Common Knee Conditions : Patella Tendinitis and Quadriceps Tendinitis

Patella tendinitis (also known as jumper's knee), is a common injury due to overuse from repetitive over loading of the extensor mechanisism of the knee. The patellar tendon extending from the knee cap to the shin bone (tibia) can become inflammed in patellar tendinitis. This inflammation begins at the site where the patella tendon attaches to the patella (knee cap) and may worsen, resulting in a degenerative tear of the tendon.

Likewise, the strong quadriceps muscles on the anterior aspect (front) of the thigh attaches to the superior aspect (the top) of the patella by means of the quadriceps tendon. This tendon covers the patella and continues down to form the patellar tendon. The quadriceps muscles, straightens the knee by pulling at the patella via the quadriceps tendon. Quadriceps tendinitis is the term used to describe inflammation of the quadriceps tendon.

It is useful to note that throughout this article the term "itis" as seen at the end of tendin"itis" refers to inflamation. Therefore, one can deduce that there is inflammation of the patellar or quadricep tendon. (This may become helpful when you see this term again in the future.)

Sports that require explosive movements are associated with patella tendinitis (aka : jumper's knee). Most commonly Running, Basketball, Football, Soccer, Volleyball, American Football, and Track & Field are sports associated with this knee condition.

Early stages of patella and quadricep tendinitis may be treated conservatively. Rest and also the use of a knee brace can useful in the recovery period. A knee brace that supports the knee from explosive overloading of the extsensor mechanism is best. There are many different knee braces available, but a low profile knee brace can be the answer for many people needing support, and can greatly reduce their pain issues. Although it is a useful adjunct, braces do not cure people. Uncommonly, tendinitis may require surgery to help patients with debilitating pain for 6-12 months despite conservative measures.

What is Bursitis?

Bursitis refers to inflamation of a bursa. Some symptoms of bursitis inlcude pain, swelling, and tenderness; all pain localized to and around the area of the bursa. Most commonly, bursitis is found in adults, especially for those over 40 years of age. Local inflammation and chronic irritation associated with bursitis can develop from repetitive trauma. The prepatellar (above the knee or patella) bursa is the most commonly affected and when inflamed is called "housemaid's knee." The bursa develops within the first years of life as a result of mechanical pressure and friction, and it serves the purpose of reducing friction on underlying structures and allowing maximal range of motion in the knee. Aseptic prepatellar bursitis can develop for a individual in a kneeling position who is doing work, hence the name of the condition : "housemaid's knee".

How Does A Bursa Become Inflamed And How Is It Treated?

Treatment of a non infected bursa involves the disconitinuation of the irritating activity. Rest is important. Knee braces can also aid in the recovery of bursitis. While they do not cure an individual with bursitis, they can help reduce the pain associated with this condition. For example, when a painful movement from side to side occurs (or in any direction) this may continue to irritate or inflame the bursa, a knee brace can serve as an assitive adjunct to your recovery. The knee brace will help prevent those movements that can irritate your condition, and can therefore can help reduce your pain.

In many cases, you will probably be able to treat bursitis at home (see your physician for your particular situation). Some ways an individual can avoid bursitis is to stay in shape, and to work out moderately (overuse is a common cause of bursitis). Make sure to stretch before and after workouts, and mix up your routine. While kneeling, the use of cushions can help reduce the chances of developing bursitis.