Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with localized pain at the superior pole of the left patella, exacerbated by eccentric loading, stair climbing, and prolonged sitting. Onset is insidious, consistent with overuse. No history of acute trauma, mechanical locking, or instability.
Clinical Examination Findings
Physical examination of the left knee reveals focal tenderness at the quadriceps tendon insertion. No effusion, erythema, or warmth noted. Range of motion is full but painful at terminal flexion. Resisted knee extension reproduces symptoms. Patellar tracking is normal.
Treatment Protocol
Initiate conservative management: activity modification, relative rest, and ice application. Prescribe NSAIDs for pain control. Refer to physical therapy for eccentric strengthening protocol and quadriceps flexibility training. Consider patellar tendon strap for symptom relief during activity.