Patient With Knee Pain

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Mrs Jones is a 65 year old white female patient, who medical history is unremarkable and current medical diagnosis is Joint Pain –L/Leg LOC PRIM Osteoart-L/Leg. Patient has experience pain to left knee about one years ago, received injection to left knee but did not help with pain , pain became worse. Mrs. Jones under went her 1st surgery 09/17/2013 Mrs. Jones was in a hospital for four days and took part in home health physical therapy for two weeks but experienced no improvement. Initial physical therapy diagnosis is TKR. Mrs. Jones visited Selected physical therapy on Oct 17, 2013, chief complain of pain current severity 5/10, severity at worst 8/10 pt feel restricts in activity like walking, sitting, squat and not been able to take care of her grand daughter, location of pain knee anterior , duration intermittent , pain nature stiff and aching. The PT did a functional test balance on Mrs. Jones which was poor, gait/locomotion perform to left knee WB status was full weigth bearing, assistive device rooling walker, cadence was moderate decrease and swing phase was also decrease. Muscle testing to lower extremity MMT. Hip Flexion Left 2/5 Right +4/5,Knee Extension left 2/5, right 5/5, Knee Flexion left 3/5 right 5/5. Range of motion extension left AROM +15, left PROM none, Flexion left AROM 62, left PROM 66, Extension AROM 0, Flexion AROM 124. Pt present with moderate weakness and stiffness in her left knee after a TKR, Mrs. Jones would benefit from therapy 3 times a week to aid with improving her functional activities and aiding her to become independent with ADL’s, skilled intervention required to decrease pain, improve function, increase range of motion and increase strength, treatment emphasis to focus on pain rel... ... middle of paper ... ...15° from TKR, however, some hyperflexible patients will lose motion. In looking at the bell-shaped curve of preoperative range of motion ROM, the postoperative curve will shift to a greater mean ROM, but also be with a smaller standard deviation. The pt would benefit from a ERMI flexinator machine in order to improve knee flexion ROM. The pt displays 92 degree of AROM with high pain . the flexinator modality would benefit the pt in order to achieve improved knee flexion ROM and may be tolerable for the pt. the pt is demonstrating fair progress due to high pain and decrease tolerance during manual therapy and also benefit rom continued skilled pt with the flexinator ERMI modality used at home in order to return to her goals, and decrease pain. Works Cited Su E, Su S, Valle A. Stiffness After TKR: How to Avoid Repeat Surgery. ORTHOPEDICS. 1; 33: [link]

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