it has been observed and after taking follow up from the patients having pes anserine bursitis that procedure of tapping in this case is more and more better than taking NSAIDS like Ibuprofen, Aspirin and other like Piroxicam etc. The technical reason behind this is that by using NSAIDS and other pain relieving medications are just for acute and short term use. Chronic use of these medications is very dangerous because it may result in several complications.
Like NSAIDS induce Gastric and duodenal ulcers, prolong half life of several drugs use in the treatment of Hypertension like losartan, valsartan etc. Hence in case of co morbidities patient, there use is very risky and required proper and appropriate monitoring. Rest like cutting back, and eliminating the hard core activities, is essential to treatment.
Physical therapy like tapping is highly recommended for the patient with pes anserine bursitis.
However and nevertheless patients with pes anserine bursitis need to work on both a hamstring stretching program and a concurrent closed-chain quadriceps and pelvifemoral stretching programs for tapping is very much effective.
During the taping program, the patient should incorporate the following measures:
- Continue with activity modification as necessary
- Begin a gradual resumption of activities
- Continue some alternate training for cardiovascular fitness and benefits
- After regaining full, pain free motion with good isometric strength, work on improving strength and endurance
- Make sure that in patient with chronic pain in knee are often subjected to complete resting state, it may results in muscle atrophy and weakness.
A tape usually of black color is use for this procedure. 3 elongated tapes are used. First tape is attached or stick on the lateral position of the inferior knee joint and by wrapping it to the superior position of the tendon. Likewise one tape on the medial side of the knee joint and other is same as first but on the other side of knee joint. The purpose of tapping is to reduce pressure on the affected part of the knee where the bursitis is present. And to keep the knee at optimum position for several time to reduce pressure on it. This method helps a lot and sometimes 90 affected when use in combination approach.
Pes anserine bursitis has a characteristics and clear magnetic resonance appearance of fluid beneath the tendons of the pes anserinus at the medical aspects of the tibia near the joint line. Pes anserine bursitis can clinically mimic an internal derangement of the knee, which can result in the performance of unnecessary arthroscopy. MR imaging can be useful in diagnosing pes anserine bursitis and perishing surgical approach.
Basically xrays is used only in case of determining the bone diameter and the bone density, it would not indicate the presence of bursitis as x-rays do not correlate with any kind of inflammation. The only best diagnosis could be done on the basics of using some radiological technique like CT scan and MRI. In both the case. A radiological dye is used, that is injected in to the blood stream before the procedure. This pigmentation dye gets attaches to the inflamed bursae and hence can be detected easily by use resonance mechanism.
Hence deeper penetration of the dye results in ability to indicate the bursitis. Notwithstanding if anything regarding minor and seldom occurring inflammation could not easily detected by using MRI or CT scan. Person suspected to have pes anserine bursitis is checked properly. All the necessary medical tests are recommended before using radiological approach. Like
- Serum Creatinine
Creatinine clearance etc is highly recommended tests because it has been clinically noticed in the patients that these dyes cause contrast induced nephropathy in most of the patients. Hence tests especially RFT is ought to be done at once. Before and after results are matched to eliminate the risk of kidney damage. Once the MRI has been done, the magnetic imaging could be correlated very carefully form the anterior to the posterior and from lateral to medial position.
The inside of the bursae, becomes yellow surrounded by the red color boundary. The greater the red color the greater the spread of inflammation. Hence patient can easily diagnosed by using these radiological techniques. Other radiological methods are very helpful like CT scan etc.