The knee has five bursae: the suprapatellar, situated between the femur and the quadriceps femoris tendon; the subcutaneous prepatellar, situated between the skin and the anterior surface of the patella; the superficial infrapatellar, situated between the skin and the patellar tendon; the deep infrapatellar, situated between the tibial tuberosity and the patellar ligament; and the pes anserinus bursa, situated at the lower inside of the knee joint where the sar-torius, gracilis, and semitendinosus muscles insert jointly as the pes anserinus tendon.
Repetitive pressure or trauma to the bursae or repetitive friction between bursa and tendon results in inflammation of the bursa, as well as of the tendon.
Dry needling acupuncture is an effective treatment for knee bursitis. Needles can be applied directly into the inflamed, tender, swelling, and painful area and into related muscles around the knee. Two to three needles per square centimeter can be applied to the swelling bursa. In addition, the treatment is used to balance the entire muscu-loskeletal system. Two treatment sessions per week should be provided.
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