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Bursitis

Bursitis is an injury or inflammation of the bursa, which can form above the knee joint otherwise known as the prepatella bursa. A bursa is a tiny, fluid-filled sac that functions as a gliding surface to reduce friction between tissues of the body. Sometimes after an initial injury that sets off the process of inflammation, the problem can become self-exacerbating, and the tendons and bursa can become inflamed. This inflammation causes a thickening of these structures, which then takes up more space, causing even further pinching of the tendons and bursa above the kneecap. A thorough physical exam is important to diagnose bursitis, and making an accurate diagnosis is necessary for proper treatment. X-rays are typically performed to assess the bony anatomy of the knee and can sometimes detect calcifications in the bursa when bursitis has been chronic or recurrent. An MRI may be considered to define bursitis and to ensure there is no soft tissue injury. In many cases, the initial treatment for prepatellar bursitis is non-surgical and may take several weeks or months for gradual improvement and return to full function. Working with an experienced physical therapist is highly recommended. They will attempt to restore normal motion to your knee by providing you with specific stretching exercises to improve your range of motion, relieve pain, and strengthen your muscles.
knee-popping-knee-clicking-knee-noise
A question I am asked a lot is, “I hear clicking and popping in my knee, is this something that I should be concerned about?”
Data everywhere, and nowhere to hide. In the bad old days, you got injured, and you didn’t tell anyone. You usually recovered. Lived to play another day. Until you couldn’t. Today, you get injured; you could be monitored, measured, uploaded and reported to everyone. You might not be allowed to play. You are “protected”, maybe even blacklisted. Which scenario is better?
If you want to be treated with a better than 75% chance of success—and if you value excellence as much as kindness—I suggest you demand that creativity be part of the doctor’s repertoire.
July 14th, 2015
In light of Wes Matthews and other NBA athletes suffering Achilles ruptures, Dr. Stone speaks to Mavs Moneyball, a...
April 27th, 2016
Dr Stone talking about Steph Curry's injury and the Warrior's season.
December 11th, 2014
"A few select orthopedic surgeons and researchers around the country are pioneering alternate cartilage...

Stone, K.R., A.W. Walgenbach, A. Freyer, T.J. Turek, and D.P. Speer. 2006.

Stone, K.R., A.W. Walgenbach, T.J. Turek, A. Freyer, and M.D. Hill. 2006.