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Conditions and Diseases > Orthopedics Forum > inflammation of the bursae of the knee joint
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Q: inflammation of the bursae of the knee joint
asked by: DoctorQuestion on June 20th, 2009
I think I may have a torn lateral meniscus in the right knee. I coach softball and three weeks ago, took a ball pretty hard to the knee. Next day, knee felt sore near outside bottom edge of kneecap, but no apparent bruising. After a couple days, had severe pain lasting about 15 minutes 5X per day where it became very painful to walk. No locking, no popping or clicking. No range of motion issues, no instability. Slight swelling, very minor. Wore a brace for 2 weeks until episodes were once per day or less. After one week with no brace, have new swelling on outside of knee, egg-shaped and firm. Sore to touch, though surface of skin is numb in that area. Outside of knee still feels bruised, though no bruise is apparent. Have terrible insurance and although I can afford some medical care, I prefer not to go unless absolutely necessary. Is it safe to wait to see if this heals on its own? Other than minor discomfort, is doesn't stop me from doing anything. Any other suggestions?


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Dr. Goce Aleksovski , MD
replied on June 29th, 2009
Orthopedics Answer A6872


According to the data you provided (severe pain, no popping, no clicking, no locking, no range of motion, no instability, minor swelling), you might be experiencing inflammation of the bursae of the knee-joint. The bursae of the knee-joint are synovial sacs filled with the same synovial fluid as the joint.


They communicate with the joint space, thus increasing the volume that can be filled with the synovial fluid. This can happen when certain of the knee-joint structures are damaged, usually due to mechanical force. The damage to the tissue would cause inflammation and increased production of the synovial fluid, which in the end results in swelling of the joint.


According to the information you provided, it cannot be determined which joint structure was damaged and to what degree. Therefore, you might want to visit an orthopedist for a physical examination and x-ray or other visualization methods. Meanwhile, rest is recommended.


Anti-inflammatory products might also reduce the swelling and ease the pain. However, it does not necessarily mean that the tissue has healed completely. It would have to be confirmed by an orthopedist through examination.




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