The fluid-filled sac is not necessarily a problem, and if it does not cause pain, it is not always a cause for alarm or treatment. This treatment is especially helpful for patients who can't tolerate injections.Ĭhronic prepatellar bursitis will usually improve over a period of time from weeks to months. Our therapy sessions sometimes include iontophoresis, which uses a mild electrical current to push anti-inflammatory medicine to the sore area. We use these exercises and aids to improve muscle balance and joint alignment of the hip and lower limb, easing pressure and problems in the bursa. We may also suggest specialized stretching and strengthening exercises used in combination with a knee brace, taping of the patella, or shoe inserts. Our Physical Therapist may suggest the use of heat, ice, and ultrasound to help calm pain and swelling. When you visit Endurance Rehabilitation and Wellness Center, PC, our treatment usually starts by trying to control the inflammation. If the infection is not treated quickly, the abscess may even begin to drain, meaning the pus begins to seep out. An abscess, or area of pus, may form on the front of the knee. In people who rest on their knees a lot, such as carpet layers, the bursa can grow very thick, almost like a kneepad in front of the knee.įinally, if the bursa becomes infected, the front of the knee becomes swollen and very tender and warm to the touch around the bursa. This is usually related to your activity level, and more activity usually causes more swelling. The bursa sac may swell and fill with fluid at times. ![]() These lumps are usually the thickened folds of bursa tissue that have formed in response to chronic inflammation. Sometimes these lumps feel as though something is floating around in front of the kneecap, and they can be very tender. If the condition has been present for some time, small lumps may be felt underneath the skin over the kneecap. ![]() It may be very difficult to kneel down and put the knee on the floor due to the tenderness and swelling. Prepatellar bursitis causes pain and swelling in the area in front of the kneecap and just below. What does prepatellar bursitis feel like? The area around the bursa becomes hot, red, and very tender. In this case, instead of blood or inflammatory fluid in the bursa, pus fills it. This may occur without any warning, or it may be caused by a small injury and infection of the skin over the bursa that spreads down into the bursa. The prepatellar bursa can also become infected. The chronic irritation leads to prepatellar bursitis in the end. This repeated injury can lead to irritation and thickening of the bursa over time. People who work on their knees, such as carpet layers and plumbers, can repeatedly injure the bursa. ![]() Prepatellar bursitis can also occur over a longer period of time. This thickening and swelling of the bursa is referred to as prepatellar bursitis. The walls of the bursa may thicken and remain thickened and tender even after the blood has been absorbed by the body. The blood in the bursa is thought to cause an inflammatory reaction. This causes the bursa to swell up like a rubber balloon filled with water. ![]() In the skin, this would simply form a bruise, but in a bursa blood may actually fill the bursa sac. This usually causes bleeding into the bursa sac, because the blood vessels in the tissues that make up the bursa are damaged and torn. In some cases, a direct blow or a fall onto the knee can damage the bursa. The prepatellar bursa can become irritated and inflamed in a number of ways.
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