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La Goose paw tendinitisAlso known in medicine as Anserine Tendonitis, is inflammation of the anserine tendon located in the inner area of the knee. The anserine tendon is formed by the confluence of three muscles called tailoring, internal rectum y semitendinosus; these three muscles attach to the lower medial part of the knee.
Goosefoot Tendonitis causes pain of variable intensity on the inside of the knee, pain that increases when going up and down stairs or when squatting. Experts indicate that there may be different factors behind this ailment: anatomical and functional, biomechanical, metabolic and immune... They also point to obesity and age as causes of goosefoot tendinitis, but it is also a problem that has a considerable incidence in long-distance runners.
Runners and runners who go through the ordeal of goosefoot tendinitis often do not know what their problem is due to. Actually, there are different reasons that can be the cause in the case of people who run: micro or macro trauma, continued intense efforts, excessive exercise and even, sometimes, unknown causes and for no clear reason.
Symptoms of goose foot tendonitis
It all starts for the affected person with a knee pain sensationfundamentally on the inside of the leg and below the knee, similar to joint pain. The discomfort is more evident when you get up, although it lessens throughout the day and increases again at night.
The pain, if not treated quickly and properly, can intensify and even spread to the rest of the knee. In the most complex cases (due to not having been treated in a timely manner) it ends up becoming a chronic knee problem that ends up affecting the rest of the leg and ankle, frequently causing the lesion association of paw tendonitis. goose with sprained ankle, especially if there is a problem of being overweight.
The person suffering from goosefoot tendinitis, besides pain, can have gait difficulties and unsteadiness. Sometimes, it is also possible that the affected person may find himself with the added problem of damaging the other knee due to overload as a result of forcing support on the leg that does not have pain.
Goosefoot tendinitis is a pathology that can be confusing, because being of soft parts (that is, it does not basically affect the bone or the joint), not visible on common knee x-rays. It is not uncommon for the patient to be told that nothing is visible on the x-rays and therefore to downplay the discomfort.
Or it can even be even worse: they find some osteoarthritis and they tell them that the problem is knee osteoarthritis, to then tell them that there is no possible treatment (and it is not true); It is true that both problems can coincide and coexist (goose foot tendonitis and knee osteoarthritis), in which case both problems will have to be treated and it is something that is currently done with great success.
What can cause goosefoot tendinitis in the case of runners?
Runners who may be more prone to goosefoot tendinitis are those who have had micro or macro trauma in the area of insertion of the anserine tendon. It is also possible that the cause has to do with a bad tread when running, generally in the case of people with pronation. The cause is also indicated use of low-cushioned shoes or inappropriate for running because they are not running or be in poor condition.
Other causes pointed out by experts are:
- Present protuberance (bulge) on the inner side of the knee that causes friction on the tendons.
- Present deviation in the axis of the knee (genu valgus or knees in X).
- Not performing proper stretching after training or competition.
Treatment for goose foot tendonitis
Our first tip is go immediately, as soon as you have the first discomfort, to a specialist. In the case of goosefoot tendinitis it is very important put yourself in the hands of a specialist as soon as possible who can identify the problem, diagnose it and seek the best possible treatment to solve it in the shortest possible time (stopping running is the worst punishment for a runner, so the less time it takes to recover, the better).
Recommendations that we can offer following the advice of medical professionals are the following:
- sports rest. It may be enough to rest for a week or ten days. If the discomfort is not excessively painful, you can do stretching of the hamstring muscles.
- Cryotherapy (ice application) 3 or 4 times a day for 15 minutes. Ice is only warranted for the first 2-3 days and as long as the area (inner leg below the knee) looks swollen, red, or hot compared to the other leg. Putting on a lot of ice can lead to a slowdown and chronification of the injury since ice by its very nature slows down and stagnates the circulation of both blood and energy.
- If after 2 or 3 days the area is still red, inflamed and hot, cryomassage can be done, that is, massage with ice, for which it is very useful to put a plastic glass with water in the freezer and when it freezes, cut the top of the glass so that the ice is free and with that, massage the area in wide circles.
- If there is no inflammation, heat, or redness in the area, it can be humid heat on the area to stimulate the circulation of blood and energy and some homeopathic cream based on arnica montana.
- All the green clay poultices made with devil's claw have high anti-inflammatory power.
- If it is a recurring injury, it would be advisable to biomechanical study of the tread by a specialist who determines if there is a need for insoles. In cyclists it can also be due to a bad alignment of the body with the pedals or the saddle. If it is an occasional injury or caused by trauma, it is not necessary.
- If there is inflammation, it is recommended anti-inflammatory medication, always prescribed by a doctor.
- muscle strengthening mainly the quadriceps, with emphasis on the vastus medialis, as well as increasing the flexibility of the tensor fascia lata.
- Training Modification both in intensity and frequency and in the surface on which you run.
- Wear appropriate footwear for running, with enough shock absorption to avoid possible problems of goosefoot tendonitis.
- El physiotherapy treatment (massage, ultrasound, TENS, cryotherapy, joint mobilization) is necessary in many cases to alleviate symptoms and prevent relapses.
33 comments on "Goosefoot tendinitis, a feared injury in the running"
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I would like to know if someone can tell me what to do with a very painful goose foot, I no longer know what to do boy to the physio 2 or 3 days a week, they put a leak on me 2 months ago and I am exactly the same, I can not bend my knee, I can't drive, because I suffer excruciating pain, I can't sit down, because something is pressing on the back of my knee and I can't stand it. The traumatologist tells me that I have atrosis in my knee. Thank you
Hello, I have to do some relaxation exercises for tension of the goose foot every day
The cause lies in that terrible spelling that it has.
I started correcting it and you will see the improvement.
Jaime, and you should improve your education. You never know what someone else's circumstances were. Maybe he didn't have his luck, and mine, to receive a good training.
I support your concept in its entirety, instead of criticizing, educating .. With respect, your error is made known to you, and with respect you are indicated the correct way .. Thank you very much ……
Very good gentleman, you lack a little humanity, let alone criticize people's culture, because since I would like to know the kind of person you are, greetings and in schools the first thing you teach is respect
Percutaneous hydrotomy
Wear tennis shoes that have a super comfortable sole so that it does not have an impact when you walk, when sitting down, do not bend your knee, always keep it straight even when driving a vehicle, try to make sure your knee is a bit stretched, change the physiotherapist, I was with several until he treated me one woman and I left without pain after having months with the pain I went to an appointment with her and the section was very painful but the pain disappeared when I left the section
Good afternoon, your description helped me a lot, I am writing to thank you.
Well, I have throbbing pain below my knee on the inside and it feels like I'm being burned with a cigarette or fire every few moments, it is unexpected, it makes me scream or bend over, is this ???, please if someone knows what could be…. Thank you
What did you have? The same happens to me
I have the same, it's for short moments during the day, I've been like this for a week
The information is very complete.
I have 4 months with a pain in my knee, it is not unbearable, but it is constant, at the end of the day when I got cold it hurts a lot
I am liliana, your description is very explanatory, I will put it into practice, then I will see the result THANKS
Hello, in my case I was first diagnosed with fibromyalgia, I could not walk from one day to the next, I have been in pain for a year, and since yesterday I have the same burn as Lili, mine started from the lumbar vertebrae and moved on. months later, towards the femur's head, the pain awakens me. I am a dentist, I am 60 years old, and I have osteoarthritis and arthritis in the spine. I have been medicated with pregabalin. The note is very explanatory. I accept opinions and advice. Thank you
Hello, good afternoon!!! A week ago I started with pain in one of the knees on the inside, after a few days the other began to hurt, now both hurt and it hurts a lot when walking ... I have no problems bending my knees, it is only when walking ... Someone help me xfa
The information is very complete, I think my problem was having worked 4 days in a row on a ladder changing some lights in a parking lot. I will take into account the latest from the physiotherapist, thank you very much !!!
Excellent explanation, thank you very much for the same
I am very distressed I started with the knee outside and inside and now I have pain in the tibia I am 82 years old I would like to know if there is any solution to alleviate myself I see that I have the same symptoms of lily write if she had a solution, thank you
We strongly recommend that you go to the doctor who will do the necessary tests to diagnose your pain and treat your knee in the best way, cheer up Margarita! Greetings and get better
The clarity of the note helped me a lot. I will take into account the recommendations. THANK YOU.
Very good explanation ..
I think that we must also consider the emotional factor ... because knowing that emotions are the causes of diseases ...
In my case ... the pain that manifested itself in my left leg began suddenly without any blow or twists, or overexertion ...
It was at the end of the afternoon of my work where I read a comment from a certain person known from time to time on a topic that I quickly made an interpretation associating other people of affection and others of conflict that caused an emotion that shocked me and caused a discomfort in my … Like anger and helplessness… when I left work, everything was fine. I got home I put on my shoes and went for a walk… what is my habit always helps me to reflect and relax… I always practice it…. 1 hour in a row before to go to bed….
When I walk in an altered state I try to be more attentive in the street ...
I walked only 30 minutes without so much effort turning that shocking emotion that I had before arriving at each ... I really walked with a lot of anger ... then I looked at the time and I told myself a little more ... I kept walking when a slight pain began in the first few seconds that it was increasing in such a way in less
one minute I took the direction back home that I was a block and a half from my house in that section was increasing so much that I arrived really limping ... I could not explain what happened !!! ...... reviewing all my steps and my thoughts taking in account of the episode of emotional conflict I understood why ...
When one suffers an emotional impact there the nervous system participates where an act of escape leads to stress where the muscles are tensed in such a way that it pulls on the tendons which are attached to the bones that are hard and rigid then the tendon when stretched with impact it suffers and becomes inflamed… ..then to inflammatory thoughts some inflammation you can suffer depending on the emotion with which or who it is related to thus manifests in your physical body….
In my case, I already understood what the conflict is… ..and now to work on the emotion so that the injury heals faster …… the explanation is a bit long but it is my experience… ..
Thank you for sharing your experience with us Elisabeth, we also believe that the emotional factor is key in physical health… greetings!
A week ago I had a sprain in my leg, I had inflammation during the first days, inflammation that has diminished over the days with the medication that was prescribed for me. However, it scares me not being able to straighten my knee. I cannot straighten it completely, nor bend it too much, it is very unstable, and every time I try to steady myself, the inside of my leg begins to ache. What could it be?
Hello, I am Selene, I was diagnosed with goose foot tendonitis but a week ago I am like this with the pain that is unbearable I am with medications and everything but he goes on and on, please I need you to tell me what I can do ... Thank you very much in advance
I have been doing an exercise routine on the bike for many years and nothing like the position of my bike ever happened to me, the level of my saddle and my capedals, I feel very comfortable and it all started working for me on a ladder where the first discomforts began in the Soles of the feet, spending several weeks, the curves behind the left knees began to hurt and then began some whipping in the lower part of the same knee now I am feeling the same less often in the right legs
I imagined tendinitis and I applied ice when I went to bed and yet I went out on the bike to roll several miles and I do not feel pain
I decided to write because the explanation at first seemed reasonable to me, thank you all for sharing your case.
Hello, good look, I'll tell you about my problem
In April of last year I fell, they told me that I had a sprain but it was not like that in July 2019 they operated on me they did an arthroscopy hello darling touching the kneecap the cartilage edema liquid I am in rehabilitation after 4 months they have sent me to trauma and to wait They tell me I have tendonitis and goose foot, the truth is that it hurts a lot now my good leg hurts I don't know if it will be loaded I don't know if someone can inform me I feel like a small puncture on the inside and as if it will weigh me down all leg good of course thank you greetings
Hello Azucena. We are very sorry for the problems you are having and we hope that you recover as soon as possible. We cannot give you any opinion about your problem because we are not medical professionals. Since 42krunning We greatly respect the work of medical professionals and we never dare to advise or comment on matters related to health or physical problems. We sincerely wish you that you can fully recover as soon as possible. An affectionate greeting.
Hello, I have swollen inner part of my knee and the swelling is going down for my leg. I would like to know what I can do, the doctor told me that they were tendinitis.
Hello Graciela, you can request a second opinion from another medical specialist to verify the first diagnosis.
Receive a cordial greeting and our wish for a prompt improvement of your ailment.
Good afternoon, my boyfriend is a soccer player, he suffered an anterior cruciate ligament injury, an artificial ligament was placed 6 years ago, then in 2019 he injured the meniscus, he had an operation on it which was sutured, then this year he began the training again suddenly he suffered a knee sprain was the diagnosis of the treating doctor, then he began training again and he cannot kick hard since it bothers him to do it and it hurts in the internal part of the knee he feels intense discomfort… .. it was performed MRI and the ligaments came out well, both the cruciates and the collaterals. I am looking forward to your response
Hello Arinsay, we are sorry we cannot help you. Faced with a situation like the one you describe, it is best to go to specialists who have access to existing tests or who can request new tests that they need. We sincerely hope that you make a speedy recovery. All the best.