Pes Anserine Bursitis

Questions

• What is Pes Anserine Bursitis?

  Pes Anserine Bursitis is an inflammation of the bursa located at medial side of proximal tibia. It is characterized by pain in medial side of the knee.

• What causes Pes Anserine Bursitis?

  Several factors can contribute to the development of Pes Anserine Bursitis. These include:
  1. Overuse: Repetitive movement such as knee flexion and adduction in actions like running, cycling can irritate the bursa.
  2. Improper training technique: Incorrect form during exercise like excessive internal rotation of hip can put excessive load on medial side of the knee.
  3. Knee valgus: Knee valgus can lead to excess pressure on bursa that lead to bursitis.
  4. Knee Injury: Direct blow over the bursa can also lead to bursitis.

• What are the common symptoms of Pes Anserine Bursitis?

  common symptoms of Pes Ansarine Bursitis include:
  1. Pain and tenderness on medial knee.
  2. Swelling.
  3. Stiffness of knee joint.
  4. Muscle weakness.
  5. Pain may aggravate with activity such as stair climbing or descending.

• What are the treatment options for Pes Anserine Bursitis?

  Treatment of Pes Ansarine Bursitis may include:
  1. Rest: Avoid aggravating activity such as Strair climbing, cycling, running, etc.
  2. Icing: Apply ice pack over affected area to reduce swelling and pain.
  3. Physiotherapy Treatment.
  4. Anti-Inflammatory medications: NSAIDs can be used to reduce pain and inflammation.
  5. Corticosteroid injection: If with Physiotherapy treatment pain and inflammation is not reduced in that case an injection of corticosteroid can be prescribed.

• What are the physiotherapy treatment for Pes Ansarine Bursitis?

  Physiotherpy is the primary treatment for Pes Ansarine Bursitis and It include:
  1. Taping: Physiotherapist can use different types of tapes according to their purpose. Main function of taping is to deload the muscle and provide extra support the the joint and reduce excess pressure from the tendon.
  2. Stretching Exercises: Stretching of quadriceps, hamstring, calf and hip flexor help to make the muscle flexible and ready to do other exercises.
  3. Strengthening Exercises: Rehab starts with isometric exercises that gradualy progress to isotonic and ultimately eccentric exercises.
  4. Functional Training: Training of Functional movement pattern such as lunges, squats, hip hinging, etc.
  5. Shockwave therapy: Shockwave therapy helps to fasten up the healing process and pain management.
  6. High intensity class 4 laser: laser therapy helps to improve blood flow at the applied area that eventualy promote healing.
  7. Manual therapy: manual therapy such as soft tissue mobilization help to improve muscle flexibility.
  8. Cupping and Dry needling.