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More Tendon Facts:

Tenosynovitis is a condition affecting the sheath that surrounds a tendon. In many cases, the sheath encounters tearing due to inflammation of the underlying tendon. The majority of tenosynovitis sufferers are female.


A fully ruptured Tendon REQUIRES surgery. It will not heal on its own.


Except for a fully ruptured tendon, Tendonitis can almost always be cured without surgery.


Left untreated, tendonitis can be extremely debilitating and lead to life long complications.


Continually using your Tendon while it is injured will lead to a worse injury.


To Heal as fast as possible use conservative treatment options at home such as:

Rest
Use an Ice Pack to Get Swelling Down
Use a Deep Heat Therapy at Home Once Swelling is Down
Treat the Injury Well Beyond the Point When the Pain Disappears

 

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Pes Anserine Tendonitis or Bursitis



The pes anserinus is the area where the tendons of 3 hamstring muscles (sartorius, gracilis, and semitendinosus) come together. The three tendons merge together on the inside surface of the shinbone. These three muscles are the dominant knee flexors that function to allow movement of the leg towards the body and control rotation of the tibia, protecting the knee against rotary stress. The pes anserine bursa lies beneath these tendons close to the shinbone, providing cushioning between the tendons and the tibia. The term, pes anserinus means "goose's foot" in Latin - owing to the webbed-foot pattern the three tendons make when they meet.

pes anserine tendon anatomy

Inflammation of the pes anserine bursae or tendons usually develops due to overuse, trauma, or degradation. The most common cause of pes anserine bursitis is hamstring tightness due to a lack of warming up and stretching properly before activity, particularly long distance running or excessive climbing.



Pes Anserine Bursitis vs Pes Anserine Tendinitis

Where is the pes anserine bursa?

Bursitis: Each joint in the body has a bursa (Bursae is plural) are flattened fluid-filled sacs that function as cushions between your bones and the muscles (deep bursae) or bones and tendons (superficial bursae). When the joint is over overusing or overstressed the bursa may become damaged with small micro-tears on the surface or become squeezed by tissue which has become tight.

Tendonitis: Overusing or over-stressing any area of the body will damaged the tendon tissue. The tendons connects muscles to bones, and the damage is small micro-tears on the tendon fibers.

It is possible to have both bursitis and tendonitis as the same time in any joint in the body.

Bursitis vs Tendonitis what is the difference

Pes anserine tendonitis is a painful, inflammatory condition affecting the tendons between your shinbone and the hamstring tendons at the inside of your knee. The pes anserinus is the area where the tendons of 3 muscles (sartorius, gracilis, and semitendinosus) come together. The three tendons merge together in the skin of the bone on the inside surface of the shinbone. These three muscles are the dominant knee flexors; they influence the rotation of the tibia and protect the knee against rotary stress.



Symptoms of Pes Anserine Tendonitis

If you are suffering from Pes Anserine Tendonitis will have pain and tenderness over the inner knee. Pain that may radiates to the back and inside of the thigh. Pain will increase with exercising, climbing stairs, bending or straightening the knee. You may notice swelling in front and/or underneath the kneecap as well as often warmth and tenderness when touched. The condition is gradual rather than one traumatic event.

*In general, you may experience one or more of the following:

  • Pain in the inner knee with knee bending and/or straightening
  • Inner knee pain when going up or down stairs
  • Weakness or feeling of giving way around the knee
  • Swelling over the inside aspect of the knee
  • Decrease in knee range of motion due to pain

*"Pes Anserinus Bursitis & Tendinitis". 2019. Physioworks.Com.Au. Accessed May 20 2019. https://physioworks.com.au/injuries-conditions-1/pes-anserinus-bursitis-tendinitis.



What Causes Pes Anserine Tendonitis?

pes anserine bursa pain patterns

Pes anserine tendonitis is common in athletes (particularly runners), overweight individuals, and often, people with osteoarthritis of the knee. Inflammation of tendons serving these muscles usually develops due to overuse, trauma, or degradation typically from:

  • Weak hamstrings muscles
  • Tight quadricep muscles and sudden increase in running intensity or change the terrain running on, excessive hill work and/or increased mileage
  • Obesity
  • *Activities/sports which involve repetitive use of the sartorius, semitendinosus and gracilis tendons such as: running, dancing and sports which require a lot of direction changes (e.g. soccer, basketball)
  • *Abnormal hip, knee or ankle biomechanics
  • Poor sport techniques that including improper warm-up
  • Bio-mechanical issues, such as foot rolling, out-turned knees
  • *Inappropriate footwear
  • Osteoarthritis
  • A medial meniscus tear

*"Pes Anserinus Bursitis & Tendinitis". 2019. Physioworks.Com.Au. Accessed May 20 2019. https://physioworks.com.au/injuries-conditions-1/pes-anserinus-bursitis-tendinitis.

It is generally agreed that muscle weakness or tightness is the most common cause of pes anserine tendonitis (pes anserine bursitis). Prolonged sitting at a desk job will lead to tightness in the quadriceps and further weakness of the hamstring muscles.



Pes Anserine Tendonitis Diagnosis

The only way to truly diagnose any type of knee pain is to go and see your physician. To help your doctor achieve a proper diagnosis, he/she will begin with a medical history about you, your current condition and symptoms. He/she will inquire about the intensity of your present pain, the duration of your symptoms and the limitations you are experiencing. Details about what instigated the problem, when it started, and whether or not you have ever had treatments for this or a similar condition in the past, are very helpful in assessing your injury.

There is one very signification test your doctor should be performing. The 'valgus stress test', is a set of movements of your knee while the ankle is stabilized and/or you knee is in full extension with a slight 30 degree rotation. This test helps narrow down the type of injury your are suffering from. The doctor may look closing at your hamstring muscles, ask you to bear weight with a slight squat, pain produced is a sign of the pes anserinus is the area of injury.

pes anserine knee mri

If the tests do not help discover the source of your pain after your examination. Then diagnostic testing will ordered help discover your source of knee pain. Often used to rule out other conditions.

X-rays will provide a two-dimensional image of the overall structure of your knee. They are helpful in identifying knee instability, abnormal bone shapes (bone spurs or bone cysts, fractures, wear and tear on the joints).

MRIs (magnetic resonance imaging) will provide more detailed information and will help to evaluate the soft tissues in and around your knee (muscles, tendons, ligaments, and other connective tissues). It can identify ligament or tendon damage, and can help to determine the extent of your injury, the displacement and degree of your tear or inflammation, as well as other associated knee conditions.



Prevention or Risk Reduction of Pes Anserine Tendinitis

pes anserine injuries can keep you from the activities you enjoy

Athletes and non-athletes alike need to ensure their hamstrings are properly warmed-up and stretched before they place any stress on their knee; from extensive hill running to simply climbing stairs.

To prevent pes anserine tendonitis, it is important to first eliminate any of the underlying factors contributing to the condition. Ask your doctor or physical therapist to take a look at your gait and your posture to see if there any bio-mechanical issues that need to be addressed. Secondly, get advice from your physical therapist or trainer on setting a training schedule that fits your ability. Thirdly, but most importantly, warm up your hamstring and then stretch prior to activity!



Pes Anserine Tendonitis Home Conservative Treatment Options

Step 1 - Reduce Pain and Swelling with Cold Compression

The first step for conservative treatment of your kneecap tendonitis is to reduce the swelling to "open up" the area for more blood flow. Anyone in the health-care business knows that your blood supplies the oxygen and much needed nutrients required to heal foot tendonitis injuries. This is why for years, doctors, trainers, and other medical professionals have recommended RICE (Rest, Ice, Compression, Elevation) to treat the pain and swelling of fresh injuries, chronic pain, and after any re-injury.

This is important because once blood vessels are blocked or damaged, they can no longer carry oxygenated blood to your damaged tendon and tissue cells begin to break-down. Without cold compression therapy cellular break-down and tissue damage continues because the cells can't get the oxygen they need to survive. By limiting the amount of damage done to your tendons, you also limit the amount of healing that needs to occur. This is a very important step to heal acute or chronic tendon injuries faster and with less pain!

Use a Cold Compress or Ice Pack:

  • 24 to 72 hours after your initial injury or when you first notice pain and swelling in your knee to stop cellular damage, relieve pain, and decrease swelling.
  • After exercise, workouts or activity of any kind to prevent re-injury of your knee.
  • Before and after surgery during rehabilitation to control pre and post-surgery pain and swelling.
  • Anytime you feel your knee is painful or you're having a flare-up of an old tendon injury.
  • Anytime you have swelling, sharp throbbing pain or inflammation in your knee.
  • Any other situation where you need to draw the pain and inflammation out of your knee.
 

Step 2 - Improve Circulation, Soften Scar Tissue & Prevent Re-Injury with a T•Shellz Wrap®

After the inflammation in your knee has been reduced, providing extra blood flow and strengthening the tissue around your knee is recommended.


T•Shellz Wraps contain a unique Carbon Fiber Energy Pad which is flexible and will shape to conform to your body. This Energy Pad emits a uniform wave of perfectly safe electromagnetic energy over its entire surface. This energy travels deep inside to the soft tissue in your body, stimulating blood flow your own body needs to heal your injury. It is the electromagnetic energy that is crucial to the healing process.


healing your pes anserinus tendonitis
  • When treating any soft tissue injury, an effective therapy will increase blood flow to the injury while the joint is immobile.
  • This increase in blood flow will accelerate the body's own ability to heal itself.
  • In our opinion, the T•Shellz Wrap® is the most highly effective deep heat medical device on the market that is registered with the FDA and available for home use.

Use Deep Tissue Therapy T•Shellz Wraps:

  • After swelling and inflammation have been reduced with cold compression.
  • Before exercise or workouts to warm up your knee to prevent re-injury.
  • Before and after surgery during rehabilitation to warm up your tissues before physical therapy exercising or stretching.
  • Anytime you feel the tissue in your knee has stiffened up, is tight and your mobility is reduced causing you more pain.
  • Anytime you have sore or aching tissue around your knee.
  • Any other situation where you need to increase blood flow to your knee to relax your soft tissue, relieve pain, prevent re-injury and enhance flexibility of your tissue.
 


By using a Deep Heat device like the T•Shellz Wrap®, your body will respond to this added heat by increasing blood flow in the area. This enhanced blood flow will help with your recovery and heal your tendon more completely. Deep Heat increases the amount of blood that flows naturally to your soft tissue to; the heat is also proven to temporarily improve the elasticity and length of soft tissue. This basically means that the application of deep heat will help your soft tissue heal faster and more completely while also reducing your risk of reinjury (due to increased soft tissue elasticity)

Deep Heat Increases Blood Circulation

Greater Blood Circulation Results in
Faster Healing of Soft Tissue

T•Shellz Wrap® = Deep Heat


T•Shellz Wraps contain a unique Carbon Fiber Energy Pad which is flexible and will shape to conform to your body. This Energy Pad emits a uniform wave of perfectly safe electromagnetic energy over its entire surface. This energy travels deep inside to the soft tissue in your body, stimulating blood flow your own body needs to heal your injury. It is the electromagnetic energy that is crucial to the healing process.


Best of all...

The T•Shellz Wrap® is an FDA Registered Medical Device and is suitable for use in therapeutic clinics and FROM HOME. It is completely safe for people and patients to use for themselves.

As mentioned earlier, the use of electromagnetic energy is becoming much more commonplace in North America for everyday people. The technology has been used for decades in the worlds of professional and amateur - a contributing factor as to why athletes seem to recover from injuries so quickly.

Have you ever wondered by an athlete can return to activity after 3 or 4 weeks following a tendon injury - while your average person takes much longer to return back to normal? The secret isn't really that much of a secret - it involves consistent treatments (meaning multiple times a day) using a diathermy treatment like the T•Shellz Wrap® to stimulate blood flow to injured soft tissue. Most athletes have the luxury of using in-house therapy facilities many times per day.

How many us can afford the time and money to visit a therapy clinic multiple times a day? Very few indeed. This is how you can gain the same advantage that athletes enjoy in healing their own injuries - by using a device like the Shoulder T•Shellz Wrap® two or three times a day on a consistent basis.

Consistent Treatments = Consistent And Long Term Improvement

 

Click HERE to Go To Our Online Store If you have questions, call our office at 1-866-237-9608 (toll free continental US).


What Else Makes the T•Shellz Wrap® So Special?

We believe the T•Shellz Wrap® to be one of the most effective treatments to stimulate blood flow to dense, injured tissues such as muscles, tendons, ligaments, and other similar tissues.

We can promise that you will receive a product that is designed to be safe and does what it is supposed to do...quickly relieve pain and aid in the recovery from tendon, muscle and other soft tissue injuries.

The unit plugs into a standard wall outlet to get its power. The nice thing about the power supply is that the same unit can be used in North America and overseas as well. It has the capability to operate between 110v and 230v.

It has a special signal controller that can be set for 3 different power levels of application (3=High, 2=Medium, 1=Low). The cord is long so you can sit or lie comfortably and watch TV, read or surf the net while you're using it.

Treatments are max 30 minutes in duration and the device can be worn over clothing. This allows you to use the device at work, at home, or really anywhere you have access to an electrical outlet.

A Recap of the Benefits of the T•Shellz Wrap®..

  • Wraps are available for all major joints - very versatile!
  • Targeted treatment of Tendinosis, Tenosynovitis, Tendon Tears, Bursitis, Impingement, Arthritis, etc
  • It can be used before exercise to warm up your tendons and muscles to reduce the risk of injury
  • FDA Registered medical device for use in home or clinics - very high quality
  • Increases temporary flexibility and length of tissues (reducing the re-injury factor)
  • Carbon fiber Energy Pad is strong, lightweight, and flexible - contours very easily
  • It soothes pain and whisks away toxins
  • It provides deep heat, which the body responds to by increasing blood flow. Increased blood flow enhances the healing rate - saving time and money when associated with extended doctor or physical therapist visits
  • it is an outstanding tool for post-surgery rehabilitation, getting you back to work faster

When Should I Use My T•Shellz Wrap® During the Day?

The most common question we receive from individuals prior to purchasing is - how many times a day should I be using my wrap and when should I be using them? While treatment plans will differ for each individual and their specific injury, there are general guidelines that should be adhered to.

  • Use a Cold Compress or Ice Pack when you are experiencing inflammation (usually after exertion or movement of the injury area).

The T•Shellz Wrap® would then be used:

  • Right after rising from bed in the morning (as this is when it is most stiff)
  • Prior to going to bed at night (to relax the area and allow for better sleep)
  • Before you know you will be using your injured joint (going to work, driving, typing, etc).


Product Advisors are available 9:00 am to 10:00 pm Eastern Standard Time Monday, Tuesday and between 9:00 am and 5:00pm on Wednesday to Friday.


Learn More About Tendon Injuries & Treatments

I want to learn more about Post-Surgery Recovery

I want to learn more about T•Shellz Wrap® Deep Tissue Therapy

I want to learn more about Ice & Heat: Which Is Better For Treatment?

I want to learn more about Tendonitis Treatments

I want to learn more about Tendonitis Surgery


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During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort at the location of your soft tissue injury until the pain and inflammation settle. Always consult your doctor and/or Physical Therapist before using any of our outstanding products, to make sure they are right for you and your condition. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!

 
 
 

Tendon Injury Facts:

When the tendon gets inflamed it is known as tendonitis, and when the tendons are chronically overused, it may lead to microscopic tears in the collagen matrix and causes a gradual weakening of the tissues.


Achilles tendonitis is a common injury among runners, as the Achilles tendon is responsible for helping you lift off the ground with each stride.


As computers become ever more important elements of the work place and everyday life, incidents of wrist tendonitis are on the rise.


Oral Medications can mask the pain but do not aid in the healing of tendonitis. Anti-inflammatories and pain killers can mask the pain and indirectly cause tendonitis to worsen.


Ice and Compression treatments are the easiest and most effective treatments for tendonitis.

 

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