Knee Bursitis FAQs

How many bursas are there in the knee?

There are multiple bursas around the knee. The most important of them are the prepatellar bursa, infrapatellar bursa and pes anserine bursa. These are most commonly involved in the inflammation and the swelling. They can be caused due to daily activities like kneeling or may be caused due to pathology in the knee leading to bad biomechanics around the knee. They can be treated usually with RICE that is rest, ice, compression and elevation along with anti-inflammatory medications. They can also be treated with cortisone shot if not improved. The patient should see a physician if the pain is not relieved with over-the-counter medications.

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.

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.

Can knee bursitis be cured?

Knee bursitis can usually be cured with conservative means including medication and cortisone injection. Mostly patients with bursitis get good relief with these measures.

What is bursitis of the knee feel like?

Bursitis of the knee usually presents with localized pain along with swelling which may or may not be worsen with activity. It may affect the gait of the patient.

Is knee brace good for bursitis?

Knee brace can be used in patients with bursitis as it gives compression and thereby decreases the swelling and the pain due to bursitis. It can prevent recurrence of bursitits.

Is heat or cold better for bursitis?

In acute onset cases ice is better for the first two to three days to relieve pain. If the bursitis is longstanding, then heat usually gives better results than ice. In some cases, patients may have preferential benefit with ice and heat and should try using that.

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.

What is patellar bursitis?

Patellar bursitis is the inflammation of the bursa in the front of the knee cap. It is usually found in people who are involved in kneeling activities like housemaids, technicians, plumbers. It presents with pain and swelling in the front of the knee cap. It is usually treated with compression and anti-inflammatory along with ice or heat. If the patient is not relieved, then the fluid from the bursa can be aspirated and the cortisone injection can be given which may help in early healing of the bursitis. The patients are also asked to avoid activities lie kneeling that may cause recurrence of the bursa.

Is bursitis a form of arthritis?

Bursitis is not a form of arthritis but may be caused as a secondary presentation of arthritis. Most of the times when arthritis is controlled, bursitis usually resolves itself.

What is septic bursitis?

Septic bursitis means inflammation of the bursa caused due to micro-organisms like bacteria. It presents with pain, swelling, redness, and may also have fever and chills. These patients should seek urgent attention for management. The patient may need antibiotic according to the sensitivity. The patient may need surgical treatment to clean up the bursa and eradicate the infection.

What is the function of bursa?

Bursa is usually present between the skin and the bone to allow easy gliding of the skin over the bone due to the fluid filled in the bursa. This fluid is in minimal quantity and allows proper gliding of the skin or the bone. It is present in all places where the bone is directly underneath the skin.

Can the bursal sac be removed surgically?

The bursal sac can be removed surgically in patients who have recurrent bursitis or have septic arthritis and are not improved with medication. This procedure is called bursectomy and has a good success rate.

Is there risk in removing the bursa?

The risks for removing a bursa are usually the same as of any minor surgery. Occasionally the patient may have recurrence of the bursa and may need prolonged treatment for the management.

What is the bump below my knee?

A bony bump just below the knee usually is a tibial tuberosity where the patellar tendon from the knee cap inserts. It acts as a point of stress because all the forces from quadriceps are passed through the patellar tendon on to the leg. It may be enlarged in patients of Osgood-Schlatter disease in which there is hypertrophy of the tibial tuberosity which is usually found in teenagers.

What is the Housewives knee?

Housewives knee or Housemaid’s knee is usually the inflammation of the prepatellar bursa. These patients are involved in kneeling activities due to their profession or work and have caused inflammation and irritation of the prepatellar bursa causing it to be inflamed.

What is the Baker’s cyst on the back of the knee?

Baker’s cyst is outpouching of the synovial lining of the knee joint. Occasionally when the patient has fluid in the knee, the fluid may track outside into this outpouching causing it to collect the fluid and swell up that can be felt as a soft swelling of the back of the knee. It is usually treated by the management of the pathology that causes the formation of the fluid as well as aspiration of the fluid from the knee joint. Rarely the Baker’s cyst just needs a surgery to remove it.

What is infrapatellar bursitis?

Infrapatellar bursitis is inflammation of the bursa that is present below the knee joint. This bursitis is also called clergyman bursitis and is usually found in clergies due to the way that they stand on their knees.

Can I work out while having knee bursitis?

Knee bursitis if under control or being managed actively by physician can allow the patient to gentle workouts. The patient can involve in exercises which are not worsening the pain and swelling of the knee. If any specific exercise worsens the pain, then it should be avoided.

How effective are cortisone shots for pes anserine bursitis of the knee?

Cortisone shots do help in decreasing the pain and swelling of the pes anserine bursitis of the knee. Most of the time the bursitis is secondary to pathology inside the knee which may also need to be taken care so as to prevent the recurrence of the bursitis.

I am Vedant Vaksha, Fellowship trained Spine, Sports and Arthroscopic Surgeon at Complete Orthopedics. I take care of patients with ailments of the neck, back, shoulder, knee, elbow and ankle. I personally approve this content, and have written most of it myself.