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Treating Pes Anserine ("Goosefoot" or Knee) Bursitis

Updated on October 31, 2012

The bursa is sac-like tissue typically located at major joints (knee, elbow, shoulder, etc...) between bone, muscle, tendons and skin. There are several bursae located in the knee - with five bursae at the front of the knee, four lateral bursae and five medial bursae. The anserine bursa is one of five medial bursae, provides cushioning for the joint, and is located between the medial collateral ligament (MCL) and the pes anserinus tendons (a series of three tendons - sartorius, gracilis, and semitendinosus). The pes anserinus tendons actually form a muscle group that are the dominant knee flexors and influence the rotation of the tibia (shin bone). This condition is also referred to as "Goosefoot" bursitis because the series of pes anserinus tendons resemble the shape of a goose's foot.

Additional Information Treatment Options


What Causes Pes Anserine Bursitis Injuries?

Injury to the pes anserine bursa usually occurs due to degeneration of tissue in the knee from chronically tight hamstrings, poor posture or biomechanical issues, osteoarthritis, or even a medial meniscus tear. Over use of the pes anserinus muscles, acute trauma of some kind, or poor athletic techniques may also cause pes anserine bursitis.


What Symptoms Should You Expect?

If you suffer from bursitis in your pes anserine bursa you will feel pain or tenderness over your tibia, approximately 2-3 inches below the patella, or kneecap. The pain often radiates to the back and inside of the thigh. Pain to the lateral side of the kneecap is commonly caused by pes anserine bursitis.

Bursitis pain becomes worse during exercise or when you are climbing stairs, but can also increase by simply bending and straightening your knee. Pain usually starts gradually and develops over a few days or even months. Swelling is usually evident over and around the bursa that is inflamed. This swelling may appear immediately following trauma, over a couple of hours, or up to 7-10 days after the incident.

You may also notice warmth and visible redness on your skin in the area as inflammation in the pes anserine bursa and along the tendons becomes more severe.

If you are suffering from knee bursitis you may also have interrupted sleep patterns. Simply bending your knee or rolling over during sleep can cause pressure on the inflamed bursa, increasing your pain. The pain can range from mild to very sharp depending on the amount of inflammation in your knee. Many knee bursitis sufferers recommend placing a pillow between your knees/thighs while you sleep to reduce pain throughout the night.

When you have bursitis in your knee, the pain is often limiting as you stop performing motions that make the pain worse. If bursitis is left untreated the inflammation can increase, causing more pain, limiting movement even more and eventually weakness in the leg muscles and tendons can set in. As you lose strength in your quadriceps, your legs may begin to give out during daily activities.


When is Surgery an Option & What Surgical Prodcedures Mend Pes Anserine Bursitis?

A surgical procedure to mend the pes anserine bursa is extremely rare, and is only preformed to remove the bursa if it is infected and antibiotics have not dispelled the infection.

Easy At-Home Treatments to Avoid Surgery

What Treatments are Available to Mend Your Pes Anserine Bursitis?

Consult a physician for a tailored treatment plan to either heal your pes anserine bursitis or techniques to reduce pain, inflammation and swelling. ColdCure® Technology and Blood Flow Stimulation Therapy treatments are a few methods that are available to relieve any pain that you experience due to a pes anserine bursa injury.

Make sure to apply treatment approximately 2 to 3 inches below the kneecap when treating pes anserine bursitis.

ColdCure® Technology

As soon as your knee is injured your body triggers natural events that isolate damaged tissue and prepare it for healing. The main symptoms you will immediately feel after injury - the swelling, redness (rubor), heat (calor), pain (dolor), and loss of function - are really just signs that your body is starting to heal.

Unfortunately when your knee is swollen and inflamed the damaged tissue is blocking vital blood flow from coming into to continue the natural healing process. When your blood flow is blocked, the other healthy tissue in your knee is starved of oxygen, nutrients and antibodies needed for your healthy tissue to thrive and for your injured meniscus to heal. This is why it's never good to let a new injury stay untreated for too long.

Using cold compression immediately following a knee injury, re-injury, or surgery reduces pain and swelling and reduces the tissue damage that occurs with soft tissue injuries.

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ColdCure® Tehcnology

Blood Flow Stimulation Therapy

What can be done for your knee when the swelling is gone, but the pain is still there? Once the swelling is gone our bodies are starving for the naturally occurring oxygen, nutrients, antibodies and energy available in our blood. Blood flow is like the life force of our bodies, and the healing process really takes off only when the bursa receives proper blood flow.

If you want to heal quickly you need to keep your blood flow moving constantly, but you also need to make sure your knee is actively getting rid of cellular waste and toxins. This is where BFST® comes in, but what exactly is BFST® and how can it help to accelerate healing?

BFST® is exactly what it seems - it's a therapy that substantially increases the flow of blood to your knee without the need to exercise your already damaged tissue.

Think about your injured soft tissue as if it is a sponge that has dried out. Your damaged tissue is waiting there ready to absorb all of the benefits of increased blood flow but your body is unable to keep up with the demand of what your tissue needs. BFST® boosts your body's natural blood flow, delivering oxygen, nutrients, antibodies and energy directly to the source of your pain. Once you start receiving all of the benefits BFST® has to offer your injured knee becomes like a sponge that now has enough blood flow within reach to soak up everything good that is in your blood flow. Increased blood flow through BFST® also acts as a cleanser for your tissue, whisking away all toxins and cellular waste.

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Blood Flow Stimulation Therapy

Treating Your Pes Anserine Bursitis!

Products available on Amazon to help with your knee Injury!

How to Apply Treatment for Knee Bursitis

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If you have any questions about bursa injuries please feel free to comment on our Lens. You can also reach one of our MendMeShop Advisors directly via phone or e-mail at

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The MendMeShop Advisor Team :)

Pes Anserine Bursitis Questions & Comments

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      stevenstones 5 years ago

      Nice Lens!