Runners Clinic · Knee
Pes Anserine Tendinopathy
Pain slightly below the inner knee joint line during running or stairs.
Understanding Pes Anserine Tendinopathy
Repeated strain can affect the area where the sartorius, gracilis, and semitendinosus tendons meet. Hills, mileage increases, hamstring tightness, and knee alignment may contribute.
Whether pain is below the inner knee joint line
Whether stairs or hills make it worse
Signs involving the medial collateral ligament or meniscus
Hamstring flexibility and single-leg alignment
Treatment Direction
Adjust Hills and Distance
Reduce uphill running and long distances, then use flat exercise within a comfortable range.
Differentiate Inner Knee Pain
We compare tendon, joint-line, and ligament tenderness to identify the pain source.
Rehabilitate Hamstrings and Hip
Improve hamstring mobility and gluteal strength to reduce strain on the inner knee.
Return-to-Running Criteria
Walking and stairs are comfortable
Single-leg step-downs do not increase inner knee pain
Add hills only after tolerating flat running
When to Seek Evaluation Promptly
Evaluation is needed if the knee swells or locks after an injury, weight bearing is difficult, or joint-line pain is severe.
Do not put off persistent pain. Have it checked.
Our staff can guide you during clinic hours. Call us if you have questions before your visit.