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Pes Anserine Bursitis

Pes Anserine Bursitis: Overview

Pes anserine bursitis is an inflammatory condition of the medial (inner) knee at the anserine bursa, a sub muscular bursa, just below the pes anserinus.

Anserine Bursitis Knee pain and recovery massage

Pes Anserine Bursitis: Pathology

The pes anserinus is the anatomic term used to identify the insertion of the conjoined tendons Sartorius, Gracilis, and Semitendinosus into the anteromedial proximal tibia. Theoretically, bursitis results from stress to this area (e.g. stress may result when an obese individual with anatomic deformity from arthritis ascends or descends stairs). An occurrence of pes anserine bursitis commonly is characterized by pain, especially when climbing stairs, tenderness, and local swelling.

Pes Anserine Bursitis: Pathophysiology

The etymology of the name relates to the insertion of the conjoined tendons into the anteromedial proximal tibia. From anterior to posterior, the pes anserinus is made up of the tendons of the sartorius, gracilis, and semitendinosus muscles. The tendon’s name, which literally means “goose’s foot,” was inspired by the pes anserinus’s webbed, footlike structure. The conjoined tendon lies superficial to the tibial insertion of the medial collateral ligament (MCL) of the knee.

Pes Anserine Bursitis: Muscles involved

Sartorius aids in knee and hip flexion, as in sitting or climbing; abducts and laterally rotates thigh; innervated by the femoral nerve.
Gracilis flexes and medially rotates tibia at knee; innervated by the obturator nerve.
Semitendinosus flexes knee; medially rotates tibia on femur when knee is flexed; medially rotates femur when hip is extended; counteracts forward bending at hips; innervated by tibial nerve and common fibular nerve.


Bursitis Treatment Recommendation

Non-surgical treatments generally fall into two categories: physical exercise and supplements.  Surgery can be an impossibility for a lot of people.  Most people who suffer from the symptoms associated with this condition will find the maximum benefit from a combination of both.  If you are not ready to consider surgery, your best bet is to follow the exercises on this website and if you would like to consider supplements, we recommend trying an all natural joint pain relief supplement like Flexcin.  which is based on research done by Dr. Harry Diehl, who did some fascinating studies into arthritis in lab rats.  From his breakthrough discoveries he developed a chemical compound called Cetyl-Myristoleate, or CM8,  which is the patented ingredient in Flexcin (they also sell similar products for Dogs and Horses if you are interested).