While some areas like achilles need to be avoided, the pes anserine bursa is considered an extremely safe area to inject and so the risk is very low. One theoretical side effect of a cortisone injection is that it can weaken the tissue. The injection can be painful and has an extremely small risk of causing infection.
There is some contention regarding how many times an injection can be repeated but generally it will be considered twice before pursuing surgical options. It may last as long as many months but as little as a few weeks. Relief from a cortisone injection is usually highly effective but temporary. Bursitis is when a bursa becomes inflamed and painful, so pes anserinus bursitis is when the pes anserine bursa becomes inflamed. It is between three muscle tendons (gracilis, sartorius and semi tendinosis) and a ligament on the inside of the knee (medial collateral ligament).
#PES ANSERINUS TENDON TRIAL#
A trial of anti- inflammatories or simple pain relief medication like paracetamol may however be worthwhile initially or if the symptoms are severe.Įxercise therapy should be the mainstay of treatment.Īn injection of cortisone, which is an anti-inflammatory steroid medication, may be given to relieve pain. The pes anserine bursa is on the inside of the shin bone (tibia) just below the knee joint. Pain medication tends not to be particularly effective for pes anserine tendinopathy / bursitis. Reducing provocative activities such as running and jumping will facilitate recovery. Tennis and Golfers Elbow (Tendinopathy/ Enthesopathy).
Acromioclavicular (AC) Joint Osteolysis.Metatarsal Stress Fracture (excluding 2nd and 5th MT).Interdigital Neuromas (Morton’s Neuroma).Posterior Cruciate Ligament Injury (PCL).Medial Collateral Ligament (MCL) Injury Pes anserinus is the area on the inside of the knee where the tendons for the gracilis, sartorius and semitendinosus muscles attach.Chronic Exertional Compartment Syndrome (CECS).