Case study ( 2897 views as of February 25, 2017 )
Lise is a 55-year-old woman who has increasing pain in her right knee. In her 20’s she twisted her knee skiing and had surgery with full recovery. Lise has a sales job and finds that when she is bending or kneeling she has severe pain. She is not sure she can continue doing her job.
On examination, there is no warmth or swelling at the knee, but she has a lot of pain when her doctor pushes her knee cap against her thigh bone. X-rays show some early arthritis. Her doctor says she does not need surgery but has suggested Lise work to lose 30 lbs and sees a physiotherapist.
Lise could benefit from a referral to a rheumatologist and an orthopaedic surgeon for further investigation of her condition. To manage her injury and strengthen the surrounding area, Lise could benefit from seeing a physiotherapist and a bracing specialist. A dietitian and personal trainer can help Lise set goals to achieve the 30 pound weight loss.Author: Dr. John Wade