Lateral Knee Pain Case Study

Based on the progress report dated 08/23/16, the patient complains left knee pain upon walking. Discomfort was described as aching, tingling, intense, severe, continuous, pain, discomfort, increasing with movement and varying with activity. Pain is rated as 5/10 without medications and 4/10 with medications.

S: TM just finished working on a car in the back step off platform into pit, wielding AN Car, and fell back on pipes on his left lateral side. The initial pain was 10 out of 10 and it was difficult to breath related to pain. Now, he rates his pain at 5 to 6 out of 10, aching paint to his left shoulder and his left lateral rib cage. Denies any headache, blurred vision, N/V. Ice X 20 minutes now did helped him with symptoms management.

12/24/15 Progress Report describes that the patient has right knee pain. The pain is frequent. It is aching and burning in quality. The current pain level is 0/10 and worst pain is 4/10. Bending, squatting, walking, weight bearing, changing clothes and ROM aggravate the pain. Rest, ice,

Based on the medical report dated 01/20/16, the patient reports that his low back pain is rated as 9/10 into the right lower extremity. It’s experienced between 76% and all of the time he is awake. Some of the patient’s daily activities are being prevented by this symptom. He reports numbness and tingling in his right lower extremity.

DOI: 3/14/2014. Patient is a 57-year-old female lead operator who sustained a work-related injury when she twisted her right knee as she stepped down off a chase cart. As per OMNI, the patient was diagnosed with chronic right knee pain status post anterior cruciate ligament repair, and significant degenerative joint disease of the knee. She is s status post right knee anterior cruciate ligament (ACL) reconstruction on 07/15/14.

The medical evidence shows the claimant had twisting injury to left knee with lateral meniscus tear on 7/1/13. He was also noted to have preexisting osteoarthritis of the left knee. The claimant underwent arthrosopic partial meniscectomy on the left knee on 2/27/14 with some symptomatic relief. An orthopedic report on 1/13/14 noted ongoing left knee pain. The physical exam showed tenderness; pain with flexion and extension; positive McMuray's test and negative Drawer's test. X-rays of left knee on 1/13/15 showed mild left knee osteoarthritis.

Physical therapy saw the patient, and the result of the examination are as follows; 6/10 left knee pain at rest and during activity (0 no pain, 10 worst pain), manual muscle testing for both upper and lower extremities were 4/5 except left knee flexion/extension 3+/5 due to pain, sensation on both UE/LE were intact to light touch, Stephen requires a moderate assistance of one person for both functional mobility and gait activity. He uses a front wheeled walker up to 35 feet due to decreased balance and antalgic gait from the left knee

In this study, a randomized and concealed method supported by a computer was conducted prospectively for patients who showed signs of radiographic knee OA. In addition, without knowing further about the clinical status of participants, knee radiographs were assessed in the study of baseline and follow ups by an experienced surgeon. The baseline characteristics of subjects such as age and BMI were not significantly different. Criteria included were the radiographically confirmed as knee OA (a score ≥ 1 out of 4 on the K/L scale), ability to walk to the site, understand and make signature on the written consent of information form and report the data required. However, the research did not include the participants

S: Aerotek TM was doing his process, running lines on the hood and trunks. He slipped and fall on both of his knees. TM rates his pain at 1/10, some discomfort. Denies previous injury to the location.

Based on the latest medical report dated 03/08/16 by Dr. Tenuta, the patient presents for his right knee pain. He was seen for back pain approximately a year ago. He has had persistent issues with that. He feels that he has been favoring his knees. He has been having problems going up and down steps. On examination, he has crepitus with patellofemoral range of motion. As of this

PHYSICAL EXAM: Wounds are healed. Calves are soft, nontender, nondistended. No pitting edema. Motion of the hip causes no pain.

PHYSICAL EXAM: He is in discomfort. He cannot straighten his knee out completely. He has a large bulky dressing on his knee and a brace.

Mr. Valentine is a 34-year-old patient who is seen at the medical clinic today in regard of follow up with his chronic care of his left hip pain. Patient reports that he had a gunshot wound on the right hip and because of that he will compensate all of his body weight or pressure, so then his left side accommodate by dominant for the right side hip. Patient's stated over time of doing that he developed chronic left hip pain. Patient has narrowing or arthritis on his left hip; otherwise, he also is taking Indocin 50 mg three times daily with food and he also has Keppra 1000 mg twice daily. He took all of his medication as directed and he is doing well to control his left hip pain. He stated

DOI: 2/10/2011. Patient is a 56-year-old male controller who sustained a knee injury when he hit his knee when he turned while sitting on a chair. Per operative reports, the patient is status post right knee diagnostic arthroscopy with chondroplasty and removal of scar tissue on 12/14/2012, right knee arthroscopy and trochlear microfracture, partial medial meniscectomy and plica excision on 02/28/2012, and right total knee arthroplasty on 11/30/15.

The patient is a 70-year-old gentleman that presented to the ED complaining of inability to walk because of right hip pain. The patient was seen in the emergency room on 11/20/16, was given Tylenol 3 discharged with pain meds after hip x-rays reported as being negative. The patient continued to be in great pain and could not bear the pain any longer and in fact had an appointment with his pain management physician and could not get there it was increased with any movement and not relieved by Percocet. His comorbid conditions are asthma, congestive heart failure, hypertension, morbid obesity, dyslipidemias and obstructive sleep apnea. He has also a right inguinal hernia repair, back surgery a number of years ago. Upon admission it is noted that he has intractable right hip