Front view of knee joint showing pes anserine bursa. A bursa is a thin, slippery, sac-like film that contains a small amount of fluid. A bursa is found between. Pes anserine bursitis is an inflammatory condition of the medial (inner) knee at the anserine bursa, a sub muscular bursa, just below the pes anserinus. Your Care Instructions. Here are some examples of typical rehabilitation exercises for your condition. Start each exercise slowly. Ease off the exercise if you start.

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To provide a definitive diagnosis, your physical therapist may collaborate with anserlne orthopedic physician or other health care provider, who may order further tests, such as an x-ray, to confirm the diagnosis and to rule out other damage to the knee. Diagnostic and therapeutic injection of the hip and knee. Straight-leg raises to the front.

MRI findings should be compared with those of a physical examination [17] [18]. Pes anserine bursitis can be caused by: It secretes synovial fluid in order to reduce friction between tissues, and also works as a cushion for bones, tendons and muscles [5].

Knee (Pes Anserine) Bursitis: Exercises

Physical therapists treat people with pes anserine bursitis to reduce pain, swelling, stiffness, and weakness, as well as identify and treat the underlying cause of the condition.

Martha returned to the gym to perform the exercises and stretches she learned in physical therapy as well as a modified fitness program.


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However, in some cases no direct cause can be identified.

Physical Therapist’s Guide to Pes Anserine Bursitis

Examine hamstring length with the patient in the supine position. Consult with a physician for further services, such as medication or diagnostic tests.

How Does it Feel? Ligamentopathy Ligamentous laxity Hypermobility. The First 24 to 48 Hours If you see a physical therapist within 24 to 48 hours of your injury, your therapist may advise you to: Include Images Large Print.

Ultrasound has been documented as effective in the reduction of the inflammatory process in pes anserine bursitis [9] level of evidence II. A typical characteristic is spontaneous anteromedial knee pain on climbing or descending stairs.

Although the cause of pain may be clear in cases of severe osteoarthritis with knee swelling and limited range of motion, studies have shown that in cases of mild to moderate arthritis, there is poor correlation between radiographic findings and severity of knee pain. How Can a Physical Therapist Help? Healthwise Staff Medical Review: The editors may edit letters to meet style and space requirements. The pes anserine bursa can be palpated at a point slightly distal to the tibial tubercle and about cm medial to it about 2 fingerbreadths [10].

When you contact a physical therapy clinic for an appointment, ask about the physical therapists’ experience in helping people who have your type of injury. Your physical therapist will choose specific activities and treatments to help restore normal movement in the knee and leg.

Pes Anserinus Bursitis – Physiopedia

Your physical therapist may use different types of treatments to control and reduce your pain and swelling, including ice, heat, ultrasound, electrical stimulation, taping, exercises, and hands-on therapy, such as massage.

The syndrome of anserine bursitis: By the fourth week, she was able to participate in half of the Zumba class and by the fifth week, to finish the full class. Read the full article. The inflammation of the bursa does not appear suddenly, but rather progresses over a period of time. MR imaging findings of medial tibial crest friction.


Certain exercises will aid healing at each stage of recovery. If the bursitis becomes infected and standard antibiotic treatments are ineffective, A surgical decompression of the bursa may be a solution in this case. Get recommendations from family and friends, or from other health care providers.

Pes anserine bursitis

Send letters to afplet aafp. These might begin with “passive” motions that the physical therapist performs for you to gently move your leg and knee joint, and then progress to active exercises that you do yourself. Retrieved from ” https: Dupuytren’s contracture Plantar fibromatosis Aggressive aserine Knuckle pads. One condition that causes knee pain in older, overweight women is pes anserine bursitis.

Progression of these exercises may involve closed-kinetic chain exercises such as single-knee dips, squats and leg presses. Pes anserine bursitis is a condition that produces pain on the inside of the knee and lower leg.

Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. The bursa may be removed if chronic infection cannot be cleared up with antibiotics. Pes anserine is on the lower right side of image Pes anserine bursa lies beneath.

If you have questions about a medical condition or this instruction, always ask your healthcare professional.

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