The rehabilitative exercises are done with the intention of stretching and strengthening the hip abductors, quadriceps, and hamstrings. Ultrasonography and E-stim deliver medication deep to the bursa to reduce inflammation. Physical therapy treatments include ultrasonography, electrical stimulation (E-stim), rehabilitative exercises, and ice. Pes anserine bursitis can be treated with a variety of physical therapy treatments, steroids to reduce inflammation, or surgery if necessary. Overuse of the sartorius (knee flexion, hip flexion, and lateral rotation of the thigh) can cause tension over the bursa and result in inflammation. The sartorius is one of three muscles that insert on an area of the tibia called the pes anserinus. The pes anserine (also known as pes anserinus or anserine bursitis) is a condition of painful inflammation of the pes anserine bursa below the inner knee. The sartorius is involved in pes anserinus bursitis because of the location of its insertion. Pes anserine bursitis: focal bursa collection between pes anserinus tendons and tibia. Pass over distal medial collateral ligament (MCL) to insert distal to it. Also, the bursitis may be the result of a degenerative joint disease, like arthritis, in the knee. Pes anserinus: tendons of sartorius, gracilis, and semitendinosus as they pass around posteromedial aspect of proximal tibia. Overuse of muscles, specifically those involved in side-to-side movements (like cutting on the basketball court or football field), has also been identified as a contributor to pes anserinus bursitis. Acute trauma to the medial tibia can cause tension in the tendon and result in an inflamed bursa. These causes can stem from acute trauma, overuse of the muscles, or degenerative processes. The bursa rests beneath this conjoined tendon and is thought to be aggravated and inflamed by a variety of causes. Pes anserinus bursitis is a condition of inflammation at the attachment point on the proximal, medial tibia where the sartorius, gracilis, and semitendinosus muscles insert.
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