From the Research
Treatment for infrapatellar bursitis typically involves a combination of rest, anti-inflammatory medications, and physical therapy, with the goal of reducing pain and inflammation while improving mobility and function. Initially, patients should follow the RICE protocol: rest the affected knee, apply ice for 15-20 minutes several times daily, use compression with an elastic bandage, and elevate the leg when possible. Over-the-counter NSAIDs like ibuprofen (400-800mg three times daily with food) or naproxen (220-440mg twice daily) can help reduce pain and inflammation, as supported by a study on NSAIDs for acute low back pain, which found that NSAIDs are slightly more effective in short-term reduction of pain intensity than placebo 1. For more severe cases, a healthcare provider may recommend a corticosteroid injection directly into the bursa to provide significant anti-inflammatory relief.
Some key points to consider in the treatment of infrapatellar bursitis include:
- Avoiding activities that put pressure on the affected area, such as kneeling, until symptoms resolve
- Initiating physical therapy exercises focusing on quadriceps and hamstring strengthening once acute pain subsides, typically after 1-2 weeks
- Monitoring for signs of infection, such as warmth, redness, and fever, and seeking medical evaluation if suspected
- Considering the use of topical NSAIDs, such as diclofenac or ketoprofen, which have been shown to be effective in reducing pain and improving function in patients with knee osteoarthritis 2
It's also important to note that the treatment of infrapatellar bursitis should be individualized based on the severity of symptoms and the presence of any underlying conditions, such as rheumatoid arthritis or gout. In some cases, more aggressive treatment, such as antibiotics or surgical drainage, may be necessary to manage the condition effectively, as discussed in a study on common superficial bursitis 3.