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Knee Tendon & Bursa Pain

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Inflammation of soft tissues around the knee causing pain during activity or prolonged pressure

Knee tendonitis and bursitis are common conditions that cause pain, swelling, and stiffness around the knee joint. These issues often result from repetitive stress or injury, particularly in active individuals. Dr Ben McGrath, an orthopaedic specialist, provides expert diagnosis and treatment options to manage symptoms and support recovery.

What is Knee Tendonitis?

Knee tendonitis is the inflammation of the tendons around the knee, often affecting the patellar tendon, which connects the kneecap to the shinbone. This condition is commonly known as “jumper’s knee” and results from repetitive stress on the tendon, leading to pain and limited movement.

What is Knee Bursitis?

Knee bursitis is the inflammation of the bursa, a fluid-filled sac that cushions the knee joint and reduces friction between tissues. Bursitis commonly affects the prepatellar bursa (in front of the kneecap) or the pes anserine bursa (on the inner side of the knee). Repeated kneeling, injury, or infection can lead to knee bursitis.

Common Symptoms of Knee Tendonitis and Bursitis

Patients with knee tendonitis or bursitis may experience the following symptoms:

  • Pain Around the Knee: Pain may be felt around the kneecap or along the tendon, particularly during movement.
  • Swelling and Warmth: Swelling, warmth, or redness around the knee joint is common, especially with bursitis.
  • Stiffness or Restricted Movement: Knee movement may be limited due to pain or swelling.
  • Tenderness to Touch: Both conditions can cause sensitivity around the affected area, making the knee painful to the touch.
  • Pain During Specific Activities: Activities like jumping, running, or kneeling often worsen symptoms in patients with tendonitis or bursitis.

If these symptoms persist, consulting Dr McGrath can provide a diagnosis and effective management plan.

Causes and Risk Factors for Knee Tendonitis and Bursitis

Several factors contribute to the development of knee tendonitis and bursitis:

  • Repetitive Strain: Activities that place repetitive stress on the knee, such as running, jumping, or kneeling, increase the risk.
  • Direct Trauma or Injury: Falls, impacts, or direct blows to the knee can cause bursitis or irritate tendons.
  • Improper Technique or Weak Muscles: Incorrect movement patterns, poor posture, or weak surrounding muscles can place extra strain on the knee.
  • Ageing: Tendons become less flexible with age, increasing the risk of tendonitis.
  • Underlying Health Conditions: Conditions like rheumatoid arthritis or gout can increase susceptibility to bursitis.

Dr McGrath considers these risk factors when diagnosing each patient and advising on prevention or lifestyle adjustments.

Diagnosis of Knee Tendonitis and Bursitis

Dr Ben McGrath performs a comprehensive examination to confirm knee tendonitis or bursitis:

  • Physical Examination: Dr McGrath assesses tenderness, swelling, and knee range of motion. Specific movements may be used to pinpoint the inflamed area.
  • Imaging Tests: Ultrasound or MRI may be recommended to confirm the diagnosis and determine the severity of the inflammation. X-rays may be used to rule out other conditions.

An accurate diagnosis allows for a targeted treatment plan tailored to the patient’s condition.

Non-Surgical Treatments for Knee Tendonitis and Bursitis

Most cases of knee tendonitis and bursitis respond well to non-surgical treatments, including:

  • Rest and Activity Modification: Avoiding activities that strain the knee can help reduce inflammation and allow healing.
  • Physiotherapy: A physiotherapist can guide patients through exercises to strengthen surrounding muscles, improve flexibility, and support knee stability.
  • Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs) may help alleviate pain and reduce inflammation. Always consult a healthcare provider before starting any medication.
  • Ice Therapy: Applying ice to the affected area can help reduce pain and swelling, especially in the first few days after onset.
  • Corticosteroid Injections: In cases of persistent pain, corticosteroid injections may be used to reduce inflammation around the bursa or tendon. Dr McGrath assesses each patient to determine if injections are suitable.

These non-surgical options focus on managing symptoms, improving function, and preventing recurrence.

Surgical Treatments for Knee Tendonitis and Bursitis

Surgery is rarely required for knee tendonitis or bursitis, but may be considered if conservative treatments are ineffective:

  • Bursa Removal (Bursectomy): In cases of chronic bursitis that do not respond to other treatments, removing the inflamed bursa can relieve symptoms.
  • Tendon Repair or Debridement: For severe tendonitis, surgery may involve repairing or debriding (removing damaged tissue from) the tendon to promote healing.

Dr McGrath thoroughly discusses all surgical options with each patient, considering potential benefits and risks before recommending surgery.

When to See Dr Ben McGrath for Knee Pain

If knee pain or swelling persists despite non-surgical treatments, or if symptoms interfere with daily activities, a consultation with Dr McGrath can provide a tailored approach to symptom management and explore additional treatment options.

FAQs About Knee Tendonitis and Bursitis

Yes, most cases improve with rest, physiotherapy, and activity modification. Surgery is generally considered only if conservative treatments are ineffective.

Recovery time varies depending on the severity of the condition, but most patients see improvement within a few weeks to months with proper management and rehabilitation.

Strengthening the muscles around the knee, maintaining flexibility, and practising proper technique can reduce the risk. A physiotherapist can provide a tailored program to support knee health.

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