Comparison of Bracing and Eccentric Loading Exercises on Pain Modulation and Functional Improvement in Acute Pes Anserine Bursitis Patients

This study aims to compare the effects of knee bracing and eccentric loading exercises on pain and functional ability in adults with acute pes anserine bursitis. Pes anserine bursitis is a condition affecting the inner side of the knee that can cause pain and difficulty with activities such as walking, climbing stairs, and standing up from a chair. A total of 32 participants will be included in the study and divided into two groups. One group will receive a knee-bracing intervention, while the other group will participate in a structured exercise program involving eccentric loading and strengthening exercises for the muscles around the knee. The bracing group will be instructed to wear a properly fitted medial-support knee brace for approximately 6-8 hours daily during weight-bearing activities. The exercise group will perform prescribed exercises three times per week for eight weeks, with exercise intensity adjusted according to individual tolerance. Pain intensity and knee-related functional ability will be assessed using the Visual Analogue Scale (VAS) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Assessments will be conducted before treatment and at the planned follow-up visits to evaluate changes in symptoms and function. The findings are intended to help determine which intervention provides greater improvement in pain and functional ability in people with acute pes anserine bursitis and may help guide physiotherapy treatment decisions.

Inclusion Criteria: * Adults aged 20-50 years, both male and female. * Patients diagnosed with early-stage pes anserine bursitis based on clinical symptoms and imaging. * Body mass index (BMI) between 20 and 35. * Pain intensity score between 4 and 7. * Participants with or without previous surgeries. Exclusion Criteria: * Advanced arthritis or systemic inflammatory conditions, such as systemic lupus erythematosus (SLE). * Recent lower-limb fracture. * Pregnancy or other considerations that contraindicate physical therapy or bracing. * Neurological disorders affecting mobility, such as spinal cord injuries.