Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, insidious onset of deep mechanical joint pain, evolving over several years. Exacerbated by weight-bearing, stairs, and prolonged standing. Experiences 'gelling' phenomenon with morning stiffness lasting < 30 minutes. Night pain occasionally disrupts sleep.
Clinical Examination Findings
Alert, oriented. BMI indicates overweight/obesity, contributing to mechanical joint overload.
Treatment Protocol
1. Celecoxib 200mg PO daily + PPI. 2. PT for kinetic chain strengthening. 3. Intra-articular Corticosteroid injection administered today. 4. Prescribed walking aid (cane on contralateral side). 5. Ordered weight-bearing radiographs.