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Knee Conditions

Prepatellar Bursitis (Kneecap Bursitis): Causes, Symptoms and Treatment

What is Prepatellar Bursitis?

Prepatellar bursitis, commonly known as knee bursitis, is the inflammation of the bursa located in front of the kneecap (patella). This small fluid-filled sac acts as a cushion between the skin and the kneecap. When irritated or inflamed, it can cause visible swelling and pain at the front of the knee.

Knee Bursitis Causes

The condition often results from repeated pressure or trauma to the front of the knee. Occupations or activities that involve frequent kneeling, such as plumbing, roofing, or gardening, are common culprits. A direct blow to the knee, infection, or underlying inflammatory conditions like gout or rheumatoid arthritis can also trigger bursitis.

Symptoms of Prepatellar Bursitis

Prepatellar bursitis typically causes swelling over the kneecap that may appear suddenly or gradually. The area can feel tender, warm, and may be visibly red if an infection is present. In some cases, movement or kneeling becomes painful. Unlike deeper knee injuries, range of motion is usually preserved but may be uncomfortable.

Prepatellar Bursitis Treatment

Most cases can be treated without surgery. Resting the knee, avoiding activities that put pressure on it, and applying ice can help reduce inflammation. Over-the-counter anti-inflammatory medications may be used to manage pain. In cases where an infection is suspected, antibiotics or drainage of the bursa may be necessary. If symptoms persist or the condition recurs frequently, a corticosteroid injection or surgical removal of the bursa may be considered.


Frequently Asked Questions

What is the best treatment for prepatellar bursitis?

The best treatment often includes rest, ice, compression, and elevation (RICE), along with anti-inflammatory medications. In some cases, draining the bursa or a corticosteroid injection may be necessary.

Does prepatellar bursitis ever go away on its own?

Yes, mild cases can resolve without medical intervention, especially if the knee is rested and protected from further irritation.

Is walking good for knee bursitis?

Walking is generally safe, but it’s important to avoid kneeling or putting direct pressure on the knee. If walking increases pain or swelling, rest is advised.

What can be mistaken for bursitis?

Conditions like patellar tendinitis, joint infections, gout, or arthritis can present with similar symptoms and may be confused with bursitis.

What happens if bursitis is not treated?

Untreated bursitis can lead to chronic swelling, persistent pain, reduced mobility, or in rare cases, an infected bursa that requires more intensive treatment.

What triggers knee bursitis?

Repetitive kneeling, direct trauma, bacterial infections, or inflammatory conditions such as gout or rheumatoid arthritis are common triggers.

Can you prevent bursitis of the knee?

Yes. Using knee pads during activities, avoiding prolonged kneeling, maintaining a healthy weight, and treating joint conditions early can help prevent it.


Related Resources:

Prepatellar Bursa Aspiration

Diagnosis and Treatment of Knee Conditions at OrthoConnecticut ›


The animation content provided is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any specific questions you may have regarding a medical condition or procedure.