Physio discharge summary

15/11/2024 Referring Clinician Details: Dr. Sarah Evans City General Practice 123 High Street Anyshire AN1 2BC Re: Mrs. Eleanor Vance – Post-operative knee rehabilitation Dear Dr. Evans, Thank you for referring the above patient to me. Please find feedback from our session below. Presentation: Mrs. Eleanor Vance, a 68-year-old female, presented for her final physiotherapy review following a left total knee arthroplasty performed 12 weeks ago. She reported significant improvement in her knee pain and functionality since commencing physiotherapy. She has achieved full knee extension and 120 degrees of flexion, with minimal pain during activities of daily living. Gait analysis demonstrated a stable and symmetrical walking pattern, and she has regained confidence in navigating stairs and uneven surfaces. Her primary goal of returning to regular gardening activities has been successfully met. Treatment: During the course of her rehabilitation, Mrs. Vance received a structured exercise program focusing on quadriceps strengthening (e.g., knee extensions, leg presses), hamstring flexibility, and proprioceptive drills (e.g., single-leg stance, balance board). Manual therapy techniques, including patellar mobilisations and soft tissue release around the quadriceps and hamstrings, were applied to address range of motion limitations. Education was provided on pain management strategies, activity modification, and the importance of long-term adherence to her home exercise program to maintain strength and flexibility. Recommendation: Mrs. Vance has achieved her rehabilitation goals and is being discharged from physiotherapy. She has been advised to continue her home exercise program three times per week to maintain strength and flexibility. She was encouraged to gradually increase her physical activity levels, incorporating walking, swimming, and light cycling as tolerated. We discussed the importance of listening to her body and seeking medical advice if she experiences any new or worsening symptoms. No further physiotherapy input is anticipated at this time. Should you have any further questions regarding the above patient, please do not hesitate to contact me. Yours sincerely, Dr. Thomas Kelly BSc (Hons) Physiotherapy, MCSP PH-123456 0123 456789 Copies to: Patient's GP, Mrs. Eleanor Vance Enclosures: Home Exercise Program printout