Pes Anserinus Pain Syndrome Treatment !!
Pes Anserine Bursitis: Causes, Symptoms & Treatment Guide
For more painful types of pes anserine bursitis, your doctor may recommend a corticosteroid injection. This provides almost instant pain relief. However, again, this is a temporary solution and should be used in combination with other treatment options, such as exercise. If you are experiencing pain on the inside of your knee, or at the center of your shinbone, then you may be suffering from Pes Anserine Bursitis.If the inside of your knee or the center of your shinbone is painful and feels even worse with movement, such as when using stairs, you might be experiencing a condition known as Pes Anserine Bursitis (PAB).
The good news is that only about 1% of the population will experience this problem, and there are several ways in which PAB can be treated. In the long-run especially, specific exercises that target this very type of knee discomfort will be extremely useful to keep the pain at bay.
Keep reading to figure out if you are displaying symptoms of PAB, which causes this type of discomfort, and most importantly, find out the best treatment options and methods for you.
Bursitis refers to an inflammation of the bursa or the fluid-filled sac that reduces friction between two structures, particularly at a joint, such as the knee. The human body has over one hundred bursae, that are located at the hips, knees, shoulders, and elbows. Since the bursae are located close to moveable structures, they can easily become irritated and inflamed, especially with repeated use.
In the case of pes anserine bursitis, the inflammation develops in the bursa located between the tendons attached to the hamstring muscles, the muscles on the back of your thigh, and the shin bone. When this bursa swells, it may place pressure on parts of the knee, creating pain and discomfort.
Frequently, this condition occurs in conjunction with pes anserine tendinopathy, or inflammation of the tendon. This may happen due to injury of the muscles or tendons, or again, from overuse.
If you play sports or regularly participate in physical activity, you may also find it hard to perform these movements properly. If you’re experiencing any of the above signs or symptoms, avoid doing any movements that rely on your knees too much, and try resting your knee for a period of time to see if there are any improvements.
If the pain persists, consider doing specific exercises that focus on strengthening the knee area. Injurymap can help you with this! Use Injurymap to track your pain, receive a customized treatment plan, and move towards a speedy recovery. However, if the pain persists or becomes severe, even after targeted exercises, this may be a sign that it’s time to see a doctor or a physical therapist. Learn more about the app here.
PAB is often caused by repeated use or overuse of the knee joint. It’s a fairly common condition in runners, especially when they amp up their training around competition time.
Whenever you experience pain, it’s best to halt your activity and rest. This can prevent your condition from becoming worse and allows your body some time to heal.
Typically, pes anserine bursitis will heal within 6-8 weeks or sooner, depending on its severity, adequate treatment, or rest. Typically, it is best to stop all activities that involve the knee until the injury has fully healed, and the bursa is no longer inflamed. Failure to do so may result in a longer recovery period, or even other injuries. In other words, there are no shortcuts when it comes to recovery and healing. Taking care of your body is a gradual process, but if you are patient and diligent with your exercises, you will see longer-lasting positive effects and changes to your body.
While you regain your strength, various treatment methods can help guide your recovery and help you get back in shape. When it comes to PAB, a combination of treatment methods is best. Keep reading to see which ones could work for you.
Rest is probably the first thing you should try. A simple rule to stick to: if it hurts don’t force it, all types of injuries require a certain amount of rest. This is where your body can do its job and heal the affected area. You may need to take a break from certain activities or sports until you’ve made a full recovery. Know that this is in your best interest, and will prevent your pain from worsening, and reduce your recovery time.
Ice can help decrease your pain, but remember, it is only a temporary fix. To get the most effective results, ice the affected area for 10-20 minutes at a time, leaving at least 45 minutes in-between applications. The standard recommendation is that you ice your knee three times per day at a minimum. To ensure that you do not stop the blood flow or damage your skin tissue place a cloth in between any ice pack or cold device, and your skin.
Anti-inflammatory and pain-relieving medications can be used during the initial onset of pain. It’s not recommended to take NSAIDs, such as ibuprofen, for longer than 10-14 days. They can cause gastrointestinal and other health issues. Many of these medications can help reduce your inflammation and thus, restore some range of motion.
For more painful types of pes anserine bursitis, your doctor may recommend a corticosteroid injection. This provides almost instant pain relief. However, again, this is a temporary solution and should be used in combination with other treatment options, such as exercise.
Exercise is essential to help heal most injuries. When it comes to pes anserine bursitis, strengthening and stretching exercises can reduce your pain, improve function, and most importantly, prevent the injury from happening again. Strengthening exercises may focus on the muscles surrounding the knees and hips. Improper movement patterns or weakness of these muscles may lead to injury, including bursitis. The quadriceps, hamstrings, and glutes, are the major muscles that are worked on in a pes anserine bursitis rehab exercise program.
The hamstring muscles are also frequently targeted for stretching exercises, since they are located on the back of your thigh, and help to bend the knee. When the hamstrings become tight, they may pull on surrounding structures, leading to injury and pain. Hamstring stretches are therefore essential to any PAB rehab program.
If you’re experiencing a fever, chills, sweating, shortness of breath, or severe pain, seek medical attention. If your pain does not improve over time with treatment or gentle exercise, you should consider booking an appointment with your doctor, because you may have a condition that is more serious pes anserine bursitis. In rare cases, surgery may be required. Usually, this happens if an infection is present or another very serious condition is causing your bursitis.
Now that you have found the best solution for you, how can you avoid feeling weak in the knees in the future? The answer is exercise: you must try to regularly stretch and strengthen the knee area, otherwise your muscles and joints will weaken over time and will be more prone to damage.
As we age, our body needs a push now and again, jump-start it first with easy exercises, and with time add different types of exercises and increase the number of sets in your routine.
Once you begin to see the results and to feel the difference it makes, you will appreciate your body and everything it does for you even more. You can do it, and you are not alone! We at Injurymap can help you.
Download the Injurymap app today and receive a treatment plan made just for you, so you can get back to doing all the activities that you loved once again.
Krista Bugden has worked as a Rehab Exercise Expert at a physiotherapist clinic in Ottawa, Canada for the past 4 years. She has an Honours Bachelor Degree in Human Kinetics from the University of Ottawa. She uses her extensive knowledge in this area to educate others through well-researched and informative articles. Her passions include helping others and inspiring each person she meets to get the most out of their life.
Cover image (“Best Walking Shoes for Knee Pain for Women”) courtesy of Esther Max, CC BY 2.0, edits have been made to the original image.
We believe in everyone’s ability to help themselves. We are on a mission to give people the tools to treat their own muscle & joint pain.

Evaluation of the effectiveness of platelet rich plasma in treatment of
Platelet rich plasma is an effective treatment for pes anserinus pain. It produces pain relief and thus significantly improves the quality of life. 4. The response to platelet-derived growth factors was poorer in advanced degenerative knee joint disease. Background: Enthesopathy-associated pain does not only occur in athletes but also in persons of average daily activity levels. Repetitive microtrauma within the pes anserinus may lead to chronic inflammation and later result in development of degenerative changes in this region. It is commonly believed that this condition is caused by chronic bursitis of the pes anserinus. However, imaging studies have confirmed that as the underlying cause of complaints only in a small percentage of cases.Material and methods: Between 2011 and 2012, a total of 33 patients with chronic pain in the pes anserinus were treated with platelet rich plasma at the Department of Orthopaedics, Military Institute of Medicine. All patients received 10 mL of autologous platelet rich plasma into the painful region. The effectiveness of platelet rich plasma was evaluated by comparing pre-treatment results and those obtained at 3 and 6 months following the therapy. Pain intensity was evaluated before and after treatment using a VAS scale and the modified Likert scale.
Results: A total of 28 patients (84.8% of the study participants) demon strated total or near-total pain relief within 6 months following treatment.
Conclusions: 1. Pes anserinus pain syndrome is a relatively com mon condition in overweight and obese women over 50 years of age. 2. Our study demonstrated that a greater intensity of degenerative changes of the knee joint was ac companied by more severe pain in the pes anserinus area. 3. Platelet rich plasma is an effective treatment for pes anserinus pain. It produces pain relief and thus significantly improves the quality of life. 4. The response to platelet-derived growth factors was poorer in advanced degenerative knee joint disease. 5. Our treatment is safe; plasma administered to patients was obtained from their own peripheral blood and did not constitute a source of infection with viral hepatitis or HIV.
National Library of Medicine8600 Rockville Pike Bethesda, MD 20894
Pes anserinus tendinitis and bursitis (Concept Id: C0410086)
Evaluation of the effectiveness of platelet rich plasma in treatment of chronic pes anserinus pain syndrome. Rowicki K, Płomiński J, Bachta A Ortop Traumatol Rehabil 2014 May-Jun;16(3):307-18. doi: 10.5604/15093492.1112532. National Center for Biotechnology Information, U.S. National Library of Medicine 8600 Rockville Pike, Bethesda MD, 20894 USA
Medial Knee Pain: Exercises for Pes Anserinus Syndrome
In order to prevent pes anserinus syndrome, it is important to stretch your quads regularly and use a foam roller. Balanced workouts for all muscle groups (e.g. through bodyweight training ) is also helpful.Pes Anserinus Bursitis - Physiopedia
Physiotherapy is the mainstay in the treatment of the Pes Anserine syndrome. To temper the pain caused by the bursitis, the most important thing of all is rest. Avoid stairs, climbing, or other irritating activities to quiet down the bursa and the related pain [1] .
A Patient's Guide to Pes Anserine Bursitis
Nonsurgical Treatment The goal of treatment for overuse injuries such as pes anserine bursitis is to reduce the strain on the injured tissues. Stopping the activity that brings on or aggravates the symptoms is the first step toward pain reduction.Pes anserinus pain syndrome following total knee arthroplasty for
Pes anserinus pain syndrome following total knee arthroplasty for degenerative varus: incidence and predictors PAPS occurs after TKA; the incidence was found to be 5.6%. BMI seems to be an independent risk factor. It is a benign condition and can be effectively treated conservatively in most cases.
Pes Anserinus Tendinopathy - Knee Tendinopathy - Knee - Conditions
Physiotherapy can treat pes anserinus bursitis and help to prevent it occurring in the future. Treatment may include: Stretching exercises; Strengthening exercises; Biomechanical treatment such as gait (walking) re-education or orthotics such as insoles; Education for future activity and exercise; Could there be any long-term effects from pes anserinus bursitis?Pes Anserine Bursitis - Physiotherapy Treatment
Pes anserine bursitis recovery time A regular program of physical therapy usually results in alleviation of the pain and discomfort from pes anserine bursitis anywhere between 2-8 weeks, depending on extent of the damage.Home Therapy Exercises for Pes Anserine Bursitis
The good news is that conservative treatment is usually all that is necessary. Pes bursitis is usually a result of inflammation; therefore, rest, ice, anti-inflammatory medications and physical therapy exercises are effective treatment options. REST – Avoid heavy impact activities and long walks (especially on uneven ground). pes anserinus pain syndrome treatmentpes anserinus pain syndrome treatment
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