A bursa is a small sac of fluid whose function is to lubricate the movement between tendons and bone. There are a number of them around the knee which can become painful and inflamed.
Symptoms of infrapatellar bursitis
Infrapatellar bursitis symptoms consist of pain at the front of the knee with swelling over the area of the infrapatellar bursa. Pain may be similar to that of jumper's knee or patellar tendonitis with pain just below the kneecap.
What is infra-patellar bursitis?
A bursa is a small sac of fluid whose function is to lubricate the movement between tendons and bone. Infrapatellar bursitis or clergyman's knee as it may sometimes be known as is inflammation of the infrapatellar bursa. The deep bursa lies between the patellar ligament and the upper front surface of the tibia or shin bone.
The superficial bursa is situated between the patellar ligament or patellar tendon and the skin. Infrapatellar bursitis can be caused by friction between the skin and the bursa and may sometimes happen in conjunction with Jumper's knee.
Treatment of infrapatellar bursitis
Rest is important to allow the bursa to settle down. This may mean modifying activities for a while or complete rest for a few days. Avoid putting direct pressure on the knee such as when kneeling as this is most likely to aggravate the symptoms.
Applying cold therapy and compression will help to reduce the pain and swelling. A doctor may prescribe anti-inflammatory medication such as Ibuprofen but don't take if you have asthma. If conservative treatment fails then aspiration can be done. This involves sucking out the fluid from the bursa and often an injection of corticosteroids into the bursa may be used as well. Surgery to remove the bursa may be undertaken as a last resort.