Best Practice Case Studies-Case 138 Asset 5 Pes Anserine Bursitis

Pdf Summary

Pes anserine bursitis is inflammation or irritation of the pes anserine bursa, a fluid-filled sac on the upper inner part of the lower leg, about 2–3 inches below the knee. The bursa cushions friction between the tibia and the hamstring tendons.<br /><br />Common symptoms include pain and/or swelling on the inner upper lower leg, tenderness when pressing the area, and pain with exercise, knee bending or straightening, rising from a chair, climbing stairs, or lying on one side.<br /><br />Risk factors include overuse, direct injury, sports with running or side-to-side movements, tight hamstrings, poor training technique, knee osteoarthritis, and obesity.<br /><br />A sports medicine physician typically diagnoses it by reviewing the injury history and performing a physical exam. X-rays or ultrasound may be used to rule out other problems, and MRI is usually only needed if symptoms persist.<br /><br />Treatment is usually conservative and may include:<br />- Rest<br />- Ice for 15–20 minutes, 3–4 times daily<br />- Anti-inflammatory medicines like ibuprofen or diclofenac<br />- Avoiding painful activities such as stairs, squats, or climbing<br />- A compressive wrap or knee sleeve<br />- A pillow between the legs when sleeping<br />- Physical therapy with hamstring stretching and quadriceps strengthening<br />- Steroid injection in some cases<br />- Surgery only rarely<br /><br />Prevention includes proper knee positioning, correcting training mistakes, stretching and strengthening exercises, avoiding sudden increases in running, wearing well-fitting shoes, and maintaining a healthy weight.<br /><br />Most people can return to sport as symptoms allow, but rest is advised if there is a limp or worsening pain. With conservative treatment, symptoms usually improve within 6–8 weeks.

Meta Tag

Edition 4th Edition

Related Case 4th Edition, Case 138

Topic Knee

Keywords

pes anserine bursitis

knee pain

inner knee swelling

hamstring tendons

bursa inflammation

overuse injury

sports medicine

physical therapy

anti-inflammatory medication

steroid injection

4th Edition

4th Edition, Case 138

Knee