You don’t need to be a housekeeper or maid to experience prepatellar bursitis, also known as housemaid’s knee. The condition is the most common form of chronic knee pain.

If you have prepatellar bursitis, you will have difficultly sitting for a prolonged period of time with legs crossed or with knees bent. People with prepatellar bursitis often complain of feeling discomfort in their inner knee area.

Prepatellar bursitis was called housemaid's knee because the common cause of swelling and pain above the kneecap is associated with people whose work requires frequent kneeling. Females are at greater risk than males for prepatellar bursitis, but not because housecleaning is more often associated with women.

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Get Rid of Bursitis Pain for Good

The pain of prepatellar bursitis is often aggravated by exercises such as climbing stairs, running, jumping or hiking. It is often frustrating and frightening to live with prepatellar bursitis, especially when your legs give out as you lose strength in your quadriceps and your knees become swollen. Some people even experience the pain of prepatellar bursitis when getting up after sitting on the sofa for several hours.

Prepatellar bursitis, an inflammation of the bursa overlying the patella, is a common condition for people in professions such as housekeeping, janitorial services, gardening, carpentry and laying floors.

If you have prepatellar bursitis, you will experience swelling within the bursa, a fluid-filled sac that functions as a gliding surface to reduce friction between moving tissues of the body. You will notice you have a limited range of joint motion as part of having prepatellar bursitis. Symptoms include swelling over the kneecap, which worsens through kneeling.

When it comes to the treatment for prepatellar bursitis, which can be caused by an abnormality in how the kneecap (patella) slides over the lower end of the thigh bone (femur), much depends on whether or not the condition includes an infection.

People in good health have a patella that is pulled up over the end of the femur in a straight line by the quadriceps muscle. People with prepatellar bursitis have a patella tracking toward the lateral side of the femur, which means the underside of the patella grates along the femur.

Get Soothing Relief for Bursitis

If you have the type of prepatellar bursitis known as aseptic, it can be treated with rest, cold applications to the swollen area and pain medication such as anti-inflammatories such as Advil, Motrin or Aleve.

If you do not have an infectious prepatellar bursitis, your doctor may treat you with   an injection of cortisone into the swollen bursa. He or she may also remove the fluid with a needle and syringe under sterile conditions.

Often found in middle-age women, anserine bursa, another type of prepatellar bursitis, is located on the lower, inner side of the knee. Obese men and women are more likely to experience anserine bursitis, which is treated with rest, ice and anti-inflammatory medicines.

Septic bursitis usually calls for more elaborate evaluations and treatment plans. Your doctor will treat infectious bursitis with antibiotics, aspiration and surgery. When it comes to septic prepatellar bursitis, your doctor will also most likely prescribe antibiotic therapy, often intravenously.

Another remedy your doctor may try is to drain and remove the infected bursa sac through a bursectomy. Repeated aspiration of the inflamed fluid may be indicated, and exercise will be an important part of recovery for people who have struggled with prepatellar bursitis.

The goal of a treatment and rehabilitation plan for prepatellar bursitis is to create a straighter pathway for the patella to follow during quadriceps contraction. Stretching and strengthening the quadriceps and hamstring muscle groups are some of the important physical therapy exercises that will help in recovery of prepatellar bursitis. While recovering, you may maintain your cardiovascular health by swimming and using a stationary bicycle, but you may need to wear special shoes to prevent injury.

Strengthening the inner portion of your quadriceps helps normalize the tracking of the patella, which can help prevent prepatellar bursitis from reoccurring.

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