Treatment Flashcards
Traumatic Arthritis
Strengthen musculature surrounding knee, NSAIDs,
Cortisol injections, Surgery (debridement)
Hemarthrosis
Joint aspiration gold standard
Monoarticular Steroid-Sensitive Arthritis
Intra-articular steroid injections
Crystal Synovitis
Triamcinolone,
Oral NSAID
Septic Arthritis
Antibiotics,
Joint aspiration
Rheumatoid Arthritis
Strengthening exercises (knee stability), NSAIDS, DMARDs, Glucocorticoids, TKA if very severe
Early Arthrosis
Strengthen musculature surrounding knee, NSAIDs,
Cortisol injections, Surgery (debridement)
Discoid Meniscus
Total and partial meniscectomy; cryotherapy, analgesics, NSAIDs;
PT strengthening quads, hams, hip;
ROM; neuromuscular coordination and proprioceptive re-ed; progressive weight-bearing
Bucket-Handle Meniscal Lesion
Stable tears - observation, PT intervention;
Unstable tears - arthroscopic meniscectomy or meniscal repair
Posterior Lesion
Manipulation
Surgery or prophylaxis
Loose Bodies in Adolecents
Manipulation,
Extraction
Loose Bodies Complicating Arthrosis
Manipulation,
Extraction
Medial Coronary Ligament Injuries
Deep friction or infiltration
Medial Colateral Ligament (MCL) Injuries
Acute: deep friction and mobilization or triamcinolone;
Chronic: manipulation after deep friction
Intra-articular Adhesions
Arthroscopic surgery, CPM,
Joint mobilization,
Joint manipulation
Advanced Arthrosis
Strengthen musculature surrounding knee, NSAIDs,
Cortisol injections, Surgery (debridement)
Subsynovial Hematoma
Aspiration
Medial Collateral Bursitis
Aspiration,
Triamcinolone
Medial Mensicus Injury
Manipulation,
Conservative management,
Surgery
Patellar Bursitis
Aspiration/infiltration,
Surgery
Popliteal (Baker’s) Cyst
Ice massage,
Hamstring stretching & quad strengthening,
Aspiration
Adherent Vastus Intermedius
ROM exercises,
Surgical correction
Chronic Non-Adherent Ligamentous lesion (Plica Mediopatellaris)
Triamcinolone, Arthroscopic section
Loose Body
Manipulation,
Extraction
Plica Synovialis Syndrome
Cryotherapy (pain), hamstring flexibility,
Quad strengthening
Posterior Capsular Strain
PRICE,
NSAIDs,
Strength exercises for extension/ER
Iliotibial Tract Bursitis
PRICE, Stretching, NSAIDS, Corticosteroids, Aspiration
Patellar Bursitis
PRICE
Patellofemoral Pain Disorders
VMO training,
Taping
Patellofemoral Arthrosis
Infrapatellar strap
Sprain of the Anterior Cruciate Ligament (ACL)-
Anterior Insertion
Conservative management, Triamcinolone,
Surgery
Sprain of the Posterior Cruciate Ligament (PCL)-
Anterior Insertion
Conservative management,
Triamcinolone,
Surgery
Suprapatellar Tendinitis
Deep friction,
Triamcinolone
Infrapatellar Tendinitis
Deep friction,
Triamcinolone
Infrapatellar Tenosynovitis
Triamcinolone
Quadriceps Expansion Tendinitis
Deep friction
Lesions at Tibial Tuberosity (Osgood-Schlatter’s or Avulsion of the Tendon)
PRICE,
Bracing
Surgery (serious avulsions),
Immobilization (moderate avulsions)
Medial Quadriceps Expansion Tendinitis
Deep friction
Pes Anserinus Tendinitis
Deep friction,
Triamcinolone
Lateral Coronary Ligament
PRICE,
TENS,
Strengthening and flexibility
Lateral Colateral Ligament (LCL) Injuries
PRICE Short-term AD Early ambulation WBAT, Short-hinged brace Severe injuries require surgery
Lateral Meniscus Tear
PRICE, Manipulation, Conservative management, Surgery, NSAIDs, PT post-op
Lateral Meniscus Cyst
PRICE, Anti-inflammatory medicine, Aspiration Cortisone, Arthroscopy
Quadriceps Lesion
Conservative:
RICE,
TENS,
Muscle strengthening;
Surgical:
Isometric quad exercises
Strained Iliotibial Band
Rest,
Reduction of weight bearing flexion/extension at the knee,
Ice massage,
Possible gait correction, Corticosteroids,
Ultrasound
Rupture of Quadriceps
Conservative (incomplete tear):
Immobilization, Strengthening & ROM once pain & swelling resolve,
SLR;
Surgery (complete tear)
Patellar Fracture
Control pain & edema,
Maintain ROM in unaffected joints,
ROM exercises for knee after immobilization period
Rupture of Patellar Tendon
Conservative: Immobilization for 3-6 weeks,
Quad strengthening;
Surgical:
Immobilization following procedure,
WB precautions protocol depends on procedure
L3 Nerve Root Lesion
Conservative (first 6-8 weeks): pain-relieving meds, traction, manipulation, ultrasound, hot pack, core/abdominal stability and strengthening;
Surgical (after at least 6 weeks): discectomy
Femoral Nerve Lesion
Exercises, Education (avoid ER/abd of hip), Knee bracing, Nerve stimulation treatment, Surgery
Hamstrings Lesion
Need for surgery is rare
Biceps Femoris Tendinitis
Pain management,
Stretching & strengthening of knee musculature,
Patient education
Lesion of Upper Tibiofibular Joint
Triamcinolone at the anterior ligament
Lesions of Pes Anserinus
PRICE Stretching of hamstrings, NSAIDs, Strengthening of adductor/abductor/quads, Cortisone injections
Strained Popliteus Muscle
PRICE,
Gentle hamstring stretches following acute phase,
Deep tissue massage, Strengthen quads & hams
Gastrocnemius Lesion
PRICE
WBAT
AROM knee/ankle exercises in pain-free range
Equipped heel-lift or crutch if needed due to altered gait pattern,
Bracing in maximal dorsiflexion as tolerated,
Progress to RROM dorsiflexion exercises then weight-bearing exercises
S1 Nerve Root Lesion
Often conservative including: stretching, corticosteroid injections, and traction
S2 Nerve Root Lesion
Often conservative including: stretching, corticosteroid injections, and traction
Rotary Instability
Often, surgery–followed by a progressive rehabilitation program
Apophysitis
Rest
Recurrent Dislocation
Bracing,
Taping,
VMO training,
Surgery