Rest is really important to avoid activities that cause pain. This requires modifying the activities or completely taking rest to allow the swelling to settle down.
Apply ice at regular intervals three or four times a day for 20 minutes at a time, to the inner side of the knee. Ice therapy helps to reduce pain and swelling associated with pes anserine bursitis.
Therapeutic ultrasound helps to reduce the inflammatory process.
Transcutaneous electrical stimulation (TENS):
Transcutaneous electrical stimulation (TENS) can also be given to reduce pain.
Low-level laser therapy:
Low-level laser therapy can be used to have a healing effect on the inflamed bursa.
Massage therapy is used to regain mobility and increase knee range of motion.
Strengthening exercises can be done to decrease tightness, and improve strength and endurance. These exercises include isometric hamstrings, quadriceps, gluteus, and straight leg raises. The exercises are progressed further to single knee dips, squats, leg presses, and lunges resisted leg pulls using elastic tubing are also included.
Stretching exercises are done to increase the range of motion and increase flexibility. These exercises can be stretching of quadriceps, sartorius, and semitendinosus, calf stretches, seated adductor stretch,
Initial treatment starts with activity modification like modification of activities such as reducing the duration, intensity, and frequency of running. Weight loss is another important factor. Use of pillows between the thighs at night is strongly recommended.