Surgical drainage is required if the infection does not respond to antibiotics alone.ĭraining the bursa may also treat chronic swelling that causes disability, but if the swelling continues, your orthopaedic surgeon may recommend surgical removal of the bursa. Infectious bursitis is initially treated with antibiotics. The corticosteroid is an anti-inflammatory drug that is stronger than medications that can be taken by mouth. If the swelling and pain do not respond to these measures, your doctor may drain (aspirate) the bursa with a needle, then inject the bursa with a corticosteroid (cortisone injection). Your bones form joints when two or more of them connect. The fluids make your joint look larger and puffier compared to your other joints. Effusion in 24 to 48 hours: Joint-line tenderness: Locking or giving way: Loss of extension (locked) Patellar subluxation or dislocation 3 5, 8: Anterior pain: Apprehension: Children or. Acetaminophen can be used as an alternative if you cannot tolerate NSAIDs or are allergic. Overview A swollen synovial bursa inside a knee joint What is joint effusion Joint effusion (a swollen joint) happens when extra fluids flood the tissues around your joint. Nonsteroidal anti-inflammatory drugs (NSAIDs). Medications such as naproxen and ibuprofen may relieve pain and control inflammation.Elevate the affected leg except when it is necessary to walk. Each session should reduce swelling considerably if the knee is also being rested.
Apply ice at regular intervals 3 or 4 times a day for 20 minutes at a time. Low-impact exercise, such as cycling or using the elliptical machine, is a good option. Substitute another activity until the bursitis clears up. Activity modification. Avoid the activities that worsen symptoms.Nonsurgical treatment is usually effective as long as the bursa is simply inflamed and not infected: Applying the RICE method (rest, ice, compression, and elevation) can reduce pain and swelling. If your doctor is concerned about the possibility of infection, they may aspirate (draw fluid with a needle) from the bursa and send this sample to the lab for analysis. Other imaging tests. The diagnosis of bursitis is usually made on physical examination, but computerized tomography (CT) and magnetic resonance imaging (MRI) scans may be ordered to check for other soft tissue injury.Your doctor may order them to make sure there is not a fracture or other bony problem that is causing your symptoms. They will examine your knee, checking for tenderness, and will also assess the range of motion in your knee and whether pain prevents you from bending it. Prepatellar bursitis caused by an infection requires a different treatment plan.ĭuring the physical examination, your doctor will inspect your affected knee and compare it to your healthy knee. Your doctor will likely ask questions regarding any signs or symptoms of infection, such as fever or chills. Your doctor will talk with you about your symptoms, such as the severity of your pain, how long you have had symptoms, and your risk factors for developing prepatellar bursitis.
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