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5a knee pain assessment


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Assessment of knee pain

Published in: Health & Medicine
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5a knee pain assessment

  1. 1. Saurab Sharma, MPT Knee joint assessment Pain Assessment Past history Observation
  2. 2. Objectives of session At the end of the class, students will be able to:  Take relevant pain history for knee problems  Observe a patient with knee problem 2
  3. 3. HOPI: Pain Assessment  Site of the Pain  Side of pain  Type of pain  Depth  Constancy  Relation of pain/ Clearing area 3 Body Chart SINs
  4. 4. HOPI: Body Chart 4
  5. 5. HOPI: Body Chart 5 √ √ √ √ √ √ √ √ √
  6. 6. HOPI: Pain Assessment  Site of the Pain? Retropatellar?  Type of pain?  Aching pain= Degenerative changes  Sharp Catching pain= mechanical problem  Arthritic pain= associated with stiffness and eases with movement  Pain at rest= is not mechanical pain 6
  7. 7. HOPI: Pain Assessment  Pain during activity= subluxation, patellar tracking disorder  Pain after activity= synovitis, tendinitis  Constant pain irrespective of activity= Tumor  Pain around knee= contusion, tear of ligament or muscle  Ask if patient has pain during any activity or position or movement 7
  8. 8. HOPI: Pain Assessment  What activity and position aggravates pain?  What activity and position relieves pain?  SIN  Severity of pain:  Visual analogue scale (VAS)  Numerical pain rating scale 8
  9. 9. Past History  Any previous injury indicates recurrent injuries around knee.  Was the pain at the same site?  Similar nature?  What was the treatment given during that time? 9
  10. 10. Summary: 10
  11. 11. Plan for next class  Observation of knee  Prerequisites:  David J Magee’s book  Stanley Hoppenfield’s book on Physical examination 11