04/10/2025
This patient presented with almost 2 yrs of knee pain when he does leg workouts especially with leg extensions and lunges.
After a period of physio, he improved, but then when he started going back to his usual workout his knee swelled up again and the knee cap pain started again. That's when he presented to me in May this year.
After assessing the knee, the pain was mostly on the posterior aspect of the right patella. And grinding or palpating the patella aggravates the pain. So this points to a cartilage issue. The knee was also swollen as seen in the first image. He could feel some tightness with terminal flexion.
So we discussed his training regime and made some changes, and removed aggravating workouts.. and adjusted some techniques of ex*****on and added on some hip work. He wanted to give this a try first. A month passed and we were not seeing the expected outcome as the knee was still swollen and the patella still was hurting. So it was time to step up the treatment. But I also requested that I need 6 weeks of strict rehab following the treatment and he has to follow it to the tee.
So in July, we proceeded with knee aspiration + injection of High molecular weight HA + PRP injection ( only 1 treatment done )
He then went through a guided rehab step by step.. midway I also started some joint supplements to further assist the healing.
6 weeks post injection he was already 90% pain free even with lunges and leg ext, squats was not an issue anymore, he started running again but in small doses, knee swelling was almost gone.
Today he came in, 3 months post treatment (picture shown) and rehab, no more pain, ROM is full, no more knee swelling, back to full training.. and of course very much happier.
And he heard the golden word, DISCHARGE.
Of course, with some additional tips on squat and leg press ex*****on. Red flags to look out for in the future. And training a lot smarter.
