Any cyclists ever suffered with pes anserine bursitis?

[mattb46]

Dear all, has anyone ever suffered with pes anserine bursitis? My pain is well below the knee cap and towards the inner part of the top of my shin (the same place as indicated in the link below).


http://www.mendmyknee.com/knee-and-patella-injurie...



Im currently doing lots of glute and piriformis stretches (very tight), quad and hip flexor stretches and hamstring stretches. I would be grateful for anyone elses experience of this condition and what they did to alleviate/get rid of it.

Thanks

[Dr Imran T]

Difficult one that. How old are you? what bike do you ride? how heavy are you? how fit are you? have you ever had a bike fit?

More info might be useful

[mattb46]

Thanks for the response. Im 44, weigh 75 kilos, would describe myself as pretty fit. I ride a Colnago C59 and without the injury would normally do 100-150 miles a week. I recently had a bike fit done by the Bike Whisperer to ensure there were no bike issues causing this injury. He made some subtle changes, but there was nothing fundamentally wrong with the bike and my fit on it that he could identify at all

[Dr Imran T]

Ok - so now we have a better overall picture. However, you will need to go into a LOT more detail to get an accurate picture of your health. Smoker? taking medication, family history of illnesses and all that.. all the usual questions you will be asked.

How long have these symptoms been persisting?

Have you sought any professional advice thus far? anyone examinations done etc?

If you have not yet sought any professional advice, that would be my first port of call. There's no substitute to an actual examination imho.

This site provided a little overview:

http://orthoinfo.aaos.org/topic.cfm?topic=a00335

Edited by Dr Imran T on Tuesday 17th February 18:14

[Gruffy]

I had/have it quite acutely, as a result of guarding after a long term knee injury. Mine was/is caused by muscular imbalances and poor tracking.

What caused yours? Was there a specific moment or did it come on gradually?

Whatever you do, whatever us fountain-of-knowledge types tell you, go and see a physio. You've been given a warning that something isn't right and you will thank yourself for having a professional figure out what that is nice and early, before it becomes a bigger problem.

[anonymous-user]

mattb46 said:

Dear all, has anyone ever suffered with pes anserine bursitis? My pain is well below the knee cap and towards the inner part of the top of my shin (the same place as indicated in the link below).


http://www.mendmyknee.com/knee-and-patella-injurie...



Im currently doing lots of glute and piriformis stretches (very tight), quad and hip flexor stretches and hamstring stretches. I would be grateful for anyone elses experience of this condition and what they did to alleviate/get rid of it.

Thanks

Yes - had a short spell of this last year.

My pelvis is slightly crooked. My right iliac crest is slightly further forward and slightly higher than the left. Usually this isn't an issue. But I'd been doing some hard sessions on my Tri bike on the turbo, and suddenly got pes on my right side.

The cause was simple: my seatpost had slipped down about 2-3cm over time and I hadn't noticed it. Raised the saddle and it vanished very fast.

So for me, saddle too low and too far forward (combo of steep seat angle plus right side of pelvis shifted slightly forward).

Get some ice and Volterol on it in the meantime.

[Dammit]

OP - where abouts are you? I can highly recommend a sports-focussed Physio, but he is in SE London so might not be convenient for you.

[Gruffy]

Can I get that recommendation? I need a replacement since the brilliant chap I was using moved to Oz.

[silverous]

Is it an anagram of penis anus burnitis? Sorry couldn't resist.

[mattb46]

Thanks guys, can I ask where you got the pain that was diagnosed as psb? Mine is below my knee and immediately next to my shin bone where there is a bony patch with apparently nothing there. My physio is not even sure it is pens ansine bursitis as she would expect to see it further inwards.

I have a pal who is a surgeon and he has offered me a cortisol injection which is very tempting (although I recognise I will still need to work hard on stretching afterwards).

[mattb46]

Thanks guys, can I ask where you got the pain that was diagnosed as pab? Mine is below my knee and immediately next to my shin bone where there is a bony patch with apparently nothing there. My physio is not even sure it is pens ansine bursitis as she would expect to see it further inwards.

I have a pal who is a surgeon and he has offered me a cortisol injection which is very tempting (although I recognise I will still need to work hard on stretching afterwards).

[upsidedownmark]

Seems to me if even your physio isn't sure, the main thing is to get a clear diagnosis. Specialist physio / other specialist perhaps? Google will convince you it's terminal in very short order, and guessing yourself isn't helpful..

[Gruffy]

I agree. Pes bursitis 'should' be fairly easy to diagnose. That it isn't clear cut means I'd be looking for a second opinion.

[anonymous-user]

Not my leg, but this shows exactly where I had it:



Massaging the three muscles that feed into it helped relieve the pain.

[ALawson]

You sure it isn't patellar tendonitis?

http://www.bikeradar.com/forums/viewtopic.php?f=40...

Trying tracking the "The Doc" down on the health forum he can probably point you in the right direction, he is an ortho knee surgeon.

[Dr Imran T]

mattb46 said:

Thanks guys, can I ask where you got the pain that was diagnosed as pab? Mine is below my knee and immediately next to my shin bone where there is a bony patch with apparently nothing there. My physio is not even sure it is pens ansine bursitis as she would expect to see it further inwards.

I have a pal who is a surgeon and he has offered me a cortisol injection which is very tempting (although I recognise I will still need to work hard on stretching afterwards).

As I said in my earlier post - if you haven't yet seen a doctor/specialist do that first. Once correctly diagnosed you can the look at treatment to remedy the problem.

I would't go to the physio first.