Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, progressive right knee pain, localized primarily to the medial joint line. Symptoms are exacerbated by weight-bearing activities, prolonged standing, and stair climbing, with relief noted upon rest. Patient reports morning stiffness lasting <30 minutes and occasional mechanical symptoms including crepitus and intermittent joint locking. No history of acute trauma, fever, or localized erythema.
Clinical Examination Findings
Right knee examination reveals mild joint line tenderness, particularly medially. Range of motion is slightly restricted in terminal flexion. Crepitus is palpable during active range of motion. No significant joint effusion, ligamentous laxity (Lachman/Varus/Valgus stress tests negative), or meniscal signs (McMurray negative). Gait is antalgic, favoring the left lower extremity.
Treatment Protocol
Initiate conservative management including weight reduction, physical therapy focusing on quadriceps strengthening, and low-impact aerobic exercise. Prescribe NSAIDs as needed for pain control. Consider intra-articular corticosteroid or hyaluronic acid injections if symptoms persist. Recommend use of a knee brace or orthotics if indicated.