Infrapatellar Bursitis

What is Infrapatellar Bursitis?

Infrapatellar Bursitis, also known as ‘clergyman's knee’, is a condition characterised by inflammation of the infrapatellar bursa located just below the kneecap. This condition can result in inflammation, swelling, pain and discomfort in the knee region, particularly with activities that involve bending or kneeling. To effectively manage infrapatellar bursitis, it's crucial to understand its anatomy and how it develops.

Infrapatellar Bursitis Anatomy:

The infrapatellar bursa is a small, fluid-filled sac that acts as a cushion between the patellar tendon (the tendon that connects the kneecap to the shinbone) and the underlying tibia bone.

Development of Infrapatellar Bursitis:

Infrapatellar bursitis typically develops due to:

• Repetitive Pressure: Frequent kneeling or activities that place pressure on the kneecap can lead to irritation and inflammation of the bursa.

• Trauma: Direct trauma to the knee, such as a blow or fall, can also cause bursitis.

Infrapatellar Bursitis Symptoms & Signs:

Common signs and symptoms of infrapatellar bursitis include:

• Pain: Pain around or just below the kneecap, which can be exacerbated by kneeling, bending the knee, or other activities that put pressure on the bursa.

• Swelling: Swelling in the affected area may occur due to bursal inflammation.

• Tenderness: The bursa may become tender to the touch.

• Reduced Range of Motion: In some cases, reduced flexibility and difficulty bending the knee may be experienced.

Infrapatellar Bursitis Management

Infrapatellar Bursitis Management Strategies:

1. Rest and Activity Modification:

   • Avoid Aggravating Activities: Reduce or avoid activities that place pressure on the knee, such as kneeling or bending, to allow the bursa to heal.

   • Proper Knee Support: Wearing knee pads or protective gear when kneeling or engaging in activities that irritate the bursa can help prevent further injury.

2. Pain Management:

   • Medications: Over-the-counter pain relievers or prescribed medications can help manage pain and inflammation. Always follow recommended dosages and consult with a healthcare provider.

3. Icing:

   • Applying ice to the affected area can help reduce pain and swelling. Be sure to use a cloth or towel to protect the skin from direct contact with ice.

4. Compression:

   • Wearing a knee brace or compression bandage can provide support and reduce swelling.

5. Infrapatellar Bursitis Physiotherapy:

   • A Physiotherapist can guide you through exercises to maintain and improve knee mobility and strength.

6. Corticosteroid Injections:

   • In some cases, a healthcare provider may recommend corticosteroid injections to reduce inflammation and pain.