Hi All!
A case I hope you can all help me with in regards to
treatment, and possible other diagnosi.
Female, 40s, came in with lateral knee pain. Pain has
been getting worse, and started about 5 months back.
Started during her runs, and gradually she had to
reduce her runs distance wise. She is now at a point
where walking even aggravates the pain. Pain is very
irritable. Aggravated with stairs, running, rising.
No real easers, other than rest. Although she feels
she is unable to find a comfortable spot for her knee,
and needs to move it.
No locking or giving way.
Repeated lumbar movements (flexion/extension), do not
provoke pain. Any knee movement does.
Valgus/Varus Stress Tests were negative. ACL/PCL
drawer were negative. At this point was very sore, so
meniscal tests were painful, but no locking or
increase in pain.
On palpation, very tender only ITB insertion, and
along band.
I would assume this ITB, but am stuck due to the
irritablity. I have used only pain relief
modlalities, with limited results. Have thought of
possible orthotics (destress ITB) but her feet look to
be doing pretty good.
Any helpful hints would be greatly appreciated.
Nabil K.
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