Pes Anserine Bursitis

Bursitis is a very painful condition in which a bursa sac inside the knee becomes irritated and inflamed. A bursa is a sac of synovial fluid, rich in protein and collagen. These fluid-filled sacs are located in areas where 2 surfaces in your body, most often where a bone and tendon or a bone and muscle, rub together during movement. Bursae play an important role in leading a healthy, active life as they allow your joints to move smoothly and painlessly.

Repetitive bending can cause pes anserine bursitis and pain in the knee.

With too much pressure or friction on a bursa, excess fluid can build up in the sac and/or the the lining of the sac can thicken, causing inflammation. When a bursa becomes inflamed, moving your knee becomes very painful and movement can be difficult. Any actions that put pressure on the inflamed bursa can increase irritation and cause further inflammation and pain.

Specifically, the pes anserinus is the area where the tendons of 3 hamstring muscles (sartorius, gracilis, and semitendinosus) come together. The three tendons merge together on the inside surface of the shinbone. These three muscles are the dominant knee flexors that function to allow movement of the leg towards the body and control rotation of the tibia, protecting the knee against rotary stress. The pes anserine bursa lies beneath these tendons close to the shinbone, providing cushioning between the tendons and the tibia. The term, pes anserinus means "goose's foot" in Latin - owing to the webbed-foot pattern the three tendons make when they meet.

Inflammation of the pes anserine bursae or tendons usually develops due to overuse, trauma, or degradation. The most common cause of pes anserine bursitis is hamstring tightness due to a lack of warming up and stretching properly before activity, particularly long distance running or excessive climbing.


Pes Anserine Bursitis Causes

  • Poor technique or improper warm-up in sports
  • Repetitive knee bending
  • Carrying excess load due to obesity over-stressing the knee joint
  • Arthritis or osteoarthritis
  • Bio-mechanical issues, such as foot rolling, out-turned knees, or limping
  • A medial meniscus tear
  • Overuse or traumatic injury during athletics

Pes Anserine Bursitis Symptoms

Pain, Tenderness and Swelling

If you suffer from pes anserine bursitis you will feel pain or tenderness over your tibia, approximately 2-3 inches below the patella (kneecap). The pain often radiates to the back and inside of the thigh.

Pain to the lateral side of the knee cap is commonly caused by pes anserine bursitis.

Bursitis pain becomes worse during exercise or when you are climbing stairs, but can also increase by simply bending and straightening your knee. Pain usually starts gradually and develops over a few days or even months.

Swelling is usually evident over and around the bursa that is inflamed. This swelling may appear immediately following trauma, over a couple of hours, or up to 7-10 days after the incident.

You may also notice warmth and visible redness on your skin in the area as inflammation in the bursa and along the tendons becomes more severe.

Difficulties Sleeping

Patients suffering from knee bursitis may also have interrupted sleep patterns. Simply bending your knee or rolling over during sleep can cause pressure on the inflamed bursa, increasing your pain. The pain can range from mild to very sharp depending on the amount of inflammation in your knee. Many knee bursitis sufferers recommend placing a pillow between your knees/thighs while you sleep to reduce pain throughout the night.

Limited Range of Motion and Weakness

When you have bursitis in your knee, the pain is often limiting as you stop performing motions that make the pain worse. If bursitis is left untreated the inflammation can increase, causing more pain, limiting movement even more and eventually weakness in the leg muscles and tendons can set in. As you lose strength in your quadriceps, your legs may begin to give out during daily activities.

It is important to treat bursitis in the early stages to reduce the symptoms, minimize damage and maintain motion and strength in your knee. Eliminate any squatting, repetitive knee bending, crossing your legs, kneeling or any other activities that add pressure on your bursa. By treating your knee bursitis early with a Cold Compress or Ice Pack and a T•Shellz Wrap®, you are more likely to prevent long-term damage and chronic conditions from setting in.


Treating Knee Bursitis

Relieving the symptoms of bursitis initially focuses on keeping the pressure off the bursa. If your bursitis is caused by an infection (septic bursitis), the doctor will probably drain the bursa sac with a needle and prescribe antibiotics to treat the infection. For non-infectious bursitis, the preliminary treatment starts with non-operative options such as elevation, rest and cold compression.

The most important factor in healing bursitis is resting your knee. This can be difficult when you have to carry on with daily activities, but resting whenever you can is recommended. During your recovery you will probably have to modify or avoid the activities that stress your bursa until your pain and inflammation settle.

Treatments should involve decreasing swelling, relieving stress on the knee, treating scar tissue, and then restoring strength and movement in your leg and knee. The application of a T•Shellz Wrap® is recommended once inflammation has been calmed to initiate the recovery process.


Initially, Use a Cold Compress or Ice Pack

To decrease inflammation and relieve the pain of pes anserine bursitis doctor's recommend cold therapy.

Applying cold to your inflamed bursa will help decrease the swelling and redness around it. Cold therapy will also help to numb the pain in your knee and help to control the inflammation. In addition, the deep cold will help reduce tissue damage.

Applying cold to your tender bursa is the first step in treating your bursitis. Once pain and swelling has diminished, use the T•Shellz Wrap® (Circulatory Boost) to accelerate the healing of your injured bursa.


T•Shellz Wrap® & Circulation Boost

Once the inflammation of your bursitis has been reduced with a Cold Compress or Ice Pack it is time to start Circulatory Boost treatments with the T•Shellz Wrap®. Regular treatments with the T•Shellz Wrap® will improve blood flow and improve the elasticity of your surrounding soft tissue. Your body needs a fresh supply of blood to improve the health of your tissue and get your knee bursae and tendons back to normal.

Knee Tshellz Wrap for bursa tissue

Unfortunately, when you are suffering from bursitis it can be painful to even walk or lift your leg. When you limit movement in your knee joint the blood flow is reduced, starving your tissue of the necessary oxygen and nutrients.

The trick is to find a way to increase blood flow without causing pain and/or further inflaming the bursae. This is where Circulation Boost, or Circulatory Boost, becomes a powerful tool.

Circulatory Boost compliments your body's natural healing process by promoting blood flow while you give your knee the rest it needs.

The Knee T•Shellz Wrap® uses a process to generate Energy - the same energy that is part of the sun's spectrum of light, the same energy that is necessary to all living things for optimum health. The energy emitted from the Energy Pad reaches into soft tissue, stimulating blood flow to your knee, more than your body would ever be able to generate on it's own, giving your body the boost it needs to continue the reconditioning process. The effect of this energy increases blow flow in the area, speeding up the bodys tissue repair process while whisking away toxins and dead cells. The intent of a T•Shellz Wrap® treatment is to rejuvenate soft tissue in the knee while improving the elasticity of muscles, tendons & ligaments.

With these simple, conservative therapies, cold therapy and Circulatory Boost, you will notice significantly reduced pain and an incredible improvement in your knee pain and range of motion. As always, consult your doctor and/or physiotherapist before beginning any conservative home treatment plan to ensure they are right for you and your condition.


Anti-Inflammatory Medications

NSAIDs, non-steroidal anti-inflammatory drugs, can be used if required to help manage your pain. However, these aren't recommended for long term use, as they can cause gastrointestinal difficulties and increase the risk of cardiovascular disease. Cold and Circulatory Boost can be used in conjunction with NSAIDs however, and will typically improve the effect of these types of medication.


Surgical Procedures

Your doctor may aspirate your inflamed bursa. This involves removing the extra fluid that has built up with a needle. Sometimes, the fluid will be tested at a laboratory to rule out infection. Anyone suffering from bursitis is urged to consult a physician, as an infected bursa is very serious and can become a life threatening problem - so yes - see a doctor!

If your bursitis does not get better with conservative treatments, the bursa may be surgically removed. Usually this is done by arthroscopic surgery, which is a surgical procedure where tiny incisions are made and a pencil-sized camera is inserted into the knee. A small shaver is inserted into another incision, and is used to remove the swollen bursa all together. The surgeon will then look for any damage to the knee and make repairs if necessary. This is also done to remove any bone spurs that are causing irritation.

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Recovery time for the surgery will depend on a number of different factors including your healing ability, diet, rest and how many procedures were done in your surgery.

Post-op recovery time can be reduced with the use of a Cold Compress or Ice Pack and Circulation Boost following surgery. Cold compression is recommended by doctors following surgery to treat your pain in a natural, non-addictive way and to reduce swelling. Once the incision has healed, speak with your doctor about using the T•Shellz Wrap®.

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The intent of the T•Shellz Wrap® is to temporarily increase blood flow in the treatment area, thus encouraging more oxygen and nutrients to flow in the bloodstream, while improving elasticity and strength of soft tissue. Use a Cold Compress or Ice Pack once your incisions have healed to minimize the pain and swelling from the surgery. Using the T•Shellz Wrap® once post surgery swelling has reduced will help minimize scar tissue growth that forms from your surgery, giving you the best chance of full recovery while reducing the chance of re-injury.

Dealing with scar tissue is the most important step following surgery to improve the range of motion in your knee. This is why PT is so important - when you are ready, they mobilize your joints to break scar tissue bonds and improve your range of motion. Leaving the scar tissue untreated can lead to stiffness, chronic knee pain, re-injury, osteoarthritis or other knee conditions.


Rehabilitation & Exercise

PT is a beneficial way to restore atrophied muscles and improve strength and mobility after treating bursitis. The type of PT and the duration will be dependent on the tissue damage and your symptoms. When you are treating or recovering from bursitis, it is important to ensure you do not perform any exercises that will further irritate the bursa.

PT speeds recovery knee rehabilitation

Once your pain starts to diminish, a physiotherapist will set up an individualized strengthening and stretching exercise program for you to perform at home or in the gym. This will be based on your needs and abilities, and will help you return to performing your normal routines.

Individuals will often lift weights on their own, to try and build up their strength. However, in doing so, they can do more damage to the weak knee. It is extremely important to strengthen your muscles properly. A trained therapist will help to ensure your rehabilitation process is appropriate and effective. For best, long term results use the T•Shellz Wrap® an hour before stretching your knee or undergoing some other form of physical exertion on the knee.

During your recovery, you may have to modify and/or eliminate any activities that cause pain or discomfort in your knee joint until your pain and inflammation settle, and you gain more mobility and strength. The more diligent you are with your rehabilitation, the faster you will see successful results.


It may seem hard to believe, but our T•Shellz Wrap® will assist you in recovering from your injury faster and reduce the chance of degenerative conditions by maximizing blood flow where it is needed most, reduce swelling and inflammation induced pain.

If you want to prevent further damage to your knee injury, heal more quickly, reduce swelling and increase circulation for lifelong health benefits, proper use of an ice pack and a Knee T•Shellz Wrap® will provide exceptional results. Why spend time in pain, off from work, and missing out on your active lifestyle when you can be proactive about your injury and the health of your body? Talk to your doctor about incorporating a regular routine of using Circulation Boost into your everyday health regimen.

Our customer service lines are open 5 days a week helping people understand their injuries and how to treat them. Simply call toll free 1-866-237-9608 to talk with one of our knowledgeable Product Advisors. They have the ability to answer questions and even put together a treatment plan for you.

Product Advisors are available 9:00 am to 5:00 pm Eastern Standard Time Monday to Friday.


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During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort at the location of your soft tissue injury until the pain and inflammation settle. Always consult your doctor and/or Physical Therapist before using any of our outstanding products, to make sure they are right for you and your condition. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!


 
 

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