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Knee effusion, informally known as water on the knee, occurs when excess synovial fluid accumulates in or around the knee joint. It has many common causes, including arthritis , injury to the ligaments or meniscus , or fluid collecting in the bursa , a condition known as prepatellar bursitis .
More aggressive treatments such as synovectomy, achieved using intra-articular agents (chemical or radioactive) can provide good results, with efficacy reported for at least 1 year. [10] Reducing acute joint swelling: Arthrocentesis (or drainage of joint) may be useful to relieve joint swelling and improve range of motion. Local steroid ...
When the deep bursa is involved, bending the knee generally increases the pain. [2] Other conditions that may appear similar include patellar tendonitis and prepatellar bursitis. [5] Treatment is generally by rest, alternating between ice and heat, and NSAIDs. [1] Infrapatellar bursitis is relatively rare. [4]
Knee-strengthening exercises sometimes help, but wearing the best knee brace will offer more immediate support and pain relief from a variety of issues. Things like hyperextension and injuries ...
Prepatellar bursitis is an inflammation of the prepatellar bursa at the front of the knee. It is marked by swelling at the knee, which can be tender to the touch and which generally does not restrict the knee's range of motion. It can be extremely painful and disabling as long as the underlying condition persists.
Symptoms include pain, an audible cracking sound during injury, instability of the knee, and joint swelling. [1] Swelling generally appears within a couple of hours. [2] In approximately 50% of cases, other structures of the knee such as surrounding ligaments, cartilage, or meniscus are damaged. [1]
Conservative treatment of isolated medial knee injuries (grades I-III) begins with controlling swelling and protecting the knee. Swelling is managed well with rest, ice, elevation, and compression wraps. [22] Protection can be performed using a hinged brace that stabilizes against varus and valgus stress but allows full flexion and extension.
Iliotibial band syndrome (ITBS) is the second most common knee injury, and is caused by inflammation located on the lateral aspect of the knee due to friction between the iliotibial band and the lateral epicondyle of the femur. [2] Pain is felt most commonly on the lateral aspect of the knee and is most intensive at 30 degrees of knee flexion. [2]