Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic right knee pain, stiffness, and mechanical symptoms following a remote history of significant joint trauma. Pain is exacerbated by weight-bearing activities and prolonged ambulation, with associated morning stiffness lasting <30 minutes. Patient reports intermittent swelling and occasional episodes of instability or "giving way." Previous conservative management has provided limited symptomatic relief.
Clinical Examination Findings
Right knee examination reveals mild joint line tenderness, crepitus on range of motion, and palpable osteophytes. Range of motion is limited by pain at terminal flexion. Ligamentous stability testing (Lachman, Varus/Valgus stress) is intact, though joint effusion is noted. Gait analysis demonstrates an antalgic component favoring the left lower extremity.
Treatment Protocol
Initiate multimodal conservative therapy including non-steroidal anti-inflammatory drugs (NSAIDs), physical therapy focused on quadriceps strengthening and range of motion, and activity modification. Consider intra-articular corticosteroid or viscosupplementation injections for symptomatic management. Evaluate for potential surgical intervention if conservative measures fail to improve functional status.