There are 13 bursa around the knee which are fluid filled sacks which provide cushioning for areas of friction. When irritated by direct trauma or repetitive stress there can be a local swelling or tenderness.

Diagnosis

Diagnosis of a bursitis is derived from the patient’s history and physical exam with an unremarkable neurological exam and no indicators of potentially serious pathology. Clinical findings usually show a local tenderness to pressure over the site of the bursa

Surgical excision may be considered if there are repeated episodes of bursitis even after minor injury.

Back-in-Action Clinic Comment

Chiropractic treatment of bursitis problems initially is based on improving the movement, position and stability of the knee and surrounding structures in order to reduce the risk of stress and further tissue damage.

Self help recommendations of using ice or heat is often given in the acute stage and limiting of aggravating activities. Nutritional approaches can be beneficial to help support soft tissue healing. Chiropractic adjusting techniques (manipulation) and mobilisation may be applied to improve the function of the hip joint itself and other functionally related joints in the lower back and leg. Various muscle release techniques may be applied. An emphasis is placed on self help exercise which might include self mobilisation, stretching, strengthening and balance training. Core stability exercise often is useful for improving the position of the low back, pelvis and hip. Areas of severe muscle spasm may also benefit from massage or acupuncture. Foot orthotics, heel lifts, sitting advice and other ways to improve postural problems affecting the hip may be suggested. Functional neurological treatment and exercises can be helpful.