Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with lateral left knee pain, insidious in onset, exacerbated by repetitive flexion/extension activities such as running or cycling. Pain is described as sharp or burning, localized to the lateral femoral epicondyle. No history of acute trauma, locking, or giving way. Symptoms improve with rest and worsen with increased training intensity.
Clinical Examination Findings
Left knee inspection reveals no erythema, swelling, or deformity. Palpation demonstrates focal tenderness over the lateral femoral epicondyle, approximately 2-3 cm proximal to the joint line. Noble compression test is positive for pain at 30 degrees of flexion. Oberโs test reveals tightness of the left iliotibial band. Range of motion is full and painless. Ligamentous stability (LCL, MCL, ACL, PCL) is intact.
Treatment Protocol
Initiate conservative management: Activity modification (avoidance of aggravating activities), RICE protocol (Rest, Ice, Compression, Elevation), and NSAIDs as needed. Referral to physical therapy for IT band stretching, myofascial release, and gluteal strengthening. Consider corticosteroid injection if refractory to conservative measures.