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How is prepatellar bursitis of the knee treated?
The treatment of any bursitis depends
on whether or not it involves infection. Aseptic prepatellar bursitis
can be treated with ice compresses, rest, and anti-inflammatory
and pain medications. Occasionally, it requires aspiration
of the bursa fluid. This procedure involves removal of the fluid with a needle
and syringe under sterile conditions and can be performed in the doctor's office. Sometimes the fluid is
sent to the laboratory for further analysis. Noninfectious knee bursitis
can also be treated with an injection of cortisone medication
into the swollen bursa. This is sometimes done at the same time
as the aspiration procedure.
Septic bursitis requires even further evaluation and treatment. The bursal fluid can be
examined in the laboratory to identify the microbes causing the infection. It requires
antibiotic therapy, often
Repeated aspiration of the inflamed fluid may be required. Surgical
drainage and removal of the infected bursa sac (bursectomy) may
also be necessary.