I got a chronic pes anserine bursitis (left knee) since 18 months now. It appeared over 2-3 days while biking short distances (10 miles) in cold temperature (5C is not that cold but still).
I'm otherwise in good health and really wish to get rid of it. I'm 43 years old, 5'11" - 184lb
I used to bike +/-1,000 miles a year (50% cross country MTB, 50% comuting) but now it's nearly impossible (pain and swelling after 10 minutes)
I tried about everything to get it healed: rest, ice, elevation, physiotherapy, avoid repetitive movement, heat, strengthtening of surounding, stretching, NSAIDs (ibuprofen, naproxen, voltarin) etc, etc, etc.
I even got corticosteroid injections (1 last november and a second 4 weeks ago). On the last injection session, they tried to remove some of the content with a 18GA needle but only got 0.5ml (probably 20-25% of the total) since it was very thick (but otherwise normal for synovial liquid)
Over this 18 months period, I had 4 ultrasounds and the results showed that the structure is regular, clean and clear. The mesurements are 30mmx20mmx10mm (almond shape ans size) and remains consitent.
Last fall, I took a 3 months COMPLETE rest. I was just doing the bare minimum to get my things done. No walks for fun, no training of any kind. No differences!
On the positive side, I can actually squat 300lb with proper form (below parallel etc) no problemo (no pain, no swelling). It doesn't seem to make thing better or worse.
What does increase pain/swelling: bike, ice skating, walk on irregular ground, cold temperature, kneeling. I therefore try to avoid this as much as I can.
Is anyone here know how I could get this shit healed forever? I am tired no one think it's an real issue and decide to handle it seriously!