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Home , Bursitis, Tendinopathy

Pes anserine /

What are the symptoms? / tendinopathy results in felt on the inner aspect of the leg just below the , which typically develops gradually (initially the may only be painful following exercise). This initial sign of pes anserine bursitis / tendinopathy is often ignored, as it disappears quickly with walking about or applying heat i.e. a hot shower over the inside of the knee. However, as you continue to exercise, the tendinopathy progresses and the pain within the becomes more intense and more frequent. In the earlier stages, this pain during exercise may initially disappear as you warm up, only to return when you cool down. However, as you continue to exercise, the tendinopathy worsens and your What is it? pain may begin to be present for Pes anserine bursitis / tendinopathy longer periods during exercise until refers to irritation within the it is present all the time. This may tendons and bursa which attach interfere with your performance and to the inside of the lower leg just can sometimes become debilitating. below the knee joint. What should I do? anserine bursitis / tendinopathy, you shouldn’t ignore the problem. Your Pes anserine bursitis / tendinopathy pain may get better as you exercise; generally does not get better on its however, the exercise you are doing own if the cause is not addressed may be interfering with the healing and you continue to exercise. If process and causing further damage. How did I get it? you have or suspect you have pes This can lead to your getting Pes anserine bursitis / tendinopathy anserine tendinopathy, you should worse and your pain remaining after results from overuse of the tendons consult your nearest sports medicine “warm up” and throughout your which attach just below the inner professional. In the meantime, you exercise. If this occurs, your recovery surface of the knee. The function can begin initial treatment. This may be prolonged and it may take a of these tendons is to transmit should consist of icing following number of weeks for you to return to forces produced by three inner exercise. Icing should consist of exercise and sport pain free. thigh muscles to the shin to crushed ice wrapped in a moist towel applied just below the inside Pes anserine bursitis / tendinopathy control movement of the knee joint. does not produce any long-term Repetitive use of these muscles and, of the knee for 15—20 minutes or ice in a paper cup massaged over effects, as long as it is properly therefore, their tendons can lead to diagnosed and treated. If not, it can irritation of the tendons and bursa. the region just below the inside of the knee until the skin is numb. You lead to prolonged pain in the region The tendons often begin to break just below the inside of the knee and down and the bursa sometimes should continue to do this every 1 to 2 hours. a prolonged layoff from exercise and becomes inflamed. sport. If you have or suspect you have pes

[email protected] | www.sportsclinicnq.com.au Pes anserine Bursitis / Tendinopathy

How is a diagnosis made? A diagnosis is made on the history of the injury and examination findings. Occasionally x-rays, and or an MRI are ordered to rule out other .

weeks. There is some contention regarding how many times an injection can be repeated but generally it will be considered twice before pursuing surgical options. The injection can be painful and has an extremely small risk of causing . One theoretical side effect of a cortisone injection is that it can weaken the tissue. While some areas like achilles need to be avoided, the pes anserine bursa is considered an extremely safe area to inject and so the risk is very low. A cortisone injection is usually used in two groups of patients. The first group have milder symptoms or can What does rehab Activity Modification: alternate their duties so they can involve? Reducing provocative activities such work around the pain. In this group as running and jumping will facilitate an injection is performed when the Physical / exercise based therapy recovery. pain has been present for a long must always be the mainstay of Pain Medication: period of time and an extensive treatment. Leg strength, flexibility trial of has failed. and function must be preserved. Pain medication tends not to be The second group is patients with While in severe cases, medications particularly effective for pes anserine extreme symptoms or who for some can be useful, they can generally be tendinopathy / bursitis. A trial of anti- reason cannot wait for physical avoided most of the time. inflammatories or simple pain relief therapy to become effective. This medication like may Initial activity modification is an group usually receives an earlier however be worthwhile initially or if injection but must also engage in important first step. If there is an the symptoms are severe. activity that is provoking symptoms physical therapy or the pain will just it should be ceased while an Physical therapy: return when the injection wears off. appropriate retraining program Exercise therapy should be the for the musculature takes place. mainstay of treatment. Often deep squats are provocative. Cortisone injection: Avoiding these in the short term may be worthwhile. Cross training can be An injection of cortisone, which performed if required. is an anti-inflammatory steroid medication, may be given to Exercise therapy with a relieve pain. Relief from a cortisone Go online for physiotherapist is quite important. injection is usually highly effective more information A stretching and strengthening but temporary. It may last as long as program will most likely be highly many months but as little as a few youtube link tbc effective.

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[email protected] | www.sportsclinicnq.com.au