Skinned Knee Hurts To Bend – “Oh, no big deal,” I thought. I mean, I was still a child. I got skin on my knees. I thought it would be a quick recovery from the lip sting.
Touch it. V placing his hand on my knee was enough to send shockwaves through my body. Each time the knee bends, it heals a little and reopens. It is torture.
Skinned Knee Hurts To Bend
3. Still flowing, very red around. I’m sure it’s infected. (So disgusting. Sorry.) It got on my clothes. Or stick it on a bandage and mix it up.
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4. I thought if we had a second child, we would try natural birth this time. (V was a scheduled c-section; I never had contractions.) Um, yeah,
I have no tolerance for pain! A co-worker wiped off the alcohol and I immediately screamed! Absolutely not, no way.
I was whining. And in the morning. I cancel my Sunday morning workouts so I don’t have time for myself, which means I’m angry.
And I pay a lot of attention to it. It pops into my head at least every sixty seconds. I see them every chance I get.Bursas are small, jelly-like sacs found all over the body, including shoulders, elbows, hips, knees, and heels. They contain a small amount of fluid and sit between bone and soft tissue to act as a cushion to help reduce friction.
Moist Wound Healing
Prepatellar bursitis is an inflammation of the bursa in the front of the knee. It occurs when the bursa becomes irritated, secretes too much fluid, swells, and puts pressure on the area adjacent to the knee.
(Left) Normal anatomy of the knee viewed from the side. The bursa is small and is located between the patella and the skin. (Right) In prepatellar bursitis, the bursa becomes inflamed and swollen.
(Left) Reproduced from J Bernstein, ed: Musculoskeletal Medicine. Rosemont, IL, American Academy of Orthopedic Surgeons, 2003. (Right) Reproduced and adapted from The Body Almanac. (c) American Academy of Orthopedic Surgeons, 2003, p. 191.
Prepatellar bursitis is often caused by constant pressure on the knee joint. Plumbers, roofers, carpet installers, coal miners, and gardeners are at risk of contracting this disease.
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A direct blow to the front of the knee can also cause prepatellar bursitis. Athletes who play sports that often involve direct impact or falls to the knee, such as football, wrestling, and basketball, are at a higher risk of developing this condition.
Prepatellar bursitis can be caused by a bacterial infection. If an injury to the knee, such as an insect bite, scrape, or puncture, breaks the skin, bacteria can enter the bursa and cause an infection. This is called infectious bursitis. Infectious bursitis is less common but more serious and requires more immediate, although not always, surgical treatment.
The picture shows a patient with an inflamed bursa filled with fluid on the front of his left knee. His right knee is normal.
Your doctor will talk with you about your symptoms, such as the severity of the pain, how long you have had symptoms, and risk factors for developing prepatellar bursitis.
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Your doctor will ask questions about signs of infection, such as fever and chills. Prepatellar bursitis caused by an infection requires a different treatment plan.
During a physical exam, your doctor will examine your affected knee and compare it to a healthy knee. They will test your knee for tenderness and assess your knee’s range of motion and whether pain is interfering with bending.
If the swelling and pain do not respond to these measures, your doctor may drain the bursa with a needle (suction) and then inject a corticosteroid (cortisone injection). Corticosteroids are more powerful anti-inflammatory drugs than oral medications.
Infectious bursitis is initially treated with antibiotics. If the infection does not respond to antibiotics alone, surgical drainage is required.
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Drainage of the bursa can treat chronic, disabling swelling, but if swelling persists, an orthopedic surgeon may recommend surgical removal of the bursa. After surgery, your knee will be flexible in a few days and you can return to normal activities in a few weeks.
AAOS does not endorse any of the treatments, procedures, products, or practitioners described herein. This information is an educational service and is not intended to provide medical advice. Anyone seeking specialist orthopedic advice and care should consult their orthopedic physician or find a surgeon in their area through the AAOS Find an Orthopedist program on this website.
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