I’m working on a kinesiology case study and need an explanation and answer to help me learn. A 60 year old female presents to
I'm working on a kinesiology case study and need an explanation and answer to help me learn.
A 60 year old female presents to your clinic with a chief complaint of right knee pain.
She indicates that her symptoms began insidiously a year ago, originally presenting intermittently but now progressing to daily pain. The pain is worse in the morning or after periods of prolonged rest/inactivity, and improves after a period of short term walking. The pain is localized to the medial aspect of the anterior knee, but can refer to the lower thigh region. The pain is characterized as a deep achy sensation with periodic bouts of sharp, stabbing pain especially when walking for a prolonged period of time. She is an avid mid-distance runner but has had to recently shorten her run distances due to increasing pain.
Physical examination reveals a ROM of 120 degrees on the affected knee. She experiences palpable point tenderness along the anteromedial aspect of the joint line. There is no visible swelling or deformity of the knee. She cannot fully complete a deep knee bend of the affected knee due to pain. A painless audible clicking sound is heard during flexion of the knee.
Anti-inflammatory medication and swimming make her knee feel better, while prolonged weighbearing such as long walks and running aggravate the pain.
She has a history of anterior cruciate ligament injury 5 years ago during which her knee was immobilized for 6 weeks. She also had a partial meniscotomy when she was an elite runner, some 30 years ago. She is overweight and was recently diagnosed with type II diabetes at the age of 55 years, managing it through diet and exercise. She does not take any other medications.
Please answer the following questions:
- Provide your primary diagnosis, and two (2) differential diagnoses for this patient?
- Describe ALL the clinical featuresand risk factorspresented in this case study that helped you arrive at your diagnosis.
- What are two (2) evidence-based conservative therapeutic approaches we discussed in class that you would employ in the management of this condition? Provide evidence-based support for the physiologic rationale in using these two (2) interventions.
- What are the clinical challenges in diagnosing the condition(s) you have identified as your diagnoses in question 1?
- Describe the mechanisms by which the tissue in your diagnosis dissipates energy. Explain how the structural features of this tissue contribute to its dissipating function.
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