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Pes Anserine Bursitis Physiotherapy
Pes anserine bursitis refers to a painful knee condition that produces pain on the inside of
the knee and lower leg and it typically happen most commonly in
Up to 75% of people who have
osteoarthritis of the knee have symptoms of pes anserine bursitis.
condition is also commonly associated with type 2 diabetes; 24% to 34%
of patients with type 2 diabetes who report knee pain are found to have
pes anserine bursitis.
However, that being said, in some cases no direct cause can be
Our senior physiotherapists treat patients with pes anserine bursitis
as well as identify
and treat the underlying cause of the condition.
What is Pes Anserine Bursitis?
The pes anserine bursa is a small, fluid-filled sac located 2 to 3
inches below the knee joint on the inside of the lower leg.
It is located below 3 tendons that attach to muscles of the thigh, and prevents the
tendons from rubbing on the shinbone (tibia).
The term “bursitis”
describes a condition where the bursa has become irritated and inflamed.
This condition is usually painful and associated with some swelling in
the affected area. Certain positions, motions, or disease processes can
cause increased friction or stress on the bursa, leading to the
development of bursitis.
Pes anserine bursitis can be caused by:
- Repetitive activities, like squatting, stair climbing, and other work or household activities that are often repeated
- Incorrect sports training techniques, such as a lack of stretching,
sudden increases in run distances, or too much uphill running
- Osteoarthritis of the knee
- Valgus positioning of the knee (ie, a “knock-knee” position where the knees angle inward)
- Turning the leg sharply with the foot planted on the ground
- Injury, such as a direct hit to the leg
- Tight hamstring (back of the thigh) muscles
- A tear in the cartilage of the knee
- Flat feet
How Does it Feel?
With pes anserine bursitis, you may experience:
- Pain and swelling on the inside of the lower leg, 2 to 3 inches
below the knee joint; this pain may also extend to the front of the knee
and down the lower leg
- Pain when touching the inside of the lower leg, 2 to 3 inches below the knee joint
- Pain when bending or straightening the knee
- Pain or difficulty walking, sitting down, rising from a chair, or climbing stairs
How Is It Diagnosed?
Our senior physiotherapist will conduct a thorough examination that
includes taking your health history as well as asking you detailed
questions about your injury, such as:
- How and when did you notice the pain?
- Did you feel pain or hear a "pop" when you injured your leg?
- Did you turn your leg with your foot planted on the ground?
- Did you change direction quickly while running?
- Did you receive a direct hit to the leg while your foot was planted on the ground?
- Did you see swelling around the knee in the first 2 to 3 hours following the injury?
- Does your knee feel like it is buckling or “giving way” when you try to use it?
We also will perform special tests to help
determine the likelihood that you have pes anserine bursitis. We may:
- Gently press on the inner side of your knee to see if it is painful to the touch
- Assess the range of motion you have at the knee and hip, as well as the strength of some of the muscles at these joints
- Observe how you are walking, squatting, and performing other functional and sports-specific tasks as appropriate
To provide a definitive diagnosis, we may
collaborate with an orthopedic physician or other health care provider,
who may order further tests, such as an x-ray or MRI, to confirm the diagnosis
and to rule out other damage to the knee.
how our senior physiotherapists can help you
We will work with you to design a specific
treatment program that will speed your recovery, including exercises and
treatments that you can do at home.
Physical therapy will help you
return to your normal lifestyle and activities.
The First 24 to 48 Hours
If you see our senior physical therapist within 24 to 48 hours of your injury, we may advise you to:
- Rest the area by avoiding walking or any activity that causes pain.
- Apply cold therapy to the area for 15 to 20 minutes every 2 hours.
- Consult with a physician for further services, such as medication or diagnostic tests.
Depending on your condition and goals, your individualized rehabilitation plan may include treatments to:
Reduce pain and swelling
We may use different types of treatments to control and reduce your pain
and decrease swelling, including
We will choose
specific activities and treatments to help restore normal movement in
the knee and leg.
These might begin with "passive" motions that we will do for you to gently move your leg and knee
joint, and then progress to active exercises that you do yourself.
Pes anserine bursitis is often
related to tight hamstring (back of the thigh) muscles. We will determine if your hamstring muscles or any other leg
muscles are tight, and teach you how to stretch them.
Certain exercises will aid healing
at each stage of recovery. We will choose and
teach you the correct exercises and equipment to steadily restore your
muscle strength and power.
These may include using
- cuff weights
- weight-lifting equipment and
- cardio-exercise equipment, such as
treadmills or stationary bicycles
Regaining your sense of balance is
important after an injury. We may teach you
exercises to improve your balance skills.
Speed recovery time
We're trained and experienced in choosing the best treatments and exercises to
help you heal, return to a normal lifestyle, and reach your goals
faster than you are likely to do on your own.
Return to activities
Initially, we may recommend that you reduce or eliminate activities that
aggravate your condition for a period of time.
We will discuss your goals with you and set up a treatment program to help
you meet them in the safest, fastest, and most effective way possible.
You may learn specific exercises, work retraining activities, and
sport-specific techniques and drills to help you achieve your own unique
Other Treatment Options
Studies have shown that some patients who do not respond to
conservative treatment, such as knee bursitis physical therapy, may benefit from
In that case, our senior physiotherapists may recommend that you discuss
other treatment options with your physician, including corrective knee surgery.
surgery is rarely prescribed for pes anserine bursitis, it sometimes is
needed. If surgery is required for your condition, you will follow a
post-surgery physiotherapy recovery program over several weeks guided by our senior physiotherapists.
We will help you
- minimize pain
- regain motion and
- return to normal activities in the safest and speediest
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Phoenix Rehab physio Services
Phoenix Rehab Group works with specialist
physiotherapists and rehab therapists who are highly
trained, qualified, experienced and passionate to provide high level of
expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
HAND THERAPY & SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand
following injuries or post-operations as well as custom made hand splints.
Commonly treated hand pain injuries includes
CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on
- core stability
- flexibility and
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to
- accelerate recovery and
- shorten downtime / recovery period required
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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