You may experience some or all the following according to the damage in your bursa:

• Pain (gets worse with time)
• Swelling and inflammation
• Warm sensation
• Tenderness and swelling when pressure is put on the knee
• Difficulty while walking or going down stairs

Knee bursitis main causes are:

• Knee trauma (specially in the front of the knee).
• Sharp blow.
• Friction and irritation due to prolonged kneeling position.
• Overuse (sports like football or volleyball).
• Condition complication such as: osteoarthritis or rheumatoid arthritis.
• Bacterial infection
• Obesity

The most common tests to diagnose Kneecap Bursitis are:

First approach:

• what symptoms you’re experiencing
• when they started
• how long you’ve had them

Imagery test

• an X-ray
• a MRI scan
• an ultrasound scan
• a CT

Home Treatment

This condition can take weeks or months to settle. You can play an active part in speeding up your recovery:

Home treatment

• Rest: avoid the strenuous pain triggering activity and overuse
• Activity modification
• Ice
• Knee elevation
• Compression (use elastic bandage to support the knee)
• Pain relievers

Traditional treatments

• Corticosteroid injection
• Aspiration
• Surgery (severe cases)

Hand on treatment

There are a few studies on Knee bursitis . The following treatment have been proved to help

• Physiotherapy and Osteopathy: manipulation to improve range of movement, often the joint is restricted so the muscles have to work harder and from a disadvantaged position

 Return to activity gradual when: 

• Pain free in all range of movement 
• Pain free load bearing on knee
• No swelling