Knee Bursitis: Non-Surgical Treatment in Palm Beach
Knee bursitis refers to inflammation of one of the bursae surrounding the knee joint, small fluid-filled sacs that cushion the joint structures. The most commonly affected bursae are the prepatellar (kneecap surface), infrapatellar (just below the kneecap), and pes anserine (inner knee) bursae.
Precise ultrasound-guided injection at Palm Beach Regenerative ensures the correct bursa is targeted, which is critical for effective treatment. Contact us to learn more.
What Is Knee Bursitis?
Each knee bursa serves a specific mechanical purpose, and the pattern of symptoms reveals which one is involved. Prepatellar bursitis is common in professions requiring kneeling. Infrapatellar bursitis is associated with patellar tendon pathology. Pes anserine bursitis commonly occurs in overweight, middle-aged women with knee OA.
Signs and Symptoms
- Prepatellar: Swelling and tenderness directly over the kneecap, worsening with kneeling
- Infrapatellar: Pain and swelling below the kneecap, worsening with jumping or stair descent
- Pes anserine: Inner knee pain and tenderness, often worse at night and with stair climbing
- Localized swelling at the affected bursa site
- Pain with specific movements that load the involved bursa
Common Causes and Risk Factors
- Repetitive kneeling or friction (prepatellar)
- Overuse and traction at the tendon insertion (infrapatellar)
- Knee OA and obesity (pes anserine)
- Direct trauma or blow to the knee
- Inflammatory or crystalline arthritis (gout, pseudogout)
How It Is Diagnosed
Ultrasound identifies bursal fluid and confirms which bursa is inflamed, guiding precise injection placement. MRI may be used when associated joint or tendon pathology is suspected.
Conventional Treatment Options
- Rest, ice, and knee padding
- NSAIDs for inflammation management
- Ultrasound-guided aspiration and steroid injection of the bursa
- Addressing underlying contributing conditions such as knee OA
The Palm Beach Regenerative Approach
Dr. Ghattas uses real-time ultrasound to aspirate any excess bursal fluid and deliver targeted platelet injection directly into the affected bursa, addressing the inflammatory environment with a biological rather than purely pharmacological approach.
For patients with pes anserine bursitis secondary to underlying knee OA, the knee joint itself is addressed simultaneously, treating both the bursal inflammation and the joint pathology driving it.
The BioMod Advantage: MLS Robotic Laser Therapy applied to the knee reduces bursal inflammation and supports local tissue recovery. Xymogen anti-inflammatory protocols reduce the systemic inflammatory load that drives bursal recurrence, making your treatment more durable.
Like all medical procedures, interventional orthobiologics have potential risks and benefits. Results vary by individual. Not all patients are candidates. Dr. Ghattas will discuss your specific situation, realistic expectations, and all treatment options, including when surgery or other interventions may be more appropriate.
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●PATIENT OUTCOMES
Real Patients. Real Results.
No medical procedure can guarantee an outcome. What you should expect is an honest discussion of the evidence, a careful assessment of candidacy, and a recommendation based on your condition.
"Honestly one of the best experiences, I’ve had a really stiff neck for a couple weeks I tried seeing a chiropractor for and it helped marginally but the real jump in relief was coming to see Dr. Ghattas! He has been incredible, wonderful staff, and minimally invasive technique for my pain relief which was super important to me! Thank you Dr. Ghattas recommending to anyone with pain!"Monica A
"Ghattas was instrumental in helping my torn rotator cuff. I did Barbotage for the stone, and then PRP. Great experience. Been about a month or 2 since and I feel great."Ahmet B
"I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them."Roger L
"Over a year ago, both my daughter and I underwent PRP treatment with Dr. Ghattas—PRP for my left knee and PRP for my daughter’s L4-L5 and sacral region. We wanted to wait long enough to truly evaluate the results before sharing our experience. I am pleased to say that the outcomes have been outstanding. My daughter’s improvement has been remarkable, and the treatment has made a significant difference in her quality of life. I have also experienced excellent results with my knee. Dr. Ghattas is an exceptional physician who combines expertise, professionalism, and genuine care for his patients. We are incredibly grateful for the treatment we received and the positive impact it has had on our lives. Thank you, Dr. Ghattas. We are truly grateful for everything you have done. You are simply the best."Dr Jorge A
"Dr. Ghattas is very knowledgable and a sympathetic doctor. Hard to find in America. All questions answered, my procedure went very smoothly, very little pain. Follow up is excellent, I highly recommend his practice."Luciana D
“ I had severe knee pain and was looking for proper knee pain treatment, which is how I found Dr. Ghattas on Instagram. I was a bit hesitant at first, but it turned out to be one of the best decisions I’ve made for my health. Francia was amazing at coordinating all my consultations and making the whole process easy and stress-free. If you’re dealing with knee pain and looking for a reliable doctor and team, I highly recommend them. ”Roger L
“Dr. Ghattas was terrific today. He spent a good amount of time examining me and explaining the regenerative process which I intend to have done next month. More to come after the procedure.”Louie R
“I found Dr Ghattas and his staff very welcoming and informative. The process was well explained and gave me encouragement about the potential for fully restoring my knee joint integrity.”Eric C
“I received two treatments from Dr. Ghattas With excellent results, he takes great care in his assessment and in his treatment you couldn’t be in better hands. I highly recommend his work.”Gisela S
“Apart from the exemplary personal service by the reception and the staff that makes us feel we're at home at the clinic, I have experienced remarkable healing in several episodes from shoulder issue to knee injuries and hip pain. The doctor is so thorough in the diagnosis phase that he administered exactly what was needed, no more no less! Thank you folks for a wonderful experience.”RG G
“Went to Dr. Ghattas for chronic knee and neck issue. I’ve already had multiple procedures done on my neck and multiple epidurals with minimal success. My knee I was told needed surgery to fix. I already had surgery in the past with minimal difference. I ended up getting stem cells in my knee and neck and could t be happier with the outcome. Anyone considering surgery I recommend checking out Regenex first. Next I’m doing the ganglion block and look forward to the results.”Logan H
“Dr. James Ghattas and his team are truly top-notch. His office is equipped with state-of-the-art technology and a staff that's exceptional in their fields. I've referred several clients to him, and they've all been incredibly satisfied. Dr. Ghattas is absolutely ahead of the curve, and I wholeheartedly endorse his work.”Ron H
“I am quite active and go to pilates 3-4 times per week. I was having left knee pain and which was treated with PRP. It took about 3 months for me to feel better but then the pain completely subsided. I now am able to exercise without the fear that I will tear a ligament and am pain free.”Ellipsis P
“Transparency, thoroughness, attention to detail, immediate, high quality, follow ups and follow through are just a few words that come to mind throughout my experiences with Palm Beach Regenerative Sport and Spine.”Milton L
