Possible patellar bursitis with osteoarthritis in a 38 years old bartender

Patient

Q: I have seen my doctors.x-rays were done..n MRI was done..they say my cartilage looks abnormal. Some flued around knees..know my knee caps r an inch out of place ...the specialistsaid he don't think surgery just yet. gave me knee braces n said could go back to work n won't give me any pain meds as I am in constant pain more so walking... I am a Barteder 38 yrs old 120lbs.the don't know what to do..Im in pain all the time..somdays don't. or can't walk to far.plz help

Doctor

A:    First of all I will give you the definition of Bursitis which a  is inflammation of a bursa caused by repetitive use, trauma, infection, or systemic inflammatory disease. Bursae are flattened sacs that serve as a protective buffer between bones and overlapping muscles (deep bursae) or between bones and tendons/skin (superficial bursae). These synovial-lined sacs are filled with minimal amounts of fluid to facilitate movement during muscle contraction. Deep bursae, such as the subacromial (shoulder) and iliopsoas (hip) bursae, are located in the fascia. Superficial bursae, such as the olecranon(elbow) and prepatellar bursae(knee), are located in the subcutaneous tissue. Symptoms of bursitis may include localized tenderness, swelling, redness, and/or reduced /limited movement. Most patients with bursitis are treated conservatively to reduce inflammation. Conservative treatment includes rest, cold and heat treatments, elevation, nonsteroidal anti-inflammatory drugs (NSAIDs), bursal aspiration, and intrabursal steroid injections (with or without local anesthetic agents).

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