Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with localized pain and tenderness at the medial aspect of the left proximal tibia, inferior to the joint line. Symptoms exacerbated by stair climbing, deep knee flexion, and prolonged ambulation. No history of acute trauma, mechanical locking, or instability.
Clinical Examination Findings
Left knee examination reveals point tenderness at the pes anserinus bursa insertion site (medial proximal tibia). No joint effusion, ligamentous laxity, or meniscal signs (McMurrayโs negative). Range of motion is full but painful at terminal flexion. No erythema or warmth noted.
Treatment Protocol
Initiate conservative management: activity modification, avoidance of aggravating activities, and icing (15-20 minutes, 3-4 times daily). Prescribe NSAIDs as needed. Recommend physical therapy for hamstring stretching and quadriceps strengthening. Consider local corticosteroid injection if refractory to conservative measures.