Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with lateral right knee pain, exacerbated by repetitive flexion/extension activities, specifically running or cycling. Pain is described as sharp/burning, localized to the lateral femoral epicondyle. No history of acute trauma, locking, or giving way. Symptoms improve with rest and worsen with increased activity intensity or duration.
Clinical Examination Findings
Right knee inspection reveals no erythema or swelling. Palpation demonstrates focal tenderness at the lateral femoral epicondyle, approximately 2-3 cm proximal to the joint line. Nobleโs compression test is positive for pain at 30 degrees of flexion. Oberโs test reveals tightness of the right iliotibial band. Range of motion is full and painless. Neurovascular status is intact distally.
Treatment Protocol
Initiate conservative management: activity modification (avoid aggravating activities), RICE protocol (Rest, Ice, Compression, Elevation), and NSAIDs as needed. Referral to physical therapy for IT band stretching, hip abductor strengthening, and gait analysis. Consider corticosteroid injection if refractory to conservative measures.