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Outpatient physical therapy for a patient with subacute knee pain with possible meniscus involvement
A patient with left knee pain with possible meniscal involvement was seen for physical therapy treatment for five sessions from April 9th 2014 to May 7th 2014 at an outpatient clinic under the supervision of a licensed physical therapist. The patient was evaluated at the initial encounter with the Lower Extremity Function Scale (LEFS), palpation, goniometry, manual muscle testing, special tests for meniscus and ligamentous integrity including anterior and posterior drawer tests, valgus and varus stress tests, Apley’s and McMurray’s tests, and a plan of care was established. Main goals for the patient were to improve both strength and range of motion, and to return to pain free walking and karate. Main interventions used were therapeutic exercises for strength and range of motion, biofeedback, progressive weight bearing and return to sport activities. The patient achieved goals for pain free walking, increased range of motion, increased strength in left knee and hip, normalized gait pattern, increased squatting ability, and improved LEFS score. The patient was discharged to home with a home exercise program.