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Knee Bursitis: Episode 73
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In this episode: We discuss the 4 main kinds of bursitis around the knee. Prepatellar, Infrapatellar, Suprapatella and Pez Anserine bursitis.
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Chip Review: Kettle Brand – Deep River – New York Spicy Dill Pickle 2nd review for Old Dutch Dill Pickle – (10:34)
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Trivia question of the week: Which US states boarder the Gulf of Mexico? – (09:34)
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Brief overview of the episode:
In this episode we discuss bursitis around the knee. There are four named bursitis near the knee. Prepatellar bursitis, Infrapatellar bursitis, Suprapatella bursitis, and Pez anserine bursitis.
Prepatellar bursitis is basically on the knee cap. Infrapatllar bursits is behind the patella tendon. Suprapatella bursitis is behind the quad tendon and Pez anserine bursitis is on the medial aspect of the proximal tibia.
The pez anserine is the French word for goose foot. This is named because there are three tendons that attach there and that formation looks like a webbed foot.
Bursitis in general and at the knee more so present with similar signs and symptoms; swelling, pain, range of motion loss and possibly some redness. Pain is the most limiting symptom. In more intense cases swelling can be significant but often times swelling is only minor.
In most cases long duration kneeling or trauma are the inciting mechanism. In some cases repetitive motion is the cause. This is much more likely with pez anserine bursitis than the three patellar versions. Prepatellar and intrapatellar bursitis are mostly due to knee and suprapatella bursitis is rare.
The initial goal when managing any bursitis is to stop or greatly limit the activity that is causing symptoms. With trauma that is pretty simple if it is a work related activity than more modification is required. In conjunction with reducing the cause light activity as well as modalities will be helpful.
Modalities could include, ice, heat, ultra-sound, e-stim, etc… The goal is to reduce the pain as well as the inflammation and pressure from the inflammation. We have found that bursitis responds well to kinesio-taping, especially an effusion control method.
In most cases pain will greatly reduce in the first 1-2 weeks, with complete reduction of pain and inflammation within 6-8. There are chronic conditions associated with bursitis but they are exceedingly rare and not the focus of this podcast.
Other episodes you might enjoy:
Shin Splint: Episode 17
Knee Pain: Episode 2
Ice or Heat?: Episode 23
