Physiotherapist update: August 2019 Rina van der Merwe, Physiotherapist PES ANSERINE PAIN (Knee Tendon) Definition: Pes: foot Anserine: of a goose Pes anserine pain/bursitis is an inflammation of the area located between the shinbone (tibia) and three tendons that inserts at the inside of the knee. Pain and tenderness on the inside of the knee, about 2-3cm below the knee joint, are common symptoms. The 3 tendons that inserts below the knee comes from two of the muscles on the inside of the leg (adductors) as well as one of the hamstring muscles. Under these tendons is a bursa (fluid filled sac) which is important in reducing friction between the tendons and the bone. This can also get inflamed. Causes: *sport (eg. running)which involve repetitive use of the named muscles *abnormal hip, knee or ankle biomechanics *muscle imbalances eg. weakness or tightness of hip and/or knee muscles *poor foot arch control *worn shoes *sudden increase in activity Symptoms: *gradual onset of pain over area – especially when bending and straighte…
