Knee pain GP management Flashcards
describe the prevalence of knee pain in GP
seen in 10% patients above 55(common)
why is the incidence of knee pain presentation in GP increasing
more people getting older, more people getting fatter
what clinical features do patients present with
pain, stiffness, loss of function, swelling, deformity, loss of sleep
what things are common history of presenting knee pain
often injury/trauma, previous surgery
where can knee pain refer from and needs to be considered
hip
what is looked for on the physical exam in for knee pain
deformity, how patient walks, swelling, scars
what is felt for in the physical exam for knee pain
bony landmarks, tenderness, effusion, knee stability, patellar apprehension test
what is involved in the move section of the physical exam in knee pain
extension, flexion, quad strength
what investigation is usually done for knee pain in GP
none
what investigations can be done for knee pain in GP
X-ray, MRI, viscosity, urate
what non-pharmacological management can be used for knee pain in GP
physio, education, support, keep mobile, referral
what pharmacological management can be used for knee pain in GP
analgesics, NSAIDs(short term)
what are the common causes of knee pain
ligament strain on medial collateral, bursitis, osgood-schlatter’s, osteoarthritis
what are some rare causes of knee pain
meniscal injury, cruciate damage, gout, rheumatoid arthritis
