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Bruce, right on...I had knee pain and my foot going to sleep while I 
rode I went to see a Chiropracter who uses an activator. He discovered 
my problem was my lower back pressing my the nerve to my leg. If your in 
the San Luis Obispo Co area I can recommend him.

Susan


On Wed, Mar 25, 2009 at  6:36 AM, Bruce Weary DC wrote:

> Hi Cheryl--
> You have an interesting problem in your bilateral keen pain. The pes 
> anserine bursa (trivia: "pes anserine" means "goose foot," referring 
> to the appearance of the bursa resembling a goose's foot) is located 
> below, in front and to the inside of the knee. It lies under the 
> tendon attachments for the hamstring and adductor muscles. (Adductors 
> are the muscles inside the thigh that keep you on the horse when he 
> shies. :>)
>  I'm not sure how your problem started, but I would stay away from any 
> further injections. Steroids can be very useful, but they have a 
> downside, in that they can actually impair healing, or cause tissue 
> destruction if used too much. Gentle stretching of the hamstrings, 
> foot and hip joint manipulation, and possibly wearing orthotics may 
> help. The knee is a great compensating joint, in that problems in the 
> hip or foot are often compensated for in the knee. This often sends us 
> doctors on a wild
> goose (foot) chase, since the pain may be in the knee, but the origin 
> of the problem lies somewhere else.
>  The trick in diagnosing joint pain is recognizing which pain 
> sensitive tissue the pain is coming from. In your knees, you would 
> have to rule out pain coming from the joint capsule, the medial 
> collateral ligament, the various bursae, the patellar tendon, the 
> coronary ligaments (which hold the cartilage in place and are the main 
> source of pain in torn cartilage) the tendons of the various adductors 
> and the hamstring and the periosteum (which is the pain sensitive 
> covering of the bone).
>  I suppose an MRI might be done, of your knees, but unless you have 
> significant known osteoarthritis, it probably wouldn't yield much 
> useful information, if the pain is indeed coming from the bursa. I 
> suspect your problem involves pain or dysfunction coming from more 
> than one tissue.
>  I would try a really good chiro who is trained in lower extremity 
> diagnosis and treatment. Not easy to find.   Good luck.   Bruce
>
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