Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, progressive left knee pain consistent with primary osteoarthritis. Pain is described as a dull ache, exacerbated by weight-bearing activities, prolonged standing, and stair climbing. Reports morning stiffness lasting <30 minutes, relieved by gentle movement. Denies history of acute trauma, locking, or instability. Current symptoms interfere with activities of daily living.
Clinical Examination Findings
Left knee examination reveals mild joint line tenderness, crepitus on range of motion, and minimal effusion. Range of motion is limited by pain at terminal extension and flexion. Ligamentous stability testing (Lachman, anterior/posterior drawer, varus/valgus stress) is negative. No erythema or warmth noted. Gait analysis demonstrates an antalgic component favoring the right lower extremity.
Treatment Protocol
Conservative management initiated: 1. Weight management counseling. 2. Physical therapy referral for quadriceps strengthening and range of motion exercises. 3. Oral NSAIDs as needed for pain control. 4. Activity modification to low-impact exercises. 5. Consider intra-articular corticosteroid or hyaluronic acid injection if symptoms persist.