Knee Assessment

Subjective Assessment: Patient presents today with ongoing right knee pain following a twisting injury sustained during a football match three weeks ago. The patient reports a gradual improvement in pain levels since the initial injury, but still experiences pain with activity and prolonged standing. The patient reports they are progressing well with their home exercises. VAS: 4/10 Aggravating factors: Prolonged standing, squatting, and running. Easing factors: Rest, ice, and elevation. Scans: No scans have been performed. General Mandatory questions: Night/Constant/Bilateral Pain/Weight Loss: No night pain, no constant pain, no bilateral pain, and no weight loss. Increased sweating/Night sweats: No increased sweating or night sweats. Power loss/Numbness/Pins & needles: No power loss, numbness, or pins and needles. Prolonged steroids/Osteoporosis: No prolonged steroid use or osteoporosis. Anti-coagulants: Not on anti-coagulants. Sleep Disturbance: Sleep is not disturbed. Metal Implants: No metal implants. Relevant Medical History: No relevant medical history. Past Medical History: No past medical history. Patient valued outcomes (PVOs): Patient aims to return to playing football and be able to run without pain. Objective: Posture: Normal. Alignment: Normal. Functional: Squatting is limited by pain. Able to walk without a limp. Gait: Normal gait pattern. ROM: Full active and passive range of motion, with pain at end range flexion. Special Knee Tests: McMurray's test negative. Lachman's test negative. Varus and valgus stress tests negative. Patella Tests: Patella tracking normal. Tracking: Normal. Patellar tendon: No tenderness. Tibial tuberosity: No tenderness. Bursa/Fat pads: No tenderness. Popliteal area: No tenderness. Feet/Ankles: No issues. Hips: No issues. Other: No other relevant findings. Impression: Suspected mild meniscal injury with associated joint effusion. Plan: Continue with current home exercise program. Advise on activity modification. Review in one week. Treatment: Manual therapy to address quadriceps and hamstring tightness. Education on activity modification. HEP (Home Exercise Programme): Continue with quadriceps strengthening exercises, hamstring stretches, and calf stretches. Advice: Advised on the importance of activity modification and the use of ice after activity. Provided education on pain management strategies. Next day: No specific plan for the next day.