Pes Anserine Tendonitis or Bursitis

The pes anserinus is the area where the tendons of 3 hamstring muscles (sartorius, gracilis, and semitendinosus) come together. The three tendons merge together on the inside surface of the shinbone. These three muscles are the dominant knee flexors that function to allow movement of the leg towards the body and control rotation of the tibia, protecting the knee against rotary stress. The pes anserine bursa lies beneath these tendons close to the shinbone, providing cushioning between the tendons and the tibia. The term, pes anserinus means "goose's foot" in Latin - owing to the webbed-foot pattern the three tendons make when they meet.

Inflammation of the pes anserine bursae or tendons usually develops due to overuse, trauma, or degradation. The most common cause of pes anserine bursitis is hamstring tightness due to a lack of warming up and stretching properly before activity, particularly long distance running or excessive climbing.

Pes Anserine Bursitis vs Pes Anserine Tendinitis

Bursitis: Each joint in the body has a bursa (Bursae is plural) are flattened fluid-filled sacs that function as cushions between your bones and the muscles (deep bursae) or bones and tendons (superficial bursae). When the joint is over overusing or overstressed the bursa may become damaged with small micro-tears on the surface or become squeezed by tissue which has become tight.

Tendonitis: Overusing or over-stressing any area of the body will damaged the tendon tissue. The tendons connects muscles to bones, and the damage is small micro-tears on the tendon fibers.

It is possible to have both bursitis and tendonitis as the same time in any joint in the body.

Pes anserine tendonitis is a painful, inflammatory condition affecting the tendons between your shinbone and the hamstring tendons at the inside of your knee. The pes anserinus is the area where the tendons of 3 muscles (sartorius, gracilis, and semitendinosus) come together. The three tendons merge together in the skin of the bone on the inside surface of the shinbone. These three muscles are the dominant knee flexors; they influence the rotation of the tibia and protect the knee against rotary stress.

Symptoms of Pes Anserine Tendonitis

If you are suffering from Pes Anserine Tendonitis will have pain and tenderness over the inner knee. Pain that may radiates to the back and inside of the thigh. Pain will increase with exercising, climbing stairs, bending or straightening the knee. You may notice swelling in front and/or underneath the kneecap as well as often warmth and tenderness when touched. The condition is gradual rather than one traumatic event.

*In general, you may experience one or more of the following:

• Pain in the inner knee with knee bending and/or straightening
• Inner knee pain when going up or down stairs
• Weakness or feeling of giving way around the knee
• Swelling over the inside aspect of the knee
• Decrease in knee range of motion due to pain

*"Pes Anserinus Bursitis & Tendinitis". 2019. Physioworks.Com.Au. Accessed May 20 2019. https://physioworks.com.au/injuries-conditions-1/pes-anserinus-bursitis-tendinitis.

What Causes Pes Anserine Tendonitis?

Pes anserine tendonitis is common in athletes (particularly runners), overweight individuals, and often, people with osteoarthritis of the knee. Inflammation of tendons serving these muscles usually develops due to overuse, trauma, or degradation typically from:

• Weak hamstrings muscles
• Tight quadricep muscles and sudden increase in running intensity or change the terrain running on, excessive hill work and/or increased mileage
• Obesity
• *Activities/sports which involve repetitive use of the sartorius, semitendinosus and gracilis tendons such as: running, dancing and sports which require a lot of direction changes (e.g. soccer, basketball)
• *Abnormal hip, knee or ankle biomechanics
• Poor sport techniques that including improper warm-up
• Bio-mechanical issues, such as foot rolling, out-turned knees
• *Inappropriate footwear
• Osteoarthritis
• A medial meniscus tear

*"Pes Anserinus Bursitis & Tendinitis". 2019. Physioworks.Com.Au. Accessed May 20 2019. https://physioworks.com.au/injuries-conditions-1/pes-anserinus-bursitis-tendinitis.

It is generally agreed that muscle weakness or tightness is the most common cause of pes anserine tendonitis (pes anserine bursitis). Prolonged sitting at a desk job will lead to tightness in the quadriceps and further weakness of the hamstring muscles.

Pes Anserine Tendonitis Diagnosis

The only way to truly diagnose any type of knee pain is to go and see your physician. To help your doctor achieve a proper diagnosis, he/she will begin with a medical history about you, your current condition and symptoms. He/she will inquire about the intensity of your present pain, the duration of your symptoms and the limitations you are experiencing. Details about what instigated the problem, when it started, and whether or not you have ever had treatments for this or a similar condition in the past, are very helpful in assessing your injury.

There is one very signification test your doctor should be performing. The 'valgus stress test', is a set of movements of your knee while the ankle is stabilized and/or you knee is in full extension with a slight 30 degree rotation. This test helps narrow down the type of injury your are suffering from. The doctor may look closing at your hamstring muscles, ask you to bear weight with a slight squat, pain produced is a sign of the pes anserinus is the area of injury.

If the tests do not help discover the source of your pain after your examination. Then diagnostic testing will ordered help discover your source of knee pain. Often used to rule out other conditions.

X-rays will provide a two-dimensional image of the overall structure of your knee. They are helpful in identifying knee instability, abnormal bone shapes (bone spurs or bone cysts, fractures, wear and tear on the joints).

MRIs (magnetic resonance imaging) will provide more detailed information and will help to evaluate the soft tissues in and around your knee (muscles, tendons, ligaments, and other connective tissues). It can identify ligament or tendon damage, and can help to determine the extent of your injury, the displacement and degree of your tear or inflammation, as well as other associated knee conditions.

Prevention or Risk Reduction of Pes Anserine Tendinitis

Athletes and non-athletes alike need to ensure their hamstrings are properly warmed-up and stretched before they place any stress on their knee; from extensive hill running to simply climbing stairs.

To prevent pes anserine tendonitis, it is important to first eliminate any of the underlying factors contributing to the condition. Ask your doctor or physical therapist to take a look at your gait and your posture to see if there any bio-mechanical issues that need to be addressed. Secondly, get advice from your physical therapist or trainer on setting a training schedule that fits your ability. Thirdly, but most importantly, warm up your hamstring and then stretch prior to activity!

Step 1 - Reduce Pain and Swelling with Cold Compression

The first step for conservative treatment of your kneecap tendonitis is to reduce the swelling to "open up" the area for more blood flow. Anyone in the health-care business knows that your blood supplies the oxygen and much needed nutrients required to heal foot tendonitis injuries. This is why for years, doctors, trainers, and other medical professionals have recommended RICE (Rest, Ice, Compression, Elevation) to treat the pain and swelling of fresh injuries, chronic pain, and after any re-injury.

This is important because once blood vessels are blocked or damaged, they can no longer carry oxygenated blood to your damaged tendon and tissues begin to break-down. Without cold compression, tissues break down further because they can't get the oxygen they need to survive. By limiting the amount of damage done to your tendons, you also limit the amount of healing that needs to occur. This is a very important step to heal acute or chronic tendon injuries faster and with less pain!

Step 2 - Improve Circulation, Soften Scar Tissue & Prevent Re-Injury with a TShellz Wrap^®

After the inflammation in your knee has been reduced, moving the tendon and applying a local circulatory stimulation device like the Knee TShellz Wrap^® is really what is needed for completing the recovery cycle. This is critical because tendons are known to receive very little natural blood flow and blood flow is really how your body is able to heal itself. When the tendon tissue is damaged, the already-reduced blood flow is decreased down to a trickle which is why movement is encouraged - it helps get blood flow to where it is needed.

Blood flow (healthy circulation) is an important part of natural tissue healing. Injured tendons take the nutrients available in local blood flow (like oxygen and healing agents) to get rid of any damaged tissue and start growing healthy tissue.

TShellz Wraps^® contain a unique Carbon Fiber Energy Pad which is flexible and will shape to conform to your body. This Energy Pad emits a uniform wave of perfectly safe energy over its entire surface. This energy is absorbed by soft tissue in the treatment area, opening blood vessels, resulting in an increase in blood flow. Increased blood circulation is what your body needs to accelerate the healing of soft tissue and this is why we recommend the TShellz Wrap^®.

The TShellz Wrap^® is an FDA Registered Medical Device and is suitable for use in therapeutic clinics and FROM HOME. It is completely safe for people and patients to use for themselves.

The technology found in a TShellz Wrap^® has been used for decades in the worlds of professional and amateur sports - a contributing factor as to why athletes seem to recover from injuries so quickly.

Have you ever wondered by an athlete can return to activity after 3 or 4 weeks following a tendon injury - while your average person takes much longer to return back to normal? The secret isn't really that much of a secret - it involves consistent treatments (meaning multiple times a day) using a treatment like the TShellz Wrap^® to stimulate blood flow to the injured tissues. Most athletes have the luxury of using in-house facilities many times per day.

How many us can afford the time and money to visit a clinic multiple times a day? Very few indeed. This is how you can gain some of the advantages that athletes enjoy in their injury recovery - by using a device like the TShellz Wrap^® two or three times a day on a consistent basis.

What Else Makes the TShellz Wrap^® So Special?

We believe the TShellz Wrap^® to be one of the most effective home treatments to increase localized blood flow in and around the treatment area.

We can promise that you will receive a product that is designed to be safe and does what it is supposed to do...quickly relieve pain and aid in the recovery from tendon, muscle and other soft tissue injuries.

The unit plugs into a standard wall outlet to get its power. The nice thing about the power supply is that the same unit can be used in North America and overseas as well. It has the capability to operate between 110v and 230v.

The TShellz Wrap^® has a special signal controller that can be set for 3 different power levels of application (3=High, 2=Medium, 1=Low). The cord is long enough that you can sit or lie comfortably and watch TV, read or surf the net while you're using it.

Treatments are max 30 minutes in duration and the device can be worn over clothing. This allows you to use the device at work, at home, or really anywhere you have access to an electrical outlet.

• When treating any soft tissue injury, an effective treatment will increase blood flow to the injury while the joint is immobile.
• This increase in blood flow will help maximize the body's own capability to heal itself.

Let me tell you, we appreciate all the feedback we have received over the years. We have had many medical professionals, athletes and everyday people call and write to tell us about their positive experiences with our devices and the company in general. It never gets old hearing about the successes and it provides us with the motivation to continue doing what we do best - provide individuals with options to heal from the comfort of their own home.

Below is a small sample of some of the Customer Service comments we have received from customers...

If you're tired of being told that resting, drugs and surgery are the only answers to your elbow injury.... Be optimistic, because there are effective alternatives for you.

We will never claim our products will work for everyone. That is simply impossible to achieve. Everyone has a different capacity for recovery and different circumstances behind their injuries and/or conditions.

In addition, some people may have a hard time sticking with recommended protocol in order to achieve benefits from our devices. Quite simply, our clients that have had successful outcomes have made a small effort to invest 60 minutes a day into the program. If you do the same, chances are you will be very happy with the outcome. The fact that our very low return rate speaks volumes as to the confidence we have that our products will be effective for you! I mean with a full 60 day money back guarantee on our wraps, there really is no risk in trying.

Right after you place an order, email us and we will have a plan developed immediately so you will be able to get started upon arrival of your parcel. We can't promise you miraculous results, however, we do promise to do everything we can to help you with your condition.

Everything you have read up to now has hopefully given you some hope.

However, words are meaningless unless a company stands strongly behind the products they sell. This is what sets us apart from others...we offer people a comprehensive, 60 day, full 100% money back guarantee. We take on all of the risk because we know our products work well for the overwhelming majority of people who purchase them.

We Will Support You Every Step of the Way

You are never alone when making a purchase from us. When we say we stand behind our products, we truly mean it!

If any question or concern arises, simply send us an email at any time (we check our emails constantly all throughout the day and night - even on holidays!). We will respond as soon as possible.

Click HERE to Go To Our Online Store We take all major credit cards and Paypal. If you are on your mobile phone, Click to Call Our Office (toll free continental NA).

Simply call toll free 1-866-237-9608 to place an order with one of our knowledgeable Product Advisers. They have the ability to answer all your questions...ensuring you only receive the products you need.

Product Advisors are available 9:00 am to 5:00 pm Eastern Standard Time Monday to Friday.

North America Toll Free 1-866-237-9608

Outside North America +1-705-532-1671

We Stand Behind All Our Promises With An Iron-Clad Guarantee

• Guarantee #1

  Use your products diligently for up to 60 days and you will experience a significant reduction in pain. If not, I encourage you call us to send back the items for a 100% refund.

• Guarantee #2

  You will not be left in the dark after purchasing any product from us. AidYourTendon Advisors and Product Specialists are available 9:00 am to 5:00 pm Eastern Standard Time Monday to Friday.

• Guarantee #3

  Your order is guaranteed to be shipped within 24 hours on every business day.

• Guarantee #4

  All purchases receive a one year, full replacement warranty with guaranteed, prompt service.

• Guarantee #5

  You could save hundreds of dollars and possibly more, by getting back to work sooner.

Overall, we are able to be cost effective and value oriented due to two major reasons:

1. Word is spreading and as a result, our sales are increasing. With this increase, we can achieve economies of scale...meaning we receive the best component pricing because our volume is high.


2. We keep our overhead costs low by selling only on-line versus setting up costly distribution channels offline.

Think about it – you can now have the ability to treat your pain from the comfort of your own home while saving money in the process.

Best of all, you are fully protected when making a purchase from us as we offer a 60 day, full money back guarantee.

Living with pain is never easy as it affects your entire lifestyle. Nothing is more important than making the proper decision when it comes to treating your muscle injury. Most methods only mask the problems or provide temporary relief; they do not treat the pain at its source.

AidYourTendon stands out in this regard as our goal is to help you heal for the longer-term.

The bottom line is, you are welcome to try our products for a full 2 months. If you do not receive the benefits that others have experienced, call us to let us know you will return your purchase back to us and we will issue a prompt & full refund. There will be no hard feelings.

The fastest option you have to get our product into your hands as soon as possible is by placing your order online - at this very moment..

Or, Call Our Office. We are open Monday to Friday to allow you place an order over the phone. Simply call toll free 1-866-237-9608 to place an order with one of our knowledgeable Product Advisors. They have the ability to answer all your questions...ensuring you only receive the products you need.

If you choose to order through our online shop, know that we keep no credit card data on file. Once the transaction is completed, the credit information disappears from our internal systems.

As you can see, ordering from us is a very easy and safe process, no matter if choosing to order on-line or over the phone.

Are you still unsure about placing an order? let me address some questions that may causing some hesitation...

What is the success rate of the TShellz Wraps^®? Do they really work?

We try and keep in touch with a large percentage of our customers, and we encourage them to do the same. In doing so, we have received a lot of feedback as we have been in the business since 2008.

We can say that the return rate on our products is only around 5 to 10% any given month. That is exceptional by anyone's standards. Therefore, we can safely indicate that the overwhelming majority of people who purchase from us do achieve benefits with our products.

How much time do I need to dedicate for treatments? Are the products easy to use?

The TShellz Wraps^® are very easy devices to use. After one or two uses, you will engage in the treatments with ease. Very detailed instructions are included and you are always welcome to contact us by phone or email if the need for help arises.

In regards to the TShellz Wrap^®, it is ideal to use the device two or three times a day on average. Each treatment session is a maximum of 20 minutes in duration and the device will turn off automatically at that time. Typically, people use the TShellz Wrap^® before bed, upon awakening (or not long after) and one other time during the day when the opportunity presents itself. For people in an office setting, many will use the device at work (as it can be worn over clothing). For others, they will use the device an our or two after work.

A Cold Compress or Ice Pack is primarily used following activity that stresses the injured tissues (following work, after a sports activity, or just suffering a general re-injury). This is done to reduce inflammation and to minimize tissue damage. Treatments are 15 to 20 minutes in duration.

How long has MendMeShop been in business

We established our firm in December of 2005. Our track record in this field continues to grow and we plan on being around for many decades to come.

What is your return policy? Is it the standard 30 days?

We go above and beyond what other companies offer - we offer a full 60 day money back guarantee with no restocking fees.

Product Advisors are available 9:00 am to 5:00 pm Eastern Standard Time Monday to Friday.

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I want to learn more about Tendonitis Treatments

I want to learn more about Tendonitis Surgery

During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort at the location of your soft tissue injury until the pain and inflammation settle. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!