The AAO Journal, 2015/09, 25(2):27-32, type of study: ,cr,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Full text    (https://meridian.allenpress.com/aaoj/)

Keywords:

acute knee pain [2]
osteoarthritis [48]
female [655]
osteopathic manipulative treatment [3946]
OMT [3925]
case report [736]

Abstract:

A 69-year-old female patient with a history of moderate-tosevere generalized primary osteoarthritis and mild-to-moderate bilateral knee osteoarthritis sought care after experiencing acute left knee pain and swelling for 4 days. Physical examination revealed moderate swelling and warmth in her left knee with a mild prepatellar effusion. Somatic dysfunctions found were a left medial meniscus tender point, posterior left proximal fibula, and internally rotated and markedly flexed left tibia. To address the somatic dysfunctions, osteopathic manipulative treatment (OMT) was performed, using articular technique, counterstrain, muscle energy, and myofascial release. While the muscle energy technique was being provided for the patient’s flexed left tibia, a large articular “clunk” occurred that was accompanied by restoration of normal tibiofemoral range of motion and resolution of pain. The effusion resolved during the next several days following OMT. This case report demonstrates the role of osteopathic manipulative medicine in the diagnosis and management of patients for acute knee pain in the presence of osteoarthritis.