Man holding his knee
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Understanding Knee Bursitis

Knee bursitis is a condition characterized by inflammation of the bursae—small fluid-filled sacs that cushions the knee joint. These sacs reduce friction between the bones, tendons, and muscles, allowing smooth movement. When the bursae become irritated or inflamed, it can result in knee pain, swelling, and limited mobility.

Causes and Symptoms

Knee bursitis can be caused by repetitive motion, prolonged kneeling, a direct blow to the knee, or infection. Athletes, particularly runners and those involved in sports requiring a lot of jumping or kneeling, are especially susceptible. Common symptoms include:

  • Pain: Often sharp or aching, especially when moving the knee.
  • Swelling: Visible swelling around the knee.
  • Tenderness: The area may be tender to the touch.
  • Limited Range of Motion: Difficulty in fully bending or straightening the knee.

Role of Physiotherapy in Managing Knee Bursitis

Physiotherapy plays a crucial role in managing and rehabilitating knee bursitis. The primary goals of physiotherapy are to reduce pain, decrease inflammation, restore normal function, and prevent recurrence.

1. Initial Assessment and Diagnosis

A thorough assessment by a physiotherapist is essential to confirm the diagnosis and identify the underlying cause. This may involve a physical examination, reviewing medical history, and, if necessary, imaging studies like ultrasound or MRI.

2. Pain Management

Rest and Ice: Initially, resting the knee and applying ice can help reduce inflammation and pain. Ice should be applied in 20-minute intervals several times a day.

Therapeutic Modalities: Physiotherapists may use modalities like ultrasound therapy, electrical stimulation, or laser therapy to reduce pain and promote healing.

Pain Relief Exercises: Gentle range-of-motion exercises are introduced to maintain mobility and prevent stiffness.

3. Stretching and Strengthening Exercises

Stretching: As the pain subsides, gentle stretching exercises can help alleviate tension around the knee.

Strengthening: Strengthening the muscles around the knee and the hips, is vital. Strong muscles help support the knee joint, reducing stress on the bursae.

These exercises should be performed under the guidance of a physiotherapist to ensure proper technique and avoid aggravating the condition.

4. Improving Flexibility and Mobility

Manual Therapy: Physiotherapists may use manual techniques like joint mobilization or soft tissue massage to improve knee joint mobility and reduce stiffness.

Range of Motion Exercises: As recovery progresses, more dynamic exercises are introduced to restore full knee movement. This includes activities like stationary cycling or swimming, which are low-impact and gentle on the joints.

5. Education and Prevention

Posture and Body Mechanics: Educating patients on proper posture and body mechanics during activities can prevent undue stress on the knee. This includes guidance on correct squatting techniques or how to modify activities to reduce knee strain.

Footwear: Wearing supportive footwear can also make a significant difference, especially in individuals with abnormal foot mechanics, which can contribute to knee bursitis.

Activity Modification: Identifying and modifying activities that exacerbate symptoms is key to preventing recurrence. For athletes, this may involve altering training routines or incorporating cross-training to reduce repetitive strain.

Knee bursitis, while painful, is a condition that responds well to physiotherapy. Through a combination of pain management, targeted exercises, manual therapy, and patient education, physiotherapy helps alleviate symptoms and restore knee function. Early intervention and adherence to a personalized rehabilitation program are essential for a full recovery and prevention of future episodes.

If you are experiencing knee pain and are looking start physiotherapy. Contact the professionals and The Durham Orthopedic & Sports Injury Clinic and start your road to recovery today!

Person icing their knee
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Is Icing a Good Treatment For Sports Injuries?

We have all heard the term RICE (Rest, Ice, Compression, Elevation) when you sustain an injury, but is icing alone a good treatment for sports injuries? What is the best way to take care of your sports injuries? Injuries can come from all different types of physical activity. Joint sprains, muscle strains and ligament injuries are the most common. 

Icing is found to be most beneficial within the first 24-72 hours of your injury. You want to apply ice for 15-20 minutes every 3 hours. 

 

The Proper Icing Technique

When Icing you want to make sure you are applying ice properly to the injured area. Below are some tips on how and when to ice your sports injury. 

  1. Get ice on the injury as quickly as possible

The beneficial effects of icing decreases after 48-72 hours. Applying ice to the injury as soon as possible will drastically reduce swelling and inflammation.  

  1. Elevate

Elevating your injury above your heart is very important when icing. This not only helps to reduce inflammation it will help you recover faster. 

  1. Time 

Time is very important when icing. Leaving the ice on for too long can cause tissue damage, reduce blood flow and sometimes it can even cause frostbite.

Ice vs Heat

As mentioned, you should ice as soon as you can after an injury, however heat can also be an effective treatment for injured or sore muscles. 

Heat should be used for conditions that are more chronic such as an ongoing sore back,tight muscle pain or to help alleviate arthritis pain. Heat relaxes the muscles and tissues, while ice is used to reduce the inflammation.

When To Seek Professional Help

It is recommended that you should seek professional medical help if your injury is hindering your day to day abilities. Chronic pain, recurring pain and mobility issues are all valid reasons to start physical therapy. See a physiotherapist so you can start your road to recovery.  

Looking to Book An Appointment?

Durham Orthopedic Sports and Injury Clinic have four physiotherapists on their staff and one massage therapist on their staff who are always able to help and treat your injuries at the source of the problem. For more information on our professionals click the link below.