OA Case

Patient history

I.D.:

63-year-old female referred for (L) knee OA.

HPI:

Began experiencing (L) knee (P) approximately 2 years ago.  Consulted her family physician at that point in time and had x-rays taken revealing OA of the (L) knee.  Symptoms were well managed with Naprosyn for about 1 year at which point both the frequency and intensity of the (P) have increased.  Symptoms have increased significantly over the past month, resulting in a limp and necessitating a return visit to the family physician.  She has been advised to continue with the Naprosyn and has been referred to physiotherapy and orthopaedics.

PMHx:

(L) partial medial meniscectomy (1983) – meniscal tear secondary to fall skiing.

Meds:

Naprosyn

Diagnostic Testing:

X-ray (L) knee (2014): moderate medial compartment OA with minimal lateral compartment OA.  Marginal osteophytes.

SoHx:

Works as a high school teacher.  Enjoys walking, cycling and skiing.

Treatment Goal:

Resolution of pain so that can return to nightly walks and skiing.