♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the internet ♪
- Hi folks, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- And we are the most famous physical therapists
on the internet!
- In our opinion of course, Bob.
- Today we're going to talk about
what is causing you knee pain.
Is it bursitis? And we're going to tell you how to tell.
So, there's a lot of bursitis's
that could be happening on the knee.
- Right.
- Suprapatellar, prepatellar, infrapatellar,
and pes anserine bursitis.
- Before we go any further, Bob,
I think we've gotta just make sure our viewers
are familiar with it,
because a lot of these terms are kind of like,
what the hell are you talking about?
- Well, we'll go into it.
- Oh, okay, yeah. It's not near as scary as the terms sound.
- Right, as they sound.
- Particularly bursitis, you know.
What is it? We're gonna to tell you exactly what it is.
It's not a big deal really.
- Yeah, knee bursitis is also known as house maid's knee.
'Cause, if you're doing a lot of kneeling.
Or clergyman's knee, if you're doing a lot of kneeling.
Actually I knew a therapist,
when I first started my first job at Mayo Clinic.
We were working on rehab, and we were working on mats.
And we're constantly kneeling on 'em
and working with the patients.
- Right, this. Yeah.
- And he had developed prepatellar bursitis.
- Okay.
- So, and it was a big bump right on his kneecap.
that's what he had there.
So the bursa is a fluid filled sack.
It's a little sack of fluid.
It helps act as a cushion, or it reduces friction.
- Right.
- Between two body parts.
Like bone and skin,
bone and ligament, or bone and tendon.
- Right. And I think in these cases it's often times
between the bone and the ligament or tendon.
So if my fist is the bone and this is a tendon,
it's sliding back and forth over that bone,
and it's a way to keep that sliding-
- Kinda lubricated, yeah.
- Lubricated so things don't wear out,
and if that bursa gets inflamed,
it's a lot of nerve endings there.
It becomes irritated, swollen.
And it's a painful thing.
- And that's where the 'itis' comes from.
- Right.
- Bur-sitis.
- Yep.
- So we're going to talk about,
I actually sacrificed my knee here, Brad.
- Oh.
- So we're gonna show you some of the different types, okay.
- Suprapatellar. Supra means above.
- Above the knee.
- Yeah. Patella means 'kneecap'. So, very easy.
Just 'suprapatellar bursa',
and it's very easy to diagnose to be honest with you
'cause there's going to be swelling here.
And it's going to be tender.
You can push right on that area, and it hurts.
This one is prepatellar, meaning in front, I guess, right.
- Well, it's actually on the kneecap.
I don't agree with that.
I think they should call it antellar.
- Anterior.
- But, whatever.
It's on the kneecap,
it's the same thing, it's swollen,
it may be red,
When you push on it, rub around, it's going 'Ouch!'
- Well again,
that was the one that my fellow therapist had,
and there was quite a bump there.
- Was it a really soft swelling, or was it kinda?
- It was soft. If it's been there a long time,
it might start to get hardened on you.
So you gotta watch that.
And there's 'infra'. Infra means 'below the kneecap'
so 'infrapatellar'.
- So that's kind of almost in the tibia right,
or just before the tibia?
- The tibial tuberosity, yeah.
- Right there.
- And then over here, this is called the 'pes anserinus.'
So they go, where does that one come from?
- Yeah, where does that come from?
- Goose's foot.
- This is usually Latin terms, correct?
- Yeah, so there's three muscles that come together,
and attach right here.
And that's like a goose's foot? Three? I don't know.
- Yeah, that's like the goose talon.
Yeah, and there's like the webbing in there.
It's all coming together how they come up with these things.
- So, if those muscles are tight on you,
quite often they can cause irritation there,
and cause a little pes anserinus bursitis.
- Again, same thing.
Push on it, pelpius could be tender,
sore, a little swelling, possibly red.
- So, yeah. Swelling, red, warmth,
you might have some stiffness there,
and of course increased pain
with kneeling would be another sign.
- Right.
- So what are the causes again to this?
It could be trauma,
direct blow to the knee,
prolonged pressure to the knee.
So, carpet layers, tile layers, wrestlers.
Did you, as a wrestler, did you get it, Brad?
- Yeah, no, I didn't. But I had some other knee issues.
But, yeah, I wore knee cushions, of course,
which could be very helpful.
- Right.
- After I injured my knee, of course.
(Laughs)
I waited.
- That's usually what you do.
- A little more serious would be an infection
or autoimmune condition,
and that's where you've got to get
the doctor involved to make sure of that.
- The big thing is you're going to avoid things
that irritate it.
- Right.
- Which can be challenging if it's your livelihood,
or your work.
- Right, yeah. And you can also see this in athletes.
Long-distance runners, sometimes,
or they call it also 'jumper's knee, like a high-jumper,
or a long jumper.
- Repetitive motion,
or where you get a lot of really high force.
- So, pretty easy to diagnose,
if you've been performing some repetitive activity,
or if you've fallen on a kneecap,
and there's swelling there,
you're gonna probably have bursitis.
- Right.
- And we can show you some things to do for it
in another video.
- Oh, that's it? We're not gonna talk about the treatment.
- Nope, not today.
- So, along with this, keeping that in mind,
this is a part of a series.
- Yes, this is a part of a series of videos on knee pain!
So if you wanna check out the whole series,
and find out the answer to how to treat this-
- Very easily.
- Go to bobandbrad.com and go to the program section,
and look for the one on knee pain.
- Right.
- And under that, you will find one on
how to treat bursitis,
and what else, Brad?
- Yeah, just look at the title you're looking for,
there will be about 30 videos on knee,
all together, easy to find to the one you want,
just look at the title, click on it, watch the video.
There will be a pdf button by it,
you can click that and print out a preview
and all the exercises or treatment recommendations
on that pdf.
It's completely free, we ask nothing from you,
not even an email, so take advantage of it.
It's a really good deal.
- Our gift to you.
- There you go.
- Alright.
- Be careful with your knees.
(laughs)
(uplifting music)