Physical therapy assessment of knee OA includes:
- Detailed history including description of pain, stiffness, activity limitations, comorbidities, and patient goals
- Physical examination – including examination of posture and alignment of the whole lower extremity, range of motion, strength, sensation, balance and performance of functional tasks (such as stairs, squatting, hopping as appropriate)
Physical therapy treatment approach includes:
- Education about OA – the disease and management
- Individualized exercise program
- Manual therapy to soft tissues and joint as appropriate
- Possible use of a brace either to unload the arthritic part of the joint or for support
- Discussion of modification of tasks at home and work
- Discussion of weight control or weight loss, including possible referral to dietician
Reference:
Ackerman IN, Kemp JL, Crossley KM, Culvenor AG, Hinman RS. Hip and knee osteoarthritis affects younger people, too. J Orthop Sports Phys Ther 2017; 47(2):67-79.