Just to clarify and make some points
Hi guys I have patela tendintious in my left knee have had it since the end of this summer played a few rugby games on it havent played for 3 months now but have been jogging a bit and swimming Have seen the physio a couple of times gave me some laser treatment on the knee and tapped it up. this had a litle help on it the pain but it keeps coming back.
I have been resting it for nearly 3 weeks taking anti inflametory medicine and iceing the knee a couple of times a day but the pain is still there.
So yeah its been inflamed for at least 5 months now any ideas ?
Cheers
Nick.
Just something to think about. Goose Foot Tendinitis.
This is a common injury to someone who is a little underconditioned for the particular sporting acivity (Rugby, I believe was mentioned). It ususally happens when people are possibly used to jogging, stair climbing, ellipticals, etc. and then think they are in "sprinting" shape and boom, a bursitis pops up.
One area most people under develop in their activity is the hamstrings and medial aspect of the extensors (Quads). This leads to additional stress in those areas and inflammation. Some people find a knee strap helps relieve stress while they strengthen those areas and some people find a knee wrap, like a neoprene wrap to help. Basically, whatever makes it feel better. Also, if you go to the doc, a short burst of cortisol by injection or pill form, like prednisone will 'hit the reset button' on your body's inflammatory reaction and hopefully put you back to the field a little sooner. Then, preventing the injury is next by developing those supporting muscle groups around the knee and hips in a slow, deliberate conditioning, and possibly loose a little weight. I'm also a big fan of dry sauna's for those gym rats out there. Go in for 10 minutes prior to working out and for as long as you want after a workout. If you aren't in the gym, a slow walk with slow jogs after about 5min and then faster walk with faster jogs, sprinkled with some side to side slides are good ways to get your body ready for work. Stretching after working out is better than before to prevent tearing tight, unwarm bodies.
Pes anserinus is the anatomic term used to identify the insertion of the conjoined tendons into the anteromedial proximal tibia. From anterior to posterior, pes anserinus is made up of the tendons of the sartorius, gracilis, and semitendinosus muscles. The term literally means "goose's foot," describing the webbed footlike structure. The conjoined tendon lies superficial to the tibial insertion of the medial collateral ligament (MCL) of the knee. The muscles of the pes anserinus (ie, sartorius, gracilis, semitendinosus) are each supplied by different lower extremity nerves (ie, femoral, obturator, tibial, respectively). The sartorius, gracilis, and semitendinosus muscles are primary flexors of the knee. These 3 muscles also influence internal rotation of the tibia and protect the knee against rotary and valgus stress.
Pes anserine bursitis is an inflammatory condition of the medial knee, especially common in certain patient populations, often coexisting with other knee disorders. Theoretically, bursitis results from stress to this area (eg, stress may result when an obese individual with anatomic deformity from arthritis ascends or descends stairs). Pathological studies do not indicate whether symptoms are attributable predominantly to true bursitis, tendonitis, or fasciitis at this site. Furthermore, panniculitis at this location has been described in obese individuals. Pes anserine bursitis is most common in young individuals involved in sporting activities and obese middle-aged women. This condition also is common in patients aged 50-80 years who suffer from osteoarthritis of the knees.
Pes anserine bursitis can result from acute trauma to the medial knee, athletic overuse, or chronic mechanical and degenerative processes. An occurrence of pes anserine bursitis commonly is characterized by pain, tenderness, and local swelling. The hallmark clinical finding is pain over the proximal medial tibia, at the insertion of the conjoined tendons of the pes anserinus, approximately 2-5 cm below the anteromedial joint margin of the knee. MRI is the preferred imaging technique.
Rest and nonsteroidal anti-inflammatory drugs (NSAIDs) are first-line treatment. Physical therapy is beneficial and often is indicated for patients with pes anserine bursitis. Injection with anesthetic with or without corticosteroid may be helpful. Aspiration of the bursa usually is not required. Surgical intervention is required only rarely. Medical literature continues to report underrecognition of this disorder as a cause for medial knee pain in various groups of patients.
Good Luck!
If you don't see improvement after another 2-3 weeks, I would get the MRI.
So I think I am over compensating on one leg because of that.