aspirate a bursa to reduce excess fluid and treat inflammation. He or she will insert a needle into the affected bursa and draw fluid into the syringe. Aspiration might cause short-term pain and swelling, and you might need to wear a knee immobilizer for a short period after the injection to reduce the chance of recurrent swelling.
- Surgery. If you have severe chronic or recurrent bursitis and don’t respond to other treatments, your doctor might recommend surgery to remove the bursa.
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What Is Dry Needling
Dry needling is an effective and efficient technique for the treatment of muscular pain and myofascial dysfunction. Dry needling or intramuscular stimulation is a technique that Dr Chan Gunn developed. Dry needling is a beneficial method to relax overactive muscles.
In simple terms, the treatment involves the needling of a muscle’s trigger points without injecting any substance. Western anatomical and neurophysiological principles are the basis of dry needling. It should not be confused with the Traditional Chinese Medicine technique of acupuncture. However, since both dry needling and acupuncture utilise the same filament needles, the confusion is understandable.
In his IMS approach, Dr Chan Gunn and Dr Fischer, in his segmental approach to Dry Needling, strongly advocate the importance of clearing trigger points in both peripheral and spinal areas.
Dry needling trained health practitioners use dry needling daily for the treatment of muscular pain and dysfunction.
How Do You Treat Bursitis Of The Knee
Bursitis of the knee is usually treated with anti-inflammatory medications along with compression with sleeve. The patient can also use physical modality like ice or heat to relieve pain. If the pain is not improved with these measures, then prescription medication as well as cortisone injection with or without aspiration can help in decreasing the pain and swelling.
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What You Need To Know About Knee Bursitis
Knee bursitis is a relatively common problem that causes your knees to swell. This can cause a lot of pain, which may make it painful and difficult to move around. Sometimes called roofers knee or carpet layers knee because its so prevalent among these occupations, its true that anyone can experience it.
The tenderness and swelling associated with knee pain are certainly uncomfortable, but the good news is that it isnt a permanent condition. The providers at Beeson Regenerative Health explain more about what causes bursitis and how you can treat it.
What Is Pes Bursitis Of The Knee
Pes bursitis or pes anserine bursitis or goose foot bursitis of the knee is an inflammation of the bursa around the three tendons on the inner side of the knee. This happens usually due to bad biomechanics of the knee particularly in osteoarthritis of the knee. It can be treated with medications along with rest, ice, compression and elevation.
If the pain is not relieved with over-the-counter medications and conservative measures, then the patient should seek physician attention. They can get cortisone injection also in the knee. Occasionally pes bursitis may be caused due to pathology inside the knee which may need attention and management.
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What Is Bursitis Of The Knee
Bursitis occurs when one or more of the bursae become irritated and inflamed.
There are more than 150 bursae found throughout the body, and you can experience bursitis in any of your joints. The knee joint is one of the most commonly affected because it regularly undergoes a lot of stress.
Common symptoms of bursitis of the knee include pain, stiffness, redness, swelling, and difficulty moving the joint through a full range of motion.
Little Secrets For Hip Bursitis Relief
Regardless of the root cause, one thing is certain, you want that pain to stop now!
Ive compiled a list of easy ways you can find pain relief right now.
1. Stretching Exercises
You might be thinking that you cant exercise because of the pain, but the following stretching exercises will provide some pain relief so that you can do other exercises that will hurt less, such as swimming or water aerobics. Try some of the following stretches:
- Hip Bridges
- Iliotibial Band Stretch
If you are unsure how to do these exercises, a quick online search will provide photos, instructions, and even videos of how to do these stretches properly.
2. Sleep Secrets
One thing that is super annoying about hip bursitis is that you cant sleep on your side! Getting a good nights rest is important, so what can you do to sleep so that your hip doesnt hurt?
If you love to sleep on your side, you can try placing a small pillow under your hip or between the knees to reduce pressure. If you like lying on your back, you can put a small wedge pillow under your knees or use it to cushion the hip.
Ladies, if you have a desk job and you find that just getting in and out of the chair to be painful, try the sit like a man routine.
Position your legs at the 11 oclock and 1 oclock position and stand up without putting your legs or feet together. This reduces the distance that the tendon will move across the bursa and make getting up, or sitting down, more comfortable.
4. Ice Therapy
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What Is Housemaid’s Knee
There are four bursae located around the knee joint. They are all prone to inflammation, or bursitis. However, the bursa in between the skin and the kneecap is most commonly affected. Its position is shown in the diagram. Housemaid’s knee is the name given to inflammation of the prepatellar bursa, hence, prepatellar bursitis.
When Should I See My Healthcare Provider
If youre experiencing a fever and chills and other signs of an infection, contact your healthcare provider immediately or go to the nearest hospital. Prepatellar bursitis that involves an infection needs immediate medical treatment.
If youve been treating your prepatellar bursitis that is just inflamed at home and it hasnt gotten better after two or three weeks, contact your healthcare provider. You may need medical treatment.
A note from Cleveland Clinic
Prepatellar bursitis is a common condition that can usually be treated from home with rest. If your prepatellar bursitis is affecting your day-to-day life or doesnt get better after a couple of weeks, reach out to your healthcare provider. If youre experiencing symptoms of an infection, such as a fever or redness and warmth on the affected area, be sure to seek medical care as soon as possible.
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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 ?
Can You Get Gout In The Knee
Gout can affect multiple joints of the body and knee and ankle are among the common ones that can be involved. Gout is usually treated with medications which is provided by the primary care physician. If the knee is severely involved and is not relieved with medications, then the patient should seek treatment with a sports physician.
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How To Treat Bursitis Of The Knee
First line treatment for any kind of bursitis should be cessation of the offending activity for a short period of time. If the bursitis does not self-resolve when returning to said activity, then over-the-counter nonsteroidal antiinflammatory drugs should be trialed if the patient is able to tolerate them. These will fight against the inflammation that is present in the bursa and will reduce it, thereby reducing the patients pain.
If this is not effective or only effective for a short period of time, the next line of treatment would be to trial a corticosteroid injection directly into the bursa itself. This is typically not necessary in the majority of patients and is reserved only for those who have symptoms refractory to activity modification and oral or topical antiinflammatory drugs.
For patients with persistent bursitis that is refractory to all of the aforementioned, there is a surgical option to undergo a bursectomy, although this is rarely performed and is typically not necessary due to the very small number of patients who do not respond to any of the aforementioned interventions.
What Is The Cause
Common causes include:
- Injury to your knee, for example, from a fall
- Overuse injuries of your knee during sports, work, or hobbies. For example, bursitis on the inner side of your knee just below the joint is common in swimmers who do the breaststroke. Bursitis in front of your kneecap is common in wrestlers, or people who are often on their knees to clean floors, lay carpet, or roof houses.
- Infection from a cut or a scrape on the skin over a bursa
Bursitis located at the back of your knee, also called a Bakers cyst, may be caused by:
- Arthritis, which is pain and swelling of a joint
- Gout or pseudogout, which is pain and swelling caused by a buildup of crystals in your joints and under your skin
- An autoimmune disease, such as rheumatoid arthritis or lupus, which causes your body to mistakenly attack your own tissue
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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.
Symptoms Of Bursitis Of The Knee
The most common symptoms of knee bursitis are:
- Localised Knee Pain: bursitis knee pain typically develops gradually, fluctuates and tends to be a general ache rather than sharp knee pain.
- Knee Swelling: People can often feel a squashy lump with a swollen knee bursa which may fluctuate in size.
- Knee Stiffness: It is often painful to bend or straighten a leg with knee bursitis which can limit knee movement.
Symptoms of bursitis knee often come and go and aren’t always consistent which can make it hard to accurately diagnose specific knee bursitis. Sometimes it is only once other conditions have been ruled out that bursitis of the knee is finally diagnosed.
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Stretching And Exercise Tips
As you get started and progress with an exercise program, keep these tips in mind:
- Avoid high-impact exercises initially- start with less aggravating low-grade exercises
- Avoid direct pressure to the knee to prevent excessive bursa swelling and further injury
- Always focus on form with your program. The knees should be aligned with no feelings of instability, giving way, or inward collapsing.
- Let your symptoms of knee pain and your ability to coordinate the knee guide where you should start, how to modify, and when to progress your program.
Risk Factors For Knee Bursitis
Certain sports and occupations can make you prone to knee bursitis.
For example, kneeling and developing inflammation on the prepatellar bursa.
Some health conditions can also predispose you to bursitis :
- Rheumatoid arthritis.
In this case, the treatment should focus on the underlying health condition.
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How Is Knee Bursitis Diagnosed
Your healthcare provider will examine your knee and ask about your injury or activities. You may need any of the following:
- Blood tests may show signs of infection or a disease such as rheumatoid arthritis.
- X-ray or MRI pictures may show bone position problems, arthritis, or a fracture. You may be given contrast liquid to help your knee show up better in the pictures. Tell the healthcare provider if you have ever had an allergic reaction to contrast liquid. Do not enter the MRI room with anything metal. Metal can cause serious injury. Tell the healthcare provider if you have any metal in or on your body.
- A sample of fluid from your knee may tested for signs of infection. Removal of bursa fluid may also help relieve your symptoms.