Pes Anserine Tendonitis and Bursitis usually occur hand in hand. The Pes Anserine is a combination of three tendons (Sartorius, Gracilis and Semitendinosis) which collectively attach to the inside-front of your knee below the knee cap where they are intimate with a bursal sac. These tendons attach and “splay” out across the tibia and give the appearance of a “gooses foot.” Inflammation of these structures can occur secondary to many factors. Repetitive strain, trauma and poor biomechanics can all elicit inflammation in this area. Specifically, excessive tibial rotation due to foot over-pronation biases the Pes Anserine by causing excessive strain/stretch. Custom Foot Orthotics can restore normal biomechanics and relieve the the excessive strain/stretch on the Pes Anserine insertion.
