
Q I am a man in my 30s working as a delivery driver in Dong-gu, Incheon. My inner knee has been throbbing from riding a motorcycle for a long time; is this related to pes anserinus tendinitis?
A Maintaining a bent-knee posture for extended periods, such as while riding a motorcycle or bicycle, applies continuous tension to the muscles attaching to the pes anserinus, causing repeated irritation of the bursa. Additionally, the risk increases if the knee leans inward during uphill or downhill delivery environments. Since symptoms are prone to becoming chronic due to the nature of the job, early management is crucial.
Detailed Answer
Positions that involve prolonged pressure while the knee is bent, along with repetitive ankle and knee rotation movements, increase friction in the bursa of the pes anserinus. The act of rapidly descending downhill slopes, as is common among delivery workers, also places eccentric loads on the sartorius and gracilis muscles, accumulating micro-damage. If it becomes chronic, the bursa may thicken and even progress to calcification. From a Korean medicine perspective, overwork and prolonged flexion block the circulation of Qi and blood, forming painful nodules on the medial side of the knee where the inner leg meridians pass. When dampness and phlegm caused by spleen deficiency combine with blood stasis, chronic inflammation is prone to hardening. At Dongjedang, we separate adhesions using needle acupuncture, induce anti-inflammatory regeneration with pharmacopuncture and bee venom acupuncture, and prevent recurrence by expelling dampness and phlegm with herbal medicine tailored to the patient's constitution.
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