How Physiotherapy Can Help In Treating Suprapatellar Bursitis?


Swelling of the bursa in front of the kneecap patella. It occurs when the bursa is irritated and produces excess fluid, causing it to swell and put pressure on the adjacent parts of the knee. However, treatment usually depends upon the cause of this condition. as it can also cause dead legs. 

With some home remedies, you can make Suprapatellar Bursitis better. but, if your condition is severe you should see a doctor.

List Some Symptoms:

  • Pain with activity, but not usually at night

  • Rapid swelling on the front of the kneecap

  • Tenderness and warmth to the touch

  • Bursitis caused by infection may produce fluid and redness, as well as fever and chills.

What Causes This Condition?

Prepatellar bursitis is usually caused by constant knee compression. Water pipes, roofs, carpet layers, coal miners, and farmers are at high risk.

A direct blow to the front of neck pain can also cause prepatellar bursitis. Athletes who participate in sports where direct or knee replacement is common, such as soccer, wrestling, or basketball, are at greater risk.

Other people at risk include those who have arthritis or gout. However, Prepatellar bursitis can also be caused by a bacterial infection. If a knee injury – such as an insect bite, scratch, or skin piercing – germs can get inside the bursa and cause infection. This is called infectious bursitis. Infectious bursitis is rare, but very serious and should be treated immediately, though not with regular surgery.

Tests For Diagnosing This Condition:

First of all, X-rays are recommended. Because the X-ray provides clear images of the bone. Your doctor may tell you to make sure there are no fractures or other bone problems that are causing your symptoms.

Aspiration. If your doctor is concerned about the possibility of infection, he or she may request (draw a liquid with a needle) from the bursa and send this sample to a laboratory for analysis.

Treatments for Suprapatellar Bursitis:

It is possible to successfully treat mild to moderate conditions of aseptic (non-infectious) suprapatellar bursitis at home. People who are not sure if their bursitis is septic or not are advised to see a doctor.

Treatments include the following:

1- Rest

One of the most common remedies for minor knee pain is rest, ice, compression, elevation, or RICE. Try the following RICE methods:

  • Avoid the activity that causes you pain.

  • Use crutches to keep weight off your knee.

  • Ice the area three or four times per day for 20 minutes at a time.

  • Wrap your knee using an elastic compression bandage.

  • Place pillows underneath your knee to elevate it to the same level or higher than the level of your heart.

However, You may also take nonsteroidal anti-inflammatory drugs such as ibuprofen to alleviate the swelling. If symptoms persist after three days despite this treatment or if your pain worsens, talk to your doctor. 

As we said above, Applying a cold compress to the knees can help reduce inflammation and reduce other symptoms. You can use a heating pad that you can buy from pharmacies and sports shops, a swollen wheat bag, or a hot water bottle. An ice pack bought at a pharmacy, or just a bag of frozen peas, can also be helpful.

2- Physiotherapy:

Ideally, you must consult a doctor or physiotherapist for specific exercises. However, some of the common stretches and workouts to treat this condition include:

1- Standing Quads Stretches

  • Flex your knee, and move your heel up to your buttocks.

  • Grip your ankle and force it nearer to your body.

  • Maintain it for thirty seconds or a minute.

  • You can repeat it two to three times

  • Then, shift to the other leg

2- Leg Extensions

  • Sit straight in a solid chair.

  • Start to stiff your quad muscles and gradually lift one of your lower legs to correspond to the ground.

  • Maintain this position for about five seconds.

  • Perform three sets of these exercises (10 times for each leg).

  • You may also consider adding 1-2 kg ankle weight to ease your efforts.

3- Hamstring Curls

  • Grip the back of a chair.

  • Hold it for five seconds.

  • Repeat three sets of this exercise (10 times for each leg).

  • Similar to leg extensions, you may add some ankle weight to ease the hamstring curls exercise.

3- Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

Non-steroidal anti-inflammatory drugs, such as ibuprofen, can reduce knee pain in richardson, inflammation, and inflammation.

Medical Treatment For Knee Bursitis

When swelling of the knee and other symptoms do not respond to home remedies within 2 or 3 weeks, or if symptoms of septic bursitis are present, medical treatment is recommended.

1- Bursal Aspiration:

More fluid can be removed from the prepatellar bursa using a needle and syringe. This process, called bursal aspiration, can relieve pressure on the knee. Although craving is usually successful, it is possible that the inflammation will return.

2- Cortisone Injection

If the swelling and pain do not respond to these measures, your doctor may drain (aspirate) the bursa with a needle, then inject the bursa with a corticosteroid (cortisone injection). The corticosteroid is an anti-inflammatory drug that is stronger than medications that can be taken by mouth. 

Draining the bursa may also treat chronic swelling that causes disability, but if the swelling continues, your orthopedic surgeon may recommend surgical removal of the bursa. After surgery, the knee should regain its flexibility in a few days, and you can resume normal activities in a few weeks.

3- Nerve Stimulation

Research is being done on specific nerve stimulants to reduce chronic pain. However, Your doctor may consider adding acupuncture to your treatment program if you do not feel comfortable with regular care.

However, The goal of knee Suprapatellar Bursitis treatment is to reduce the inflammation that causes knee swelling and other symptoms. While home treatments may work for mild or moderate cases, chronic or severe cases may require medical intervention. Septic knee bursitis—which is caused by an infection—requires urgent medical care and antibiotic therapy.

Prevention:

You can help prevent bursitis by following these simple tips:

  • Wear kneepads when working on your knees or participating in contact sports such as soccer, basketball, or wrestling.

  • Rest your knees regularly by standing to stretch your legs. You may also want to consider changing activities regularly to avoid prolonged stress on your knees.

  • Snow and lift your knees after exercise. 

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