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...
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...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]
COMPLAINT Left knee pain. SUBJECTIVE Pittman is an 18-year-old patient who is seen at the medical clinic today in regard of follow up with his left knee pain. The patient states that in the past he had surgery for his left knee. He also seen the physical therapist in regard of left knee strain in 08/2016. Patient said that the last three days he admitted that he was playing sports with high impact and he also fell down and landed on his left kneecap. Patient noticed that he has pain in the medial
Total knee replacement is also referred as total knee arthroplasty (TKA). This is a surgery used in the treatment of severe osteoarthritis. The surgery involves the replacement of the damaged part of the knee joint with an artificial joint (also called prosthesis). The initial treatment of osteoarthritis involves weight loss, knee braces, physical therapy and medications. However surgery is recommended when the symptoms of osteoarthritis such as pain and stiffness is not controlled with medications
sound of their knee crack and pop, they better prepare themselves for a long journey. The Center for Injury and Policy (CIRP), from Science Daily, reports that, “Knees are the most accident prone part of the body in high school athletes.” Knee injuries are very common; in fact, they are responsible for 45% of the injuries that occur in high school athletics across America. Knee injuries are well known to not just those in the medical field, but also to athletes. Injuries to the knee are caused by
the pain or the likelihood of recurrent injuries on the knee post-injury; especially if the athlete chooses to continue their participation sports. In most studies, knee injuries result from organized sports at the high school, college, or professional level. Females are more inclined to seek the attention of a Doctor of Physical Therapy (DPT) than males post-knee injury or knee pain. Individuals who experience anterior knee pain are more likely to seek care. Anterior knee pain and other knee issues
occur with arthritis of the knee, many do not restore the patient’s life to its normal state. This is why many patients chose to have a total knee replacement (TKR) surgery done. In the United States more than 400,000 primary knee and hip arthroplasties are performed each year, costing more the over $10 billion (bachmeier). Total knee replacement (TKR) is done to restore joint functionality and to relieve a patient from pain (jabber). However, some patients still have pain after surgery is done. There
Usually the onset of OSD is gradual with minimal intermittent pain that progresses to continuous and more severe in the acute phase (Kaya). Pain is intensified with physical activity that entails jumping, kneeling or running (Kaya). OSD is diagnosed first through a physical examination where swelling over the tibial tuberosity and tenderness to palpitation
kneeling, the ligaments are constantly providing support for the knee. The next few paragraphs will explain what the ACL is, the signs and symptoms of an ACL injury, and how it is repaired. To begin, ACL stands for Anterior Cruciate Ligament. An ACL is one of the two ligaments in the center of the knee that helps hold the femur to the tibia and properly stabilizes the knee (Still 4). Twisting and/or hyperextension of the knee commonly cause an ACL injury. An ACL injury is a very common in sports
Bernard Pollard. Brady buckled to the ground in apparent pain and was carted off the field by the athletic trainers. Brady was then examined by the doctors and an MRI was taken of his knee. Tom Brady was diagnosed with a season-ending knee injury. Brady had sustained an anterior cruciate ligament (ACL) tear as well as a medial collateral ligament (MCL) tear. Brady then had a decision to make. Did he want surgery, or did he want to rehab his knee and have a slow recovery and have the possibility of being
the same symptoms. A magnetic resonance imaging scan (MRI) can determine if the patient indeed has a cyst on the back of their leg. Other tests may be done to rule out other conditions as well. A Baker’s cyst is formed when a patient has damage, arthritis, or a meniscus tear in their knee. Arthritis is the generally the main cause of a formation of a Baker’s Cyst (Wright). Although any kind of knee injury
spontaneously reduced knee dislocation should be suspected in patients with a large hemarthrosis, gross instability, or both; detailed vascular evaluation, including ankle-brachial BP index, should be done immediately the knee is fully examined. Active knee extension is assessed in all patients with knee pain and effusion to check for disruption of the extensor mechanism (eg, tears of the quadriceps or patellar tendon, fracture of the patella or tibial tube. Treatments for knee injuries includes mild
condition affecting synovial joints, so it is necessary to know how this problem affects physical function of knee osteoarthritic patients. The aim of the study was to test the validity and reliability of arabic-language version of the knee injury and osteoarthritis outcome score physical function short form to measure the physical function in knee osteoarthritic patients. 69 patients with knee osteoarthritis (bilateral osteoarthritis considered 2 cases) were recruited and 150 sheets (test and retest
GISTM, then strength and flexibility training are required (Black 2010). Numerous studies have been conducted, by certified therapist qualified in GISTM, to examine the styles and recovery periods after an injury. After going through the treatment, patients are measured by their range of motion (ROM) to see if the treatments were effective or not (Black 2010). ROM can vary depending on the region of the body that is being treated, but the overall goal of GISTM is to allow a person to get back to their
The anatomy of the knee contains the femur, tibia and the patella. There are four main ligaments within the knee. Those ligaments are called medial collateral (mcl), lateral collateral (lcl), anterior cruciate (acl) and posterior cruciate (pcl). The anterior cruciate ligament (acl) is in the middle of the knee and prevents the shin from sliding. An anterior cruciate ligament tear is the most common harmed ligament, undergoing an estimate of 200,000 happenings yearly. Typically individuals who play
Knee Ligament Injury Your knees are mobile joints that allow you to walk, climb, sit, and kneel. Ligaments stabilize your knee joints for these movements. When you injure a ligament, it may feel as though your knee won’t even hold you up. Fortunately, you and your healthcare team can work together to return you to an active lifestyles. Two ligaments in the knees are most likely to be injured. The anterior cruciate ligament (ACL) is in the center of the knee. It is often injured by a twisting motion
Anterior Crucient Ligament also known as the ACL is usually injured in a forceful twisting motion of the knee. It also may be injured by hyper extending the knee witch is when the femur is forcefully pushed across the tibia such as a sudden stop, while running or a sudden change in weight. The person will feel or here a sudden pop in the knee. The knee may or may not get very swollen, but the knee will be very unstable so you can not walk and it is painful especially when it is moved after the