Knee Bursitis
What is Knee Bursitis?
Bursitis is inflammation of the fluid-filled sacs (bursae) around the knee, often from repetitive kneeling, pressure, or overuse.
Common Symptoms
Swelling and warmth around the knee
Pain with kneeling or pressure on the area
Tenderness over the inflamed bursa
Stiffness or reduced mobility in severe cases
Physical Therapist Diagnosis
A PT examines the knee for localized swelling and tenderness. History (e.g., frequent kneeling, recent trauma) helps confirm diagnosis.
Why it Happens
Bursitis often develops from repetitive kneeling (carpet layers, wrestlers), direct trauma, or overuse.
Why it Doesn’t Always Heal on Its Own
Mild bursitis may improve with rest, but recurrent irritation without treatment leads to chronic swelling and pain.
Ideal Physical Therapy Treatment
Treatment reduces inflammation, restores mobility, and addresses contributing factors.
Key strategies include:
Activity modification to reduce kneeling stress
Manual therapy to improve surrounding mobility
Dry needling for secondary muscular tightness
Strengthening of surrounding muscles for support
Protective padding or bracing if needed for sport/work
Expected Outcomes
Most bursitis cases resolve with conservative care in weeks. Severe cases may require aspiration or injection, but PT prevents recurrence.