Week 3 Day 2

This pt presented with bilateral medial knee pain just proximal to the femoral attachment of the MCL.

Thoughts and feelings?
The pt wanted to know every detail about what we were doing and why we were doing it, needless to say I felt a little intimidated. She struggled to understand that what goes on at the hip can influence what goes on at the knee What made it even more difficult was the fact that coming into physio she thought that she may require a knee reconstruction.

How you performed?
Overall my subjective was reasonably good, i found out when her knee pain started, when it started to get worse and what changes were happening in her lifestyle at the time that could have exacerbated her symptoms. I should have found out more about what set off her initial knee pain 2 yrs ago.

What changes would you make?
Ask about initial onset, how old she was at the time (as PFL pain often happens to females in their late teens) and were there any changes in her lifestyle at the time.

Overall thoughts?
Not too bad. Subjective improving becoming more structured. The presentation was quite complex though and although i could understand the nature f the dysfunction and why she was getting her knee pain, the source of symptoms was difficult to diagnose due to the location of the reported pain.

What strategies could you incorporate?
Revise anatomy, practice subjective focusing on the ordering of my questions.

I would like to ask my supervisor about the likely source of symptoms.