Knee Bursitis

Knee bursitis is inflammation of the bursae, small fluid-filled sacs that act as cushions between bones, tendons, and muscles around the knee joint. The most common type is prepatellar bursitis (housemaid's knee), which affects the bursa in front of the kneecap, though other bursae around the knee can also become inflamed.

Bursitis typically develops from repetitive pressure or friction on the bursa, such as frequent kneeling, direct trauma, or overuse activities. The inflammation causes pain, swelling, and tenderness over the affected area. While often manageable with conservative treatment, persistent cases may require more advanced interventions.

At Mountain Spine & Orthopedics, our specialists use physical examination and imaging including ultrasound or MRI to diagnose knee bursitis and identify any underlying causes. Most cases respond well to conservative treatment, though persistent cases may require more advanced interventions.

• Pain over the affected bursa that may be sharp or aching
• Swelling and visible enlargement of the bursa
• Tenderness when pressing on the affected area
• Pain that worsens with activities that put pressure on the bursa, such as kneeling
• Stiffness in the knee, especially in the morning
• Redness and warmth over the affected area (in some cases)
• Difficulty kneeling or putting pressure on the front of the knee

Several factors increase the risk of developing knee bursitis:

• Repetitive kneeling, such as in occupations like carpet layers, roofers, or gardeners
• Direct trauma or injury to the knee
• Overuse from activities that stress the knee
• Certain sports or activities that involve frequent kneeling or pressure on the knee
• Underlying conditions like knee arthritis or gout
• Previous knee injuries or surgery
• Infection, which can cause septic bursitis (less common but more serious)

Diagnosis begins with a comprehensive physical examination to identify the location of pain, swelling, and tenderness. Our specialists assess range of motion and look for signs of inflammation or infection.

While diagnosis is often clinical, we may use ultrasound to visualize the inflamed bursa and confirm the diagnosis. In some cases, MRI review may be ordered to rule out other causes of knee pain or identify underlying conditions. If infection is suspected, fluid may be aspirated from the bursa for analysis.

Non-Surgical Treatment Options

Most cases of knee bursitis respond well to conservative treatment, including rest and activity modification to avoid activities that aggravate symptoms, ice therapy to reduce inflammation, and physical therapy referrals to address any contributing factors. Anti-inflammatory medications may also be helpful.

Injection or Interventional Care

For patients with persistent pain, corticosteroid injections directly into the bursa can provide significant relief by reducing inflammation. These injections are typically performed under ultrasound guidance for accuracy. Biologic injections like PRP may also be considered for chronic cases.

Surgical Treatment Options

In rare cases where conservative treatment fails and symptoms persist, surgical intervention may be considered. Bursectomy (removal of the inflamed bursa) may be performed, typically using minimally invasive techniques. This is usually reserved for severe, chronic cases that have not responded to other treatments.

Knee bursitis pain is typically localized to the area over the affected bursa and is often described as a sharp, burning pain that worsens with pressure or specific movements. The pain may be constant or intermittent, depending on activity level.

Kneeling or putting direct pressure on the front of the knee often exacerbates the pain significantly. The pain typically improves with rest and worsens with activities that stress the bursa. Our comprehensive treatment approach addresses both the inflammation and any underlying causes, providing lasting relief.

Several strategies can help prevent knee bursitis from developing or recurring:

• Avoiding repetitive kneeling or using knee pads when kneeling is necessary
• Taking breaks from activities that put pressure on the knee
• Maintaining strong knee muscles through regular exercise
• Using proper technique and equipment during physical activities
• Addressing underlying conditions that may contribute to bursitis
• Seeking early treatment if symptoms develop to prevent chronic inflammation
• Using protective padding when engaging in activities that stress the knee

If knee pain and swelling are affecting your daily activities, schedule a consultation with Mountain Spine & Orthopedics today. Benefit from expert evaluation and personalized treatment to resolve your knee bursitis. Same-day and next-day appointments are often available.