The ‘Pes-Anserine Bursa’ lies between the upper medial aspect of the tibial bone and the insertion of three tendons close to the medial collateral ligament insertion on the inside of the leg. The three tendons that conjoin together at the point of the bursa are derived from the muscles Gracilis, Sartorius and Semitendinosus.
Causes: Inflammation of the Pes-Anserine bursa may lead to a term called ‘bursitis’. Bursae are located in many parts of the body and act as lubricating sacs of fluid that reduce friction between bones and surrounding soft tissues. Direct trauma such as a collision in football, rugby or following a road traffic accident may subsequently lead to the onset of the problem. The bursitis can also be attributed to overuse due to sustained and repetitive actions during sport and other leisure activities. Biomechanical implications and poor footwear may also be causative factors.
Symptoms & Diagnosis: Medial knee pain and swelling are the most common symptoms associated with the condition. Range of movement restriction and stiffness around the knee joint may also be reported in more severe and chronic cases. Symptoms are normally exacerbated with specific continual sporting and leisure activities that exert excess stress and tension to the bursa.
Management: An accurate diagnosis by a skilled physiotherapist is recommended at the earliest opportunity to allow for an efficient recovery and return to full function. Physiotherapy will help to alleviate pain and associated symptoms. A biomechanical assessment may be indicated in conjunction with physiotherapy treatment to allow a return to full function and reduce the risk of further injury. Onward referral to a consultant may also be required as indicated.
Please feel free to contact the Manchester G4 Clinic to speak to a member of the team for any questions that you may have.