Knee

Pes Anserine Bursitis Treatment That Fixes What’s Driving the Pain

That swollen, burning spot on your inner knee keeps flaring up. Stairs hurt. Getting out of the car hurts. You’ve rested, iced, and taken the pills, but the pain keeps coming back. You’re not imagining it, and you’re not a lost cause.

We look beyond just the sore spot.

Your hips, hamstrings, ankles, and alignment all get assessed to find what’s actually compressing that bursa.

Advanced therapies plus targeted rehab.

Focused shockwave and EMTT calm inflammation and kick-start tissue repair, paired with exercises that correct your specific imbalances.

Built to keep it from coming back.

Progressive strength work and aftercare address the muscle tightness and weakness that caused the problem in the first place.

60-minute one-on-one assessment + treatment plan.

No pressure, no contracts.

Is This You?

If any of this sounds familiar, you're in the right place.

Inner knee pain that flares up on stairs, getting out of chairs, or kneeling

You ramped up running or exercise and now your inner knee is swollen and tender

Rest and painkillers help temporarily, but the pain keeps returning each time you get active

You have knee arthritis or carry extra weight, and the inside of your knee constantly aches

You’ve tried ice, cortisone, and physio elsewhere, and you want answers instead of another generic plan

The Real Problem

Why Your Inner Knee Still Hurts After "Trying Everything"

Explore 4 slides on Knee Bursitis

Most people have several of these happening at once. That’s why we assess the whole chain, from your hips to your ankles, not just the painful spot.

OUR APPROACH

The Unpain 3-Part Knee Bursitis Relief Program

INITIAL VISIT

Whole-Body Root-Cause Assessment

Full movement screen of your hips, knees, ankles, and feet to find where tightness and weakness are hiding

Identify which pain drivers matter most for your case: muscle tension, alignment, overuse, or a combination

You leave with a clear written treatment plan and transparent pricing before you commit to anything

First 3 to 5 Weeks

Pain & Inflammation Modulation

Focused shockwave therapy sends energy pulses to jump-start healing in the bursa and surrounding tendons

EMTT (electromagnetic therapy) calms deep inflammation and supports tissue regeneration at a cellular level

Manual release of tight hamstrings and adductors to take pressure off the bursa immediately

Make stairs, standing, and walking tolerable, fast.

5+ Weeks and Beyond

Strength & Progressive Aftercare

Progressive hip, quadriceps, and core strengthening designed to offload the inner knee long-term

Targeted flexibility work for hamstrings and adductors so they stop compressing the bursa

Home exercise guidance and follow-up assessments to prevent recurrence as you return to full activity

What To Expect

What Results Can I Expect?

Every case is different, but research and our clinical experience consistently show:

Noticeable pain relief within 3 to 5 sessions. Clinical trials show significant improvement in pain and function within 6 to 8 weeks of shockwave and EMTT treatment. Many of our patients feel meaningful changes by session 3 or 4.

Return to stairs, walking, and activity. As inflammation settles and your muscles get stronger, the activities that used to trigger pain start becoming tolerable again. Full functional recovery typically occurs over 2 to 3 months.

Lasting relief, not a temporary fix. Research shows shockwave provides more durable pain reduction than cortisone injections. By correcting the root causes, we aim to stop the cycle of repeated flare-ups.

Our promise: we will tell you honestly at the assessment if we don’t believe you’re a good candidate for this approach.

EVIDENCE

The Research Behind Our Approach

Shockwave therapy has been shown to significantly reduce pain in chronic pes anserine bursitis, confirmed by multiple randomized controlled trials.

Shockwave produced longer-lasting pain relief compared to steroid injections in a head-to-head clinical trial, with benefits sustained at 12 weeks.

EMTT improved physical function and reduced pain more than placebo in a large double-blind randomized trial of 126 patients with musculoskeletal conditions.

Lab studies show EMTT stimulates tendon cell growth and collagen production, suggesting it supports actual tissue regeneration beyond just pain relief.

Clinical guidelines recommend stretching tight hamstrings and strengthening hip and knee muscles to resolve pes anserine bursitis and reduce recurrence.

Outcomes are group averages from clinical trials; individual results vary.

See full references
  1. [1] Mohseni M, Goudarzi RM. Pes Anserine Bursitis. StatPearls. 2024. PMID: 35889106.
  2. [2] Khosrawi K, et al. Investigating the Effect of Extracorporeal Shock Wave Therapy on Reducing Chronic Pain in Patients with Pes Anserine Bursitis: A Randomized Clinical Trial. J Res Med Sci. 2017;22:70. DOI:10.4103/2277-9175.190999.
  3. [3] Gouda W, et al. Comparing the Efficacy of Local Corticosteroid Injection, Platelet-Rich Plasma, and Extracorporeal Shockwave Therapy in the Treatment of Pes Anserine Bursitis: A Prospective, Randomized, Comparative Study. Adv Orthop. 2023;2023:5545520. DOI:10.1155/2023/5545520.
  4. [4] Majidi L, et al. Comparison of the Effectiveness of Local Corticosteroid Injection and Extracorporeal Shockwave Therapy in Patients With Pes Anserine Bursitis: An Open-Label Randomized Clinical Trial. Med J Islam Repub Iran. 2023;37:10. DOI:10.47176/mjiri.37.10.
  5. [5] Hollander K, et al. Extracorporeal Magnetotransduction Therapy (EMTT) for Management of Musculoskeletal Disorders: A Double-Blind, Placebo-Controlled, Randomised Trial. J Back Musculoskelet Rehabil. 2025 (in press). DOI:10.1177/10538127251400083.
  6. [6] Mancini M, et al. Extracorporeal Electromagnetic Transduction Therapy Enhances Tenocyte Regenerative Potential: Evidence for Senolytic-like Effects and Matrix Remodeling. Int J Mol Sci. 2025;26(15):7122. DOI:10.3390/ijms26157122.
  7. [7] Unpain Clinic. Knee Bursitis Treatment: The Complete Guide to Symptoms, Exercises, and Fast Pain Relief. Dec 9, 2025. URL: https://unpainclinic.com/knee-bursitis-treatment.

Knee BursitisFAQ

Here are answers to some of the most common questions about Knee Bursitis.

6 results found

Does shockwave therapy work for pes anserine bursitis?

Yes. Multiple clinical trials have shown that shockwave therapy significantly reduces pain and improves function in pes anserine bursitis. One study found it provided more durable relief than cortisone injections. We use focused shockwave to stimulate healing in the bursa and surrounding tendons. We walk you through the full approach during your initial assessment.

Can tight muscles or weak hips cause this inner knee pain?

Absolutely. Tight hamstrings and adductors compress the pes anserine bursa against the bone, and weak hip stabilizers force your knee to compensate. These are the most common root causes we see. Treating just the swelling without addressing muscle tightness and weakness is why bursitis keeps coming back. We assess all of these in your first visit.

How many sessions will I need?

Most patients begin feeling noticeable improvement around session 3 or 4. A typical course involves 3 to 5 combined therapy visits, with full functional recovery usually occurring over 2 to 3 months as tissues heal and strength builds. We map this out clearly at your initial assessment so you know exactly what to expect.

Why does my pes anserine bursitis keep coming back?

Because the root cause hasn’t been addressed. Rest and medication calm the symptoms, but if your hamstrings are still tight, your hips are still weak, or your alignment is still off, the bursa gets compressed again as soon as you return to activity. That’s why our program includes progressive strengthening and flexibility work alongside the advanced therapies. We review your specific pattern during the assessment.

Are cortisone shots recommended for knee bursitis?

Cortisone can provide short-term relief, but research shows the effects tend to be temporary. One clinical trial found that shockwave provided more stable, longer-lasting pain reduction compared to steroid injection. We discuss all your options honestly during the assessment, including when a cortisone shot might still make sense for your situation.

What if rest and medications haven’t helped my knee pain?

That’s actually very common with pes anserine bursitis. Rest can make things worse by allowing muscles to tighten further. If passive treatments haven’t worked, it usually means the underlying muscle imbalances, alignment issues, or inflammation sources haven’t been identified. That’s exactly what our whole-body assessment is designed to uncover.

YOUR NEXT STEP

Ready to See What’s Actually Driving Your Inner Knee Pain?

Stop guessing, stop collecting random treatments, and get a plan that treats the system, not just the sore spot.

Initial Knee Bursitis Assessment — Edmonton

60-minute one-on-one session. Here’s what’s included:

1

Full-body movement and strength assessment (hips, knees, ankles, feet)

2

Identify which pain drivers matter for your case

3

Review of history and imaging if available

4

Clear written plan with transparent pricing before you commit

No referral needed. No obligation to continue beyond the first visit.

No pressure, no contracts.

We will tell you honestly at the assessment if we don't believe you're a good candidate for this approach. If your condition needs something different, we'll refer you directly.

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