Knee
Pes Anserine Bursitis Physiotherapy in Indirapuram
Pes anserine bursitis causes pain on the inner side of the knee, just below the joint line, where three tendons from the thigh attach to the shin. It often accompanies knee osteoarthritis and is frequently missed because of it.
What and where
The pes anserinus is where the sartorius, gracilis and semitendinosus tendons join and attach to the inner shin, a few centimetres below the knee joint. Under them sits a bursa. Irritation of the bursa or the tendons causes local pain and tenderness.
It's common in people with knee osteoarthritis, particularly women, and in runners who increase mileage quickly. Knock knees, tight hamstrings and excess body weight can contribute.
How to tell it apart
The key feature is location. Arthritis pain is usually at the joint line or diffuse. Pes anserine pain sits slightly lower, on a point that's tender to press. Climbing stairs, getting out of a chair and crossing legs often aggravate it. Pain at night lying with knees together is also common.
Treatment
We reduce the load that's irritating the area and address contributing factors: hamstring and inner thigh strength and flexibility, hip control and, if relevant, running volume. A pillow between the knees at night helps. Ultrasound, IFT and taping provide short-term relief.
Because it often comes with knee arthritis, treating the arthritis with strengthening usually helps both. Most people improve over several weeks.
Exercises often used for Pes Anserine Bursitis
These are exercises our physiotherapists commonly include. Which ones suit you, how many and in what order depends on your assessment and stage of recovery.
Medical note
This page is general information, not a diagnosis. Treatment is planned after an in-person assessment by a physiotherapist, and we refer you to a doctor where symptoms need medical review first. If you have sudden weakness, loss of bladder or bowel control, chest pain or severe unexplained pain, seek emergency care.
Frequently asked questions
Is this part of my knee arthritis?
Why does it hurt at night?
Will injections help?
What is Pes Anserine Bursitis?
Pes anserine bursitis is pain on the inner knee below the joint, where three tendons attach.
What causes Pes Anserine Bursitis?
Common causes include overuse, knee arthritis, tight hamstrings and obesity.
What are the common symptoms of Pes Anserine Bursitis?
Common symptoms include tenderness and pain on the inner knee, worse on stairs.
How is Pes Anserine Bursitis diagnosed?
It is usually diagnosed with clinical examination.
Can physiotherapy help with Pes Anserine Bursitis?
Yes. Stretching, strengthening and load changes usually help. Our knee pain physiotherapy programme is built around this.
What are the goals of physiotherapy for Pes Anserine Bursitis?
To reduce pain and improve muscle balance around the knee.
What treatments may be used for Pes Anserine Bursitis?
Treatment centres on a tailored exercise programme, supported by ultrasound therapy, interferential therapy (IFT) and kinesio taping and hands-on treatment where they help.
Related treatments
Knee Pain Physiotherapy
Strength-led rehab for knee osteoarthritis, ligament and meniscus injuries.
Learn more TherapyUltrasound Therapy
High-frequency sound waves applied to soft tissue. A supporting tool for tendon and ligament problems.
Learn more TherapyInterferential Therapy (IFT)
Medium-frequency current for deep pain relief. Useful for calming pain so you can move and exercise.
Learn moreReady to feel better?
Book an assessment at our Indirapuram clinic or ask for a home visit. Call +91-9999973681 or send a WhatsApp message and we will confirm your slot.