Pes anserine bursitis is a knee disease in which there is an extreme pain in the internal part of the knee of the person. This pain has its root about 2 to 3 cm below the joint of the knee. 

Usually, athletes suffer from this issue of knee pain. Swimmers and runners due to excess use of their knees typically suffer from such illnesses. Moreover, middle-aged women being overweight might face the same issue because of the extra weight on their knees. 

Pes anserine bursitis is an extreme pain that starts gradually. In most of the cases, this pain has no sudden starts, but it gets worse with passing time and increased knee activities. The pain can get worse in activities like running and stair climbing. 

The healing process of pes anserine bursitis can take time. Moreover, if all the precautions have chosen, the problem doesn’t come back. 

Here given below are some of the symptoms, causes and treatment ways for pes anserine bursitis icd 10 so that you can get recovered from the disease and it doesn’t come back. 

What Is Pes Anserine Bursitis?

Pes anserineis the inflammation disease of pes anserine in the inner part of the human knee. The pain caused by this disease is medial. 

Pesanserinus actually is the inner area of knee joint where there is a shine bone. Shine bone is the point behind the knee joint where three tendons muscles attach. 

The spot where these muscles join forms a webbed foot form making a single tendon. This tendon gets attached with shine bone. 

Three muscles which form a single tendon on the shine bone are:

Sartorius 

It is one of the most massive muscles in the human body that runs down and across a thigh to make hip and thigh movement smooth. 

Gracilis 

It is a hip muscle which helps in leg movements. It lets the leg draw inwards. 

Semitendinosus 

It is the hamstring muscle in the human body, which helps in bending the knee in its right position. Gracilis and Sartorius combine with semitendinosus to form a tendon. 

Inside the conjoined tendon formed by all these muscles, there is the pes anserine bursa. This Bursa is a small bag type substance that gets filled with liquid. Bursa is there behind the knee joint to control the level of friction among the tibia and the tendon. 

This fraction needs to get reduced as high fraction among these two can make you knee movements tough for you. As the fraction is reduced, your knee bones can remain strong.  This reduced fraction provides more cushioning to the tendons. It also smooth’s knee movements and prevent your knees from inflammation.

What actually causes Pes anserine pain?

Increased friction and more stress on the knee joint areas where these three muscles combine to cause inflammation in pes anserine. This inflammation gradually starts causing pain.

The pain in the start is not too intense, but as the knee activities keep on increasing, the pain worsens. 

Once the bursa is inflamed, it starts creating more fluid, and this leads to the swelled bursa. It also creates excessive pressure on knee joint surrounding structures. 

Below are the common reasons for pes anserine:

1. Stress

The muscles combined on the shine bone work collaboratively to make natural knee movements. When the muscles get used repetitively without providing much rest to them, they start creating more friction. 

Activities that can put repetitive stress on these muscles are swimming, runnings, cycling and other movements of the knees. All these activities put extra pressure on knees and cause pain. 

2. Muscle Tightness

If muscles around knee or hip are weak or tightened, this issue of pes anserine can arise. This tightness in muscles puts extra pressure on the tendons and this pressure damages the tendons.

Moreover, the burden then gets imposed on bursa. Pes anserine bursitis has one common reason for tight hamstrings. 

3. Lack of Training 

Usually, athletes get no enough training for reducing stress on their knees and hip areas. This lack of training or inadequate training can increase the intensity of pressure on those muscles.

Moreover, low weight and stretching become a reason for pes anserine bursitis. 

4. More medical reasons

Other several medical reasons cause pes anserine bursitis. One of the critical reasons includes inflammation caused by arthritis. This inflammation creates swelling in the bursa. According to the latest studies, more than twenty percent of the people out of the whole suffering from pes anserine bursitis are those who have knee osteoarthritis.

People who have diabetes can also have Osgood Schlatter, which becomes a reason for the pes anserine. 

5. Biomechanics

People usually have altered biomechanics. This change in the site of their soft tissues and leg bones place excess pressure on the knee joint. Flat feet can also be the reason. 

6. Obesity

Obesity is one of the most common causes of excess weight and inflammation on the knee bursa and causes pes anserine. 

7. Trauma

Trauma means a direct damage on the knee joint area. Trauma can swell the bursa and cause inflammation to it. This injury if doesn’t get treated in time, can turn into pes anserine. 

8. Gender

Gender can also be a reason for pes anserine in people. According to various studies, pen anserine is more usual in women, especially those who are mid-aged. This problem prevails in women because of the changed angle of joint or for the wide pelvis. 

Tendonitis can sometimes happen with pes anserine. In tendonitis, small tears get created inside the tendon. When these two problems co-occur, it becomes difficult to identify each of them because they have the same treatments, causes and symptoms. 

What are the symptoms of Pes Anserine Bursitis?

The symptoms for pes bursitis are never specific. They can vary among person to person. However pes bursitis has some similar symptoms to other knee diseases which make it difficult to identify the actual disease. Following mentioned are the symptoms that are also common in osteoarthritis:

• Pain in the knee joint starts gradually. This pain prevails in the surrounding area of the knee. Moreover the pain continues to grow inside the knee about more than 2 to 3 inches in depth. The central point for this knee pain is the shinbone.
• Excessive walking or mountaineering can make the pain situation worse.
• There can be swelling and high inflammation in knees.

Diagnosis

Pes anserine has anyhow common symptoms to some more knee diseases like osteoarthritis and patellofemoral syndrome. This is why only a professional physician can tell if you are suffering from pes bursitis. A physician will do your complete examination. He will also have a complete record of your medical history. This history will help him to identify and evaluate the nature and intensity of knee pain you had. Normally doctors ask patients to get their X-rays done so that the disease can get diagnosed in a better way.

Incase this pes bursa has diagnosed, the doctors further conduct the MRI of the patient’s knee. MRI is important to know the intensity of damage this disease had made to the knees.

If the disease has prevailed because an infectious fluid, the a test gets conducted to diagnose that agent fluid.

Can PES anserine bursitis be healed?

In most situations, the cure to knee bursitis is self-limiting. When it is about getting the right treatment or cure for the pesanserinus bursitis, there are some things that can temporarily help reduce inflammation and pain in the knee joint. But you will always need a permanent solution from stopping these diseases from coming back again. 

Whenever you are considering the cure for this knee joint disease, you have to make sure that whatever the procedure you use, it should treat the problem and along with that, the reasons behind symptoms of the problem also need a treatment. It means that if a treatment cures pain, it should also cure muscles stiffness. 

Following mentioned are some of pesanserine bursitis treatments:

1. Ice

For temporary pain treatments, you can apply an icepack on your pain spots. Apply icepack for about 15 minutes after every some hour. It will let you feel better with reduced pain and less swelling. 

You can try alternative ways for ice wraps around your knees. 

2.Rest

When you have diagnosed with pes anserine, you have to stop activities, including more knee movements. Stopping such events can make you get rid of the pain temporarily. You need to take more rest and modify your activities. 

via GIPHY

3. Medication

Taking necessary painkillers and anti-inflammatory medicines can also help you in getting rid of your knee pain. You can take paracetamol or ibuprofen to reduce inflammation and swelling over your knees. It is better to get the medication recommended by your doctor in severe cases. 

via GIPHY

4. Stretching 

Tightness in knee muscles or hamstring can be another cause for pes anserine bursitis. You can treat it by having different stretching exercises to let the muscles move correctly.  

via GIPHY

5.Muscle exercises 

Weakened knee and hip muscles can change the pressure and force level on the knees. These subtle changes in pressure can cause pes anserine. You can try doing strengtheningpes anserine bursitisexercises for your quads, glutes and hamstrings. It will decrease the weight on bursa, and you can rid of intense pains. 

via GIPHY

6. Physical Rehabilitation

You can schedule an appointment from a professional physical therapist. Therapies may be quite helpful in assessing the tightened and weakened areas of the knee so that they can get treated with more focus.

via GIPHY

Therapists often use different pes anserine bursitis massage and treatments like acupuncture and ultrasound, to help you get rid of pain and inflamed knees. Pes anserine bursitis knee brace also helps in reducing pain and pressure on knee.

7. Injections

There are separate pes anserine bursitis injections now used for treating pes anserine bursitis. The doctor can recommend the injections to reduce pain and swelling over your knee joint. Injections normally provide you with an immediate but a temporary relief from pain, but for a permanent solution to the problem, these injections must use with proper physical therapies and other medical supports. It is necessary to stop the problem from coming back. 

via GIPHY

8. Surgery

Surgery is the last option that is present as the treatment of pes anserine. It usually happens in infrequent cases when the pain doesn’t stop, or the problem arises again and again. A pes anserine mri gets done.  In such a situation, your doctor would indeed advise you to have surgery and get that bursa removed. Theti operation isn’t a lengthy one, and you can go home back on the day you have your surgery. But you usually need the time of more than two weeks to get back to your routine activities. 

via GIPHY

After the surgery, the pain reduces gradually and once when you feel it being healthy, you can get engaged in the routine activities. Remember to take extra care of your knees after surgery.

Don’t put additional pressure on them because there is no other option after an operation to permanently heal pes anserine bursitis. 

Usually, pes anserine bursitis recovery time is no more than three months to heal the disease permanently after a surgery. You can get back to the normal routine activities after that. 

9. Some common knee diseases

Some other diseases and knee issues have similar pain, and inflammation like pes anserine has. They include stress fracture on the knee, MCL tear, cartilage tears and arthritis.

These issues have symptoms, causes and treatments almost similar to pes anserine bursitis, but they are not that severe. Bursitis can have a severe impact on the other areas of the knee other than the shinbone or the knee joint.  

All these problems, symptoms, and causes associated with pes anserine are common in people having this disease. There could be some exceptional cases, too, but the treatments somehow are the same. One thing to make sure is that once you are going through a surgery, you need to limit all those physical activities too that can get this disease back.