Pes Anserine Bursitis
Pes anserine bursitis is a common sports injury, occuring at the knee
joint. Generally caused by overuse,bursitis occurs at the numerous
joints in the body, and commonly occurs in runners, as well as with
basketball, football, and soccer.
Pes Anserine Bursa
Pes anserine bursitis is an inflammation of the pes anserine bursa in
the knee. This bursa, or fluid filled sack sits along the inside edge
of the knee, just below the knee cap and knee joint, and helps reduce
the friction between the tibia and the tendons that attach at this
The pes anserine tendons include the Sartorius, a muscle that runs
along the inside of the thigh, the Gracilis, another inside thigh
muscle, and the semitendinosus hamstring tendon. Each of the tendons
attach at the medial or inside portion of the tibia. The pes anserine
bursa sits between the tendons and the bone, and helps prevent
excessive stress on the tendons.
Overuse, or excessive stress of the knee joint can sometimes lead to
pes anserine bursitis. This can occur at the beginning of an athletic
season, or at any time during the season when the body is being worked
beyond its capacity. Runners may suffer from this if
they significantly increase their milage, change shoes, or have worn
out shoes, or change the surface they are running on.
Other causes of pes anserine bursitis may include tight muscles,
especially those mentioned above. Weakness, or muscle imbalance may
also be a culprit for causing this injury.
This injury usually presents itself with pain along the inside of the
knee, usually worsening with activity or with prolonged time on the
feet. You may experience swelling, or puffiness around the inside of
the knee, and it could be tender to the touch. Depending on the
severity of the inflammation, it may also be warm to the touch, when
compared to the other knee. Discoloration or skin changes are uncommon
with this type of injury.
As with any type of bursitis, in order to treat the injury
successfully, you must limit the inflammation occuring at the joint.
This is best accomplished by the
Resting the knee from stresses by limiting aggravating activities will
help to reduce the pain. Application of ice after activities or when
sore can help reduce pain and inflammation. Elevation may be beneficial
if there is significant swelling, however this is not common. The same
applies for compression. Anti-inflammatory medication may also be of
With any type of overuse injury, finding
the cause is the most important part of the treatment. If you cannot
determine what is causing your pes anserine bursitis, then it will most
likely return once you get back into your activities.
Generally, hamstring stretching, as well as
stretching of the calf and
adductor muscles will help to reduce the stress on the tendons
inserting at the pes anserine, thus limiting the stresses on the bursa.
Make sure that your athletic shoes are appropriate for
your foot type and your
activity, and that they are not worn out, as this can cause undue
stress on the knee.
Gradually increase your activity. This is especially
true if you are starting a season, or beginning something new, such as
running, basketball, soccer, etc. Starting out at too high of an
intensity or to long of a duration can over stress tissues. Give your
body time to accomodate to your activities.
Pes anserine bursitis is a common sports injury, involving inflammation
of the pes anserine bursa of the knee. It can be caused by poor
flexibility, improper or worn out shoes, muscle weakness or imbalance,
or overtraining. Treatment consists of rest, ice, possibly
anti-inflammatory medications, and addressing the underlying causes.
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