KNEE BURSITIS - UNDERSTANDING PAIN AND ITS SOLUTION Prepatellar bursitis (knee bursitis)is inflammation of the bursa (a fluid-filled sac) that’s located in front of your kneecap (patella). Knee bursitis happens when irritation, infection or damage affects the bursa and it makes too much fluid. The extra fluid causes the bursa to swell and puts pressure on other parts of your knee joint.CAUSES:Frequent and ongoing pressure, such as from kneeling, especially on hard surfaces.Overuse of the knee or strenuous activity.A direct blow to the knee, .An infection of the bursa due to bacteria, which could get into the knee through a bruise or a cut.Medical problems that can happen with osteoarthritis, rheumatoid arthritis or gout in the knee.sYMPTOMS:the symptoms can start slowly and become worse over time.The affected portion of your knee might feel warm, tender and swollen. You also might feel pain when you move or when you're at rest.TREATMENT: treatment involves pain management using ultrasound, , ice therapy, laser therapy, interferential therapy, Manual therapy like soft tissue mobilisation, joint mobilisation lymphatic drainage with lympha press machine, dry needling , strength training , flexibility training with activity modification.