Prepatellar bursitis and why it causes knee swelling - #8712

Prepatellar bursitis, often referred to as "housemaid's knee," is an inflammation of the bursa located in front of the kneecap (patella). This condition can indeed be caused by both repetitive stress (overuse) and acute injuries. For individuals who frequently kneel, such as carpenters and gardeners, the bursa can become inflamed due to prolonged pressure or friction. Acute trauma, such as a fall directly on the knee, can also trigger bursitis. Knee pads can be a helpful preventative measure for those at risk of developing prepatellar bursitis, as they reduce direct pressure on the bursa while kneeling. However, they should be used in conjunction with other preventive strategies, like taking breaks during prolonged kneeling. Pain is a common symptom of prepatellar bursitis, but it's possible to have swelling without significant discomfort, especially in the early stages. The presence and severity of pain can vary from person to person. Some may experience noticeable swelling and tenderness, while others may only notice swelling without pain. Fluid accumulation in the bursa (known as effusion) is typical in bursitis; however, not all cases require drainage. In many instances, the inflammation and fluid can resolve on their own with proper management, including rest, ice, compression, and elevation of the knee. Typically, using ice (for 15-20 minutes multiple times a day) is recommended to reduce swelling and pain, particularly during the initial stages of the condition. Heat may be beneficial once the acute phase has resolved to help relax and loosen tissues, but it should be used cautiously in the presence of active inflammation. If prepatellar bursitis does not improve with conservative management—rest, ice, over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen, and activity modification—it's essential to consult with a healthcare professional. They may consider options such as: 1. Corticosteroid injections: These can help decrease inflammation if swelling and pain persist. 2. Physical therapy: A physical therapist can guide rehabilitation exercises to strengthen the muscles around the knee and improve flexibility. 3. In rare and severe cases where the bursa is persistently inflamed or causing significant problems, surgical intervention might be necessary. To summarize, while prepatellar bursitis generally manages well with conservative measures, continued symptoms warrant further evaluation by a healthcare provider. It's critical to have a thorough assessment to rule out other potential causes of knee pain and to tailor treatment to your specific situation.