What are the treatment options for knee bursitis?

Knee bursitis is irritation or inflammation of a small fluid-filled sac near the knee. Repeated kneeling, pressure, a knock, infection or another inflammatory problem can contribute. [Knee Bursitis](/conditions/knee-bursitis/) may cause a soft swelling, tenderness and discomfort when bending or kneeling.

Early care often reduces pressure on the area, uses comfortable movement and addresses pain. A clinician may recommend [Anti-Inflammatory Medication](/treatments/non-surgical-orthopedics/anti-inflammatory-medication/) when suitable, taking account of other conditions and medicines.

Avoid kneeling and direct pressure while the bursa settles; use padding when you must work near the floor. Keep the knee gently moving without forcing painful bending, and follow advice about cold packs or medication. If swelling is large, persistent or suspected to contain fluid, [Joint Aspiration](/treatments/non-surgical-orthopedics/joint-aspiration/) may help diagnosis or symptom relief.

Surgery is not the first option for many people. [Bursa Removal](/treatments/reconstructive-orthopedic-surgery/bursa-removal/) may be discussed when troublesome bursitis continues despite appropriate non-surgical care or repeatedly returns.

Get prompt medical assessment for a hot, red or rapidly enlarging swelling, fever, drainage, severe pain or feeling generally unwell, as infection needs specific treatment. Seek urgent help if you cannot move the knee or bear weight after an injury.

Arrange a review when swelling keeps returning, does not settle after pressure is removed, or limits work and sleep. Do not attempt to drain the swelling yourself.

Ask what likely triggered the bursitis, whether fluid testing is needed, which pain medicines are safe for you, and how to protect the knee at work. If surgery is mentioned, ask what non-surgical options remain and how recurrence risk will be reduced.