Pain in the Knee: Integrating Evidence Into Patient Cases
Presented by Mary Derrick-Manis
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Knee pain is the second most common cause of chronic pain, and one-third of all Americans report having experienced knee pain at some point. Three of the most common causes of knee pain are osteoarthritis (OA), patellofemoral pain (PFP), and ligament sprains. Knee osteoarthritis is one of the most commmon chronic and debilitating conditions worldwide, is associated with high economic costs and increased mortality, and is a common condition for any physical therapist treating in the outpatient setting. Therefore, a deep understanding of knee OA is a critical part of the skill set of any physical therapist who is an orthopedic specialist. PFP and ACL injuries are also extremely common conditions seen by orthopedic specialists. Both of these conditions have high incidence and variable prognoses, with more than 50 percent of people with PFP reporting issues five to eight years after treatment, and incidence of second ACL tears being 28 percent. In 2019, the APTA’s Academy of Orthopedics developed a clinical practice guideline for the management of PFP. Likewise, a clinical practice guideline for knee ligament sprains was developed in 2017. This course reviews three cases of patients who present to physical therapy with complaints of knee pain.
Meet your instructor
Mary Derrick-Manis
Dr. Mary Derrick-Manis is an assistant professor (clinical) in the Department of Physical Therapy and Athletic Training at the University of Utah in Salt Lake City, Utah, where she teaches Tests and Measures as well as Musculoskeletal Management. She is also a PhD candidate studying the acquisition of pain beliefs in health…
Chapters & learning objectives
1. Knee Osteoarthritis
This chapter will introduce a patient who presents with the diagnosis of knee osteoarthritis. Learners will systematically explore comprehensive examination and treatment strategies by targeting key factors that guide clinical decision-making.
2. Anterior Knee Pain
This chapter will discuss a patient who presents with anterior knee pain. Learners will systematically explore examination and treatment principles by targeting key factors identified in the 2019 Clinical Practice Guidelines published by the APTA’s Academy of Orthopaedic Physical Therapy.
3. Anterior Cruciate Ligament Pain
This chapter will review a case highlighting the clinical practice guidelines for postoperative management and injury prevention for patients with ACL ruptures while also reviewing some content for other knee ligament sprains. In this case, the patient is seen by a resident who wants to present the case to their faculty mentors to ensure their care followed Clinical Practice Guidelines published by the APTA’s Academy of Orthopaedic Physical Therapy.
