Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with anterior right knee pain, insidious in onset, exacerbated by prolonged sitting, stair climbing, and squatting. No history of acute trauma, locking, or giving way. Pain is described as a dull ache, localized to the peripatellar region.
Clinical Examination Findings
Right knee examination reveals no effusion or erythema. Tenderness to palpation along the medial and lateral patellar facets. Positive patellar grind test (Clarkeโs sign). Normal range of motion without crepitus. Ligamentous stability (ACL/PCL/MCL/LCL) intact. No meniscal signs.
Treatment Protocol
Conservative management initiated: Activity modification to avoid aggravating movements, RICE protocol (Rest, Ice, Compression, Elevation) as needed, and prescription of non-steroidal anti-inflammatory drugs (NSAIDs). Referral to physical therapy for quadriceps strengthening and VMO (vastus medialis obliquus) activation exercises.