What are the treatment options for pes anserine bursitis?

Updated: May 08, 2018
  • Author: P Mark Glencross, MD, MPH, FACOEM, FAAPMR; Chief Editor: Milton J Klein, DO, MBA  more...
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Answer

Pes anserine bursitis is primarily a self-limiting condition. [2] Patients generally are treated successfully with conservative measures and typically should receive outpatient physical therapy. For preventive purposes, every athlete should participate in a regular stretching program for the hamstring tendons.

Intrabursal injection of local anesthetics, corticosteroids, or both constitutes a second line of treatment. Surgical therapy is indicated only in very rare cases.

In patients whose symptoms last more than several months, consideration may be given to referring the patient to a specialist to confirm the diagnosis and rule out other potential causes of the patient’s pain (eg, proximal tibial plateau fracture). Cases that do not respond to a program of activity modification and exercise may be referred to a specialty-trained, sports medicine physician, primary care physician, or orthopedic surgeon for evaluation.


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