From the Research
The treatment for intrapallellar bursitis typically begins with conservative measures, including rest, ice application, compression, and elevation (RICE protocol), as well as nonsteroidal anti-inflammatory drugs (NSAIDs) and physical therapy to improve knee mechanics and reduce pressure on the bursa. The initial approach to managing intrapallellar bursitis involves distinguishing between septic and non-septic bursitis, with the former requiring antibiotic therapy and the latter often responding to conservative management 1. Key aspects of conservative management include:
- Rest, ice, compression, and elevation (RICE protocol) to reduce inflammation and pain
- NSAIDs, such as ibuprofen or naproxen, to alleviate pain and inflammation
- Activity modification to avoid aggravating symptoms
- Physical therapy focusing on quadriceps and hamstring stretching and strengthening to improve knee mechanics For persistent cases, aspiration of the bursa fluid may be performed, sometimes followed by a corticosteroid injection to reduce inflammation 1, 2. In cases of septic bursitis, antibiotic therapy should be initiated, with Staphylococcus aureus being the most common causative organism 3. Surgical intervention, such as bursectomy, may be considered in rare, severe cases that do not respond to conservative treatment after 3-6 months 1, 4. It is essential to protect the knee from direct pressure for several weeks after treatment to prevent recurrence. Given the variety of treatment options and the importance of differentiating between septic and non-septic bursitis, a thorough evaluation and individualized treatment plan are crucial for effective management of intrapallellar bursitis.