What is Prepatellar Bursitis?

Prepatellar bursitis is an inflammatory condition affecting the prepatellar bursa, a small fluid-filled sac located in front of the kneecap (patella). The bursa acts as a cushion between the skin and the patella, reducing friction and allowing smooth movement of the knee joint. When the prepatellar bursa becomes inflamed, it leads to prepatellar bursitis.

Symptoms:

1. Pain: Pain in the front of the knee, particularly when bending or straightening the leg.

2. Swelling: Visible swelling in the area around or on the kneecap.

3. Tenderness: The affected area may feel tender to the touch.

4. Warmth: The skin over the inflamed bursa may feel warm to touch due to increased blood flow.

5. Redness: In some cases, the skin over the affected area may appear red or inflamed.

6. Difficulty Moving: Pain and swelling can make it difficult to fully bend or extend the knee.

Causes:

1. Repetitive Kneeling: Activities or occupations that involve frequent kneeling, such as gardening, flooring work, or certain sports, can lead to irritation and inflammation of the prepatellar bursa.

2. Direct Trauma: A blow or injury to the front of the knee can cause inflammation of the bursa.

3. Infection: Bacterial infection of the prepatellar bursa, known as septic bursitis, can occur if bacteria enter the bursa through a cut, scrape, or puncture wound.

Management:

1. To reduce pain and swelling:

1. Rest: Avoid activities that exacerbate pain and inflammation, especially those involving kneeling.

2. Ice Therapy: Apply ice packs to the affected area for 15-20 minutes several times a day to reduce swelling and alleviate pain.

3. Elevation: Elevate the affected leg whenever possible to help reduce swelling.

4. Pain Management: Over-the-counter pain relievers can help alleviate pain and discomfort.

5. Compression: Using a compression bandage or knee sleeve may help reduce swelling and provide support.

2. Physiotherapy: Once pain and inflammation subside, physiotherapy exercises can help strengthen the muscles around the knee and improve range of motion.

3. Antibiotics (if applicable): In cases of septic bursitis, antibiotics are necessary to treat the underlying bacterial infection.

4. Corticosteroid Injections: In severe cases, a healthcare provider may inject corticosteroids into the bursa to reduce inflammation.

5. Aspiration: If the bursa is filled with excess fluid, a procedure called aspiration may be performed to drain the fluid and relieve pressure.

6. Avoiding Recurrence: Taking steps to avoid activities that put excessive pressure on the knees, using knee pads or cushioning when kneeling, and maintaining strong surrounding musculature and a healthy weight can help prevent recurrence.

It's important to consult a healthcare professional for an accurate diagnosis and appropriate management of prepatellar bursitis, especially if symptoms are severe or do not improve with self-care measures.