Pes Anserinus Pain Syndrome (PAPS)

Having knee pain? You may be experiencing a condition called pes anserine bursitis or pes anserinus pain syndrome (PAPS). PAPS is a condition that causes medial knee pain and tenderness over the upper medial tibia at the bursae, a synovial lined capsule that facilitates connection between tendon and bone. "Pes anserinus" refers to the insertional footprint of the conjoined tendons of sartorius, gracilis, and semitendinosus, which is said to resemble the footprint of a goose ("anser" in Latin and old Spanish) (UptoDate, 2018). Factors that put one more at risk for developing PAPS are; female sex, obesity, knee osteoarthritis, and knee malalignment. This condition can often be found in patients that take part in high impact sports like, running or jumping activities. Diagnosis is made by a medical professional through a physical exam during which one may have to go through a series of activities and movements to assess the affected joint. Imaging may also be done if this condition is suspected in order to rule out other conditions that can sometimes imitate the symptoms of PAPS. These images may include X-ray, ultrasonography (like that offered at SSMI), or MRI. Some of the conditions your provider may be ruling out are other bursitis in the medial knee, proliferative synovial conditions, a mass in the medial knee, snapping pes anserinus, medial friction syndrome, medial meniscus tear, medial meniscus cyst, medial collateral ligament sprain, tibial stress fracture, tibial osteomyelitis, fat pad tenderness, or fibromyalgia (Papadakis, McPhee, & Rabow, 2018). Treatment for this condition includes a weight-reduction program, quadriceps-strengthening exercises, and the use of an analgesic and/or short-term nonsteroidal anti-inflammatory drugs (NSAIDs) as prescribed by your health care provider. Weight reduction and exercise programs should be lead by a medical professional after proper diagnosis. Luckily, Dr. Carfagno and his talented team at Scottsdale Sports Medicine Institute specialize in these particular programs. So do not deal with knee pain any longer! Make an appointment at 480-664-4615 and get yourself back to the pain free activities you enjoy!

References

Papadakis, M., McPhee, S. J., & Rabow, M. W. (2018). Current medical diagnosis and treatment (57th ed.). Mc-Graw Hill Education.

UptoDate. (2018) Retrieved November 26, 2018, from https://www.uptodate.com/contents/knee-bursitis?search=pes anserine bursitis&source=search_result&selectedTitle=1~13&usage_type=default&display_rank=1