Case Study: Knee Pain Recovery Physio of Mrs A

Background

Mrs. A, a 62-year-old retired teacher and avid outdoor enthusiast, presented to Phoenix Rehab with persistent pain and reduced mobility in her right knee.

The condition significantly impacted her daily life, preventing her from hiking—one of her greatest passions—and keeping up with her energetic grandchildren.

After consulting with an orthopedic specialist, she was diagnosed with osteoarthritis and referred to Phoenix Rehab for a tailored physiotherapy program.

Initial Assessment

During the initial evaluation, Mrs. A described her symptoms as sharp pain during weight-bearing activities, stiffness in the morning, and a general lack of confidence in her knee’s stability. Functional assessments revealed:

• Reduced range of motion in the right knee.
• Weakness in the quadriceps and hamstrings.
• Difficulty climbing stairs and performing squats.

Her primary goals were to return to hiking and enjoy active time with her grandchildren without limitations. The physiotherapy team at Phoenix Rehab designed a comprehensive, personalized program to address these goals.

Rehabilitation Plan

The treatment plan was structured in phases, focusing on gradual progression:

Phase 1: Pain Management and Initial Strengthening

• Goals: Reduce pain and inflammation, restore knee mobility.
• Interventions:
  • Manual therapy: Joint mobilizations and soft tissue massage to improve range of motion.
  • Pain modulation: Use of ice therapy and ultrasound therapy.
  • Gentle exercises: Heel slides, quadriceps sets, and hamstring stretches.

Phase 2: Strength and Stability Development

• Goals: Improve knee strength and stability, enhance functional movement.
• Interventions:
  • Resistance exercises: Leg presses, step-ups, and mini-squats.
  • Balance training: Single-leg stands and wobble board exercises.
  • Core strengthening: Plank variations and pelvic bridges to support lower limb function.

Phase 3: Functional Training

• Goals: Build endurance and simulate real-life activities.
• Interventions:
  • Hiking-specific drills: Incline walking on a treadmill and outdoor trail practice.
  • Dynamic exercises: Lunges, agility drills, and light jogging.
  • Functional activities: Stair climbing and weighted carries to mimic hiking demands.

Phase 4: Maintenance and Independence

• Goals: Ensure long-term knee health and prevent relapse
• Interventions:
  • Education: Guidance on proper footwear, hiking techniques, and warm-up routines.
  • Home exercise program: A set of tailored exercises to maintain strength and flexibility.

Outcome

After six months of consistent effort and determination, Mrs. A achieved remarkable results:

1. Full restoration of her knee’s range of motion.
2. Significant improvement in strength and balance.
3. Pain-free hiking for extended durations on varied terrains.
4. Confidence to chase and play with her grandchildren.

In Mrs. A’s words:

“Phoenix Rehab gave me my life back. I never thought I could hike again or keep up with my grandkids, but now I feel stronger than ever!”

Conclusion

Mrs. A’s success story is a testament to the effectiveness of a well-structured physiotherapy program, personalized care, and the patient’s commitment to recovery.

At Phoenix Rehab, we are proud to help patients like Mrs. A rediscover the joys of an active and fulfilling life.