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Knee Bursitis: Causes and Treatments

Knee bursitis is an inflammation of the bursae associated in the knee area. The pain associated with knee bursitis can feel like tenderness, warmth and general irritation; the knee may actually feel soft or spongy, and it may also feel warm to the touch. There are four different areas of the knee joint that contain bursae that commonly become irritated or even infected. The four areas you may develop knee bursitis are:
  • Prepatellar Bursa – This is the most commonly affected area located on the front of the kneecap (patella) that sits between the skin and the kneecap.
  • Infrapatellar Bursa – This bursa is below the kneecap and provides cushion between the kneecap and the tibia (shinbone).
  • Pes anserine bursa – This bursa is located between the tibia and the tendons connected to the muscles of the inner leg.
  • Medial collateral ligament bursa – This bursa sits on the inner side of the knee and connects the tibia and the thigh bone.
Knee Bursitis Causes:

Knee bursitis may be the result of an injury or prolonged wear and tear on the knee, generally developed through exercise or sports. It is possible, for instance, to develop knee bursitis from a fall or a direct blow to the knee. You can also develop knee bursitis from prolonged kneeling or repetitive standing from the kneeling position.

Knee Bursitis Treatment:

Once your physician determines that you are suffering from knee bursitis, he or she will first try to determine whether or not the knee has become infected. If you are running an fever, he or she may extract fluid from the area to test in order to determine if there is an infection, and if there is, what type of antibiotics are appropriate to clear out the infection. Depending on the severity of the infection, it may also be necessary to perform aspiration of the fluid inside the knee or even surgery to remove the infected bursa.

If your physician determines that the knee bursitis is not infected, he or she may advise you to take an over-the-counter non-steroidal anti-inflammatory medication, such as ibuprofen, while applying heat and ice to the affected area. If he or she determines the pain is strong enough, you may require a cortisone shot directly into the affected bursa. There are also some alternative treatments that may be effective in helping slow down the pain, or to prevent you from developing knee bursitis.

If you feel that you may be suffering from knee bursitis, and you are unable to control the pain with any at home treatments, you may want to contact your physician. He or she may want to do further testing to determine if your pain is the result of something as simple as knee bursitis, or if there may be another underlying condition that could causing your pain.
 
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