Also known as Chronic Swelling.Water on the Knee refers to any long-term increase in the size of the knee joint. This may, in fact, be from the soft tissue or from fluid inside the knee joint. Swelling can be indicative of a more serious underlying condition of the knee, such as cartilage, tendon or ligament injury, arthritis, or internal bleeding. Swelling has many causes and it is important to have a specific diagnosis to guide specific treatment. Swelling of any type at the knee deserves evaluation by a knee expert.