Bursitis

Putting pressure on your knee can become painful and uncomfortable when you have bursitis, affecting everything from kneeling and walking to exercise and everyday activities. At Fortius Clinic, our specialists combine expert diagnosis with personalised care to support your recovery. We'll help you understand your condition, guide you through your treatment options and work with you towards a safe return to everyday activities. Early assessment can help identify the cause of your symptoms, rule out other knee conditions and ensure you receive the most appropriate treatment.

Specialist expertise

Our knee consultants use their experience and clinical knowledge to understand your symptoms, confirm the diagnosis and recommend the most appropriate treatment for you.

 

Sports medicine experience

We regularly support everyone from recreational exercisers to elite athletes, helping people manage knee injuries and overuse conditions and return to the activities that matter to them.

 

Flexible access to care

Whether you're self-funding, using private medical insurance or have a referral, we'll help you access specialist care as quickly as possible.

 

What is bursitis?

A bursa is a small fluid-filled sac that cushions and reduces friction between bones, tendons, muscles and skin around a joint. There are several bursae around the knee, helping it move smoothly during everyday activities. Bursitis occurs when one of these bursae becomes inflamed. This can happen after a direct blow to the knee, repeated pressure from kneeling, or overuse during work, exercise or sport. In some cases, bursitis may also develop alongside conditions such as arthritis or infection.

What are the symptoms?

Symptoms vary depending on which bursa is affected, but commonly include:

  • Pain around the knee
  • Localised swelling
  • Tenderness when touching the affected area
  • Warmth or redness over the swelling
  • Pain during kneeling, walking, climbing stairs or exercise
  • Stiffness or discomfort when moving the knee

If your knee becomes very swollen, red, hot or painful, or you develop a fever, it is important to seek urgent medical assessment as these may be signs of an infected bursa.

 

How is it diagnosed?

Your consultant will begin by asking about your symptoms, medical history and any recent injuries or activities that may have contributed to your knee pain. They'll then examine your knee to identify the affected area and assess how your symptoms are affecting your movement.

To confirm the diagnosis and guide treatment, we may recommend:

  • A detailed medical history
  • Physical examination
  • Assessment of your knee movement and tenderness
  • Ultrasound scan to assess the inflamed bursa
  • X-rays if another bone problem is suspected
  • MRI scan if further assessment of the surrounding structures is needed
  • Aspiration (removing fluid from the bursa) where appropriate, particularly if infection or gout is suspected

In some cases, aspiration and an ultrasound-guided corticosteroid injection can be performed during the same appointment.

 

How is it treated?

Your consultant will recommend a treatment plan based on the type of bursitis, the severity of your symptoms and your lifestyle.

Treatment may include:

  • Activity modification to reduce irritation
  • Rest and gradual return to activity
  • Ice to help reduce pain and swelling
  • Anti-inflammatory medication if appropriate
  • Pain relief where needed
  • Physiotherapy to improve strength, flexibility and movement
  • Aspiration to remove excess fluid where appropriate
  • Ultrasound-guided corticosteroid injection to reduce persistent inflammation

Surgery is rarely required and is usually only considered if symptoms continue despite appropriate non-surgical treatment or if bursitis repeatedly returns.

 

What is bursitis?

Treatment routes

Most cases of knee bursitis improve without surgery.

Treatment usually focuses on reducing inflammation, relieving pain and allowing the irritated bursa to recover. This may include activity modification, physiotherapy, medication and, where appropriate, aspiration or a corticosteroid injection. Most people notice gradual improvement over several weeks.

 

Recovery goals

Early recovery

The initial focus is on:

Reducing pain and swelling Protecting the irritated area Maintaining gentle knee movement Avoiding activities that aggravate symptoms

Building strength and movement

As symptoms settle, rehabilitation focuses on:

Restoring normal movement Improving flexibility Building strength around the knee Returning to everyday activities with greater comfort

Returning to the activities you enjoy

The final stage aims to:

Gradually return to work, exercise or sport Improve balance, strength and control Reduce the risk of symptoms returning Build confidence in your knee during daily activities

Working with professionals and teams

Our consultants support professional athletes, sports teams, active individuals and people whose work places repeated demands on their knees. Working closely with physiotherapists, strength and conditioning specialists and the wider multidisciplinary team, they develop personalised treatment plans that support a safe return to sport, work and everyday activities.

 

The same specialist expertise and collaborative approach are available to every patient, whatever your activity level or recovery goals.

 

Working with professionals and teams

Our Experts - Leaders in Knee Treatments

Dedicated to restoring your mobility through advanced surgical care, tailored rehabilitation programmes, and compassionate, evidence-based patient support.

How to pay

We offer flexible options depending on how you choose to access care at Fortius. Whichever option you choose, we’ll help make the process clear and straightforward from the start.

Private medical insurance

Private medical insurance

If your care is covered by private medical insurance, we’ll usually invoice your insurer directly. Please check your policy in advance and request an authorisation code if your insurer requires one. You’ll be responsible for paying any policy excess or costs that aren’t covered by your insurance.

Paying for yourself

Paying for yourself

You don’t need private medical insurance to access care at Fortius. If you’re paying for your own treatment, our team will explain the costs clearly and provide a personalised quote before you decide whether to go ahead.

 

Bursitis FAQs

Many cases improve with rest, activity modification and simple treatments. However, if your symptoms persist, become more painful or keep returning, it's important to have your knee assessed to identify the underlying cause.

 

Recovery varies depending on the type and severity of bursitis. Mild cases often improve within a few weeks, while more persistent inflammation may take several months. Your consultant will advise what to expect based on your individual recovery.

 

Can I still exercise with knee bursitis?

 

Not everyone needs an injection. If your symptoms do not improve with rest, physiotherapy and other non-surgical treatments, an ultrasound-guided corticosteroid injection may help reduce inflammation and relieve pain.

 

Yes. Smoking and vaping can slow the body's natural healing process and may prolong recovery from inflammation or surgery. Stopping smoking, or reducing how much you smoke, can support healing and lower the risk of complications. If you would like help to stop smoking, speak to your GP or visit the NHS Quit Smoking website.

 

Yes. Bursitis can return if the underlying cause, such as repeated kneeling, overuse or ongoing pressure on the knee, is not addressed. Following your rehabilitation programme and making any recommended activity modifications can help reduce the risk of recurrence.

 

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