#PES ANATOMY SKIN#
#PES ANATOMY FULL#

Try to stretch a little more as you breathe out. Deep breathing can help ease the discomfort. Hold the position at a point of feeling the stretch but not so far that it is painful or uncomfortable. Some patients must perform this stretch more often – even once an hour if necessary.ĭo not bounce during the stretch.

#PES ANATOMY FULL#

Holding the stretch for a full minute has been proven even more effective. Your physiotherapist will advise that you perform hamstring stretches at least twice a day for a minimum of 30 seconds each time. Improving flexibility is a key part of the prevention and treatment of this condition. This process does not deliver as much drug as a local injection. Iontophoresis puts a higher concentration of the drug directly in the area compared to taking medications by mouth. This method is called transdermal drug delivery.

#PES ANATOMY SKIN#

Using an electric charge, an antiinflammatory drug can be pushed through the skin to the inflamed area. Our physiotherapist can also use a process called iontophoresis. In some cases, the physician will prescribe stronger NSAIDs. Over-the-counter nonsteroidal antiinflammatory drugs (NSAIDs) such as Ibuprofen may be advised. The pes anserine area is massaged with the ice for 3-5 minutes or until the skin is numb. The Styrofoam protects the hand of the person holding the cup while applying the ice massage. The top edge of the container is torn away leaving a one-inch surface of ice that can be rubbed around the area. A cup of water is frozen in a Styrofoam container. Our physiotherapists often instruct athletes to perform an ice massage. Ice cubes wrapped in a thin layer of toweling or a bag of frozen vegetables applied to the area work well. The ice is applied three or four times each day for 10-15 minutes at a time. We may recommend the use of ice and anti-inflammatory medications in the early, inflammatory phase. This type of approach is called relative rest. Our physiotherapist will advise you to avoid stairs, climbing, or other irritating activities. This will give time for the bursa to quiet down and for the pain to subside. Stopping the activity that brings on or aggravates the symptoms is the first step toward pain reduction.īedrest is not required but it may be necessary to modify some of your activities. The goal of Evidence Sport and Spine treatment for overuse injuries such as pes anserine bursitis is to reduce the strain on the injured tissues. Once your diagnostic examination is complete, the physiotherapists at Evidence Sport and Spine have treatment options that will help speed your recovery, so that you can more quickly return to your active lifestyle.Įvidence Sport and Spine provides physiotherapist services in Calgary. Some patients may be referred to a doctor for further diagnosis. If you can straighten your knee all the way in this position, then you do not have tight hamstrings. The amount of knee flexion is an indication of how tight the hamstrings are.

Your knee is then straightened as far as possible. Our physiotherapist will flex (bend) your hip to 90 degrees. This is done in the supine position (lying on your back). A history and clinical exam will help our physiotherapist differentiate pes anserine bursitis from other causes of anterior knee pain, such as patellofemoral syndrome or arthritis. When you visit Evidence Sport and Spine, we will take a history and do a physical examination.

Pes anatomy