A prevalent cause of inflammation and discomfort above the knee is suprapatellar bursitis.It is , formerly known as quadriceps tendon bursitis, occurs when a knee’s tiny fluid-filled sac is inflamed. Excessive use in athletics, frequent kneeling, an accident, or a medical condition can cause pain, edema, and decreased knee movement. Most suprapatellar bursitis symptoms resolve within weeks with proper treatment.
Symptoms of Suprapatellar Bursitis
You can find bursae all over your body. They are tiny, fluid-filled sacs that are usually found where ligaments, tendons, and other connective tissue muscles, and bones rub against each other. Think of them as little pillows. There are several knee bursa. Over the patella (kneecap), between the quadriceps muscle and the lower femur, is the suprapatellar bursa.
The suprapatellar bursa reduces friction, cushions the front of the knee, and protects surrounding structures. During knee-bending and straightening movements like walking, jogging, and running, the bursa lets the quadriceps tendon glide over the bone for smooth joint movement.
Suprapatellar bursitis symptoms arise above the knee, some of which are as follow:
- Dull or aching discomfort
- Swelling and redness
- Warmth loss or reduced motion
Bending over, running, or sprinting may cause these symptoms. Depending on the etiology, bursitis symptoms may appear abruptly or gradually. Symptoms may appear suddenly after a serious knee fall. In contrast, symptoms may show up gradually when the area gets utilized or stressed repeatedly, like when you kneel a lot or for long amounts of time.
Commom Causes
Its causes include:
A direct blow, fall, or damage to the suprapatellar bursa, frequent pressure or stress from activities like kneeling or jumping, bacterial infection in the knee, or aggravation from additional conditions such as rheumatoid arthritis or gout.
Diagnosis
Pain management in Dallas may also order blood tests to rule out rheumatoid arthritis or gout in the area of the knee. Infected suprapatellar bursitis may be tested by removing a little amount of fluid with a needle. MRI revealing fluid accumulation in quadriceps tendon bursa shows suprapatellar bursitis. They will then examine the knee, focusing on the region above the patella. They may check for bruising, warmth, redness, and pain. Imaging tests may be conducted to confirm the medical condition and rule out alternative knee pain reasons. The studies may include:
- X-rays: They can detect bone and joint problems.
- Ultrasound: Ultrasound can detect bursa inflammation and fluid accumulation.
- MRI: It can show the bursa and other soft tissues and assess inflammation.
Suprapatellar Bursitis Treatment?
Treatment for suprapatellar bursitis depends on the etiology and severity and seeks to minimize inflammation, pain, and improve healing. Treatment for suprapatellar bursitis usually includes:
Rest
The treatment starts by resting the knee and avoiding movements that worsen symptoms, such as kneeling, squatting, leaping, and kicking. Without rest, you irritate the bursa and impede healing, like picking a scab.
Ice Therapy
A cold compress or ice pack can relieve swelling and soreness. Cold treatment is administered multiple times a day for 15-20 minutes.
Medications
Over-the-counter NSAIDs like ibuprofen/Advil can relieve quadriceps tendon bursitis discomfort and inflammation. Antibiotics will be prescribed if your doctor detects septic arthritis.
Physical Therapy
Rehabilitation for suprapatellar bursitis usually comprises electrotherapy (ultrasound or shortwave diathermy) to minimize bursa irritation and a rehab program.
Injections
In severe situations of inflammation and discomfort, a bursa-directed corticosteroid injection may relieve inflammation and pain.
Aspiration
Pain physicians in Dallas may use a syringe and a needle to drain the fluid from severe edema.
Exercises for Suprapatellar Bursitis
Simple workouts at home might help you gain power and mobility in your knees. This can avoid tendonitis while safeguarding your knees.
Examples of stretches and exercises:
Standing Quadriceps Stretch
- Kneel and bring heels to buttocks.
- Hold your ankle close to your body for 30–60 seconds.
- Repeat a couple of times, then switch legs.
Leg Extenders
- Sit upright in a firm chair.
- Hold one lower leg flat to the floor for 5 seconds while contracting your thigh muscles.
- Do 3 sets of 10 per leg.
- You can add 2–5-pound weights to your ankles as this exercise gets easier.
Hamstring Curls
- Grab a strong chair back.
- Hold your knee bent with your heel facing up for 5 seconds.
- Do 3 sets of 10 per leg.
- This exercise can be made easier with a light ankle weight, like leg extensions.
The following guidelines can also avoid suprapatellar bursitis:
Stay fit with frequent exercise. Obesity increases knee pressure and bursitis risk. Don’t kneel for a long time without knee protectors and taking intervals to rise and relax. A cushion helps relieve knee pressure if you don’t have knee pads. Avoid knee-intensive activities. Mix up your workouts to avoid overuse. Warm up and chill down after exercise. Skipping these workout essentials might strain your joints. Start a new fitness routine or increase its intensity gradually.
Recovery Period
Suprapatellar bursitis recovery varies on cause and symptoms. You can usually resume normal activities in two to six weeks. Follow your doctor’s instructions for resuming normal activities. Modifying your everyday routine to minimize repetitive or knee-irritating actions will help you recuperate. Consult pain physicians in Dallas about mild workouts to maintain strength and flexibility and prevent knee stress during recuperation.
Conclusion
Suprapatellar bursitis regularly causes inflammation and discomfort above the knee. Muscle weakness, stiffness, and repetitive overuse, especially in kicking and leaping sports, cause suprapatellar bursa inflammation. A soft pocket of swelling above the knee that is tender, red, and warm is typical of suprapatellar bursitis. This condition recovery might take weeks to months, depending on the etiology, severity, and concomitant disorders.