what is Pes Anserinus Bursitis do i have it

Hi everyone I have been getting on well with my rehabilitation from a hamstring autograft acl reconstruction with lateral collateral and posterolateral corner reconstruction, but have just been stopped in my tracks by a weird pain on the medial side of my operated right knee, I have struggled with this pain since the 1 st may 2009. Pain originally occured when I was running and I got a shooting pain up my hamstrings, after this I keep on getting pain on the medial side of my knee coupled with random pains in the upper section of the semitendinosus hamstring tendon. I have had this for 4 weeks now with no real improvement in pain and symptoms, how long do you think I should wait before I would consider it a major problem as my physio just keeps on saying to rest it and stretch it which I have done for a month but nothing is actually happening.

Does anyone know what the problem could be and how long it will actually take to resolve.

thanks danny

Your pes anserinus is on the medial aspect of your knee and is where the tendons of sartorius, gracilis and semitendinous attach. The pes anserinus bursa lies between the tendons and the bone and can become inflamed as a result of overuse. It usually involves localised inflammation and tenderness. Stretching of your hamstrings will cause pain. Treatment follows the same type of principals as for a tendon strain ie: massage, stretches and strengthening of surrounding muscle tissue. Ultrasound treatment is often good for bursitis.

If it doesn't settle with treatment, stretching, strengthening etc then a corticosteriod injection can help. This is to be pursued with caution however as there are side effects!!

Hope this helps.

Rachael