Goosefoot tendinitis or tendinopathy
It is an irritation of one or more tendons of the pes anserinus.
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Synonyms:
- Pes anserinus tendino-bursitis
- Pes anserinus bursitis
What is the difference between tendinitis and tendinopathy?
The two are almost identical. Science has recently discovered that there is not always inflammation present in tendon pain.
"So when there is tendon pain without inflammation, it is called tendinopathy. When there is tendon pain with inflammation of the tendon, then it is called tendinitis."
In both cases, whether it is tendinitis or tendinopathy, the treatment is not very different. We will therefore include tendinopathies and tendinitis as being the same injury.
What is pes anserinus tendinopathy?
It is an irritation of one or more tendons of the pes anserinus.
What is the pes anserinus?
It is the area where three tendons of the knee attach, just on the inside of the tibia, a little below the knee. These are the tendons of the gracilis, semitendinosus, and sartorius muscles.
What are the causes of pes anserinus tendinopathy?
This can be caused by:
- Too rapid an overload on the knee muscles
- Repetitive flexion-extension movements of the knee
Here are some classic examples of the development of this pathology:
- Resuming running after the winter without proper pacing (especially if you do a lot of downhill slopes)
- Going for a mountain hike without being used to it.
What are the symptoms of pes anserinus tendinopathy?
The most common symptoms are:
- Pain on the inside of the knee
- The pain may be increased by:
- Doing a squat
- Going up or down stairs
- Running
- Walking
- Sitting with your legs crossed
How is pes anserinus tendinopathy diagnosed?
Diagnosis is possible based on a review of your symptoms and a clinical examination. X-rays cannot detect tendinopathy.
When should I see a physiotherapist for pes anserinus tendinopathy?
You should consult a physiotherapist if you have symptoms as described above or if your doctor has already ruled out any other cause that may be responsible for your pain.
You do not need to see a doctor before consulting a physiotherapist. If your condition requires you to see a doctor, your physiotherapist will be able to tell you.
What physiotherapy treatments are available for pes anserinus tendinopathy?
Your physiotherapist will perform an assessment to determine the cause of your tendinopathy and will evaluate the following elements:
- Your joint mobility
- The gliding of your nerves
- The quality of your movements
- Your strength and stability
Based on the assessment results, your physiotherapist will:
- Mobilize your knee to reduce pain and improve your movement
- Give you specific exercises to retrain the control of your knee movements.
- Give you exercises to regain mobility, reduce pain and regain your muscle strength.
- Teach you how to properly manage your daily activities and hobbies to optimize healing
- Give you advice for your posture and movements.
What can I do at home for pes anserinus tendinopathy?
Temporarily stop doing movements that cause too much pain, and then gradually start doing them again.
- Here are some tips that may help: Practice activities that reduce stress on the area, such as swimming or pain-free cycling.
- Do strengthening exercises for your glutes.
If you don't see any improvement after 10 days, you should consult a physiotherapist.
If you are a runner, please refer to the blog article on running (link to come) for concrete tips for running.
To learn more...
You can listen to the podcast "Parle-moi de santé" created by one of our physiotherapists, Alexis Gougeon.
Episode #1 discusses the prevention and treatment of running injuries.
Find the episode on YouTube:
Click below to listen to episodes on podcast platforms:
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Sources
- Mohseni, M., & Graham, C. (2019). Pes Anserine Bursitis.
- Uson J, Aguado P, Bernad M, Mayordomo L, Naredo E, Balsa A, Martin-Mola E. Pes anserinus tendino-bursitis: what are we talking about?. Scandinavian journal of rheumatology. 2000 Jan 1;29(3):184-6.
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