Roland (58 years old)

Roland is a 58-year-old carpenter with no notable injuries, a BMI of 27 and varicose veins.

For the past 3 years, he has been experiencing right knee pain. A recent X-ray revealed joint space narrowing and osteophytes, indicative of OA. Non-steroidal anti-inflammatory drugs (NSAIDs) were prescribed, and he was advised to perform exercises for local muscle strengthening.

Since 3 months, Roland has knee swelling for which he sought treatment in a private healthcare facility. Intra-articular corticosteroid injections were administered and followed by physical therapy, but without improvement.

He is gradually becoming more and more limited in performing daily activities and started to take NSAIDs during the day.

He comes to your clinic because of increasing pain that impacts his work.

Assessment summary:

• Physical exam of the right knee: mild antalgic gait and limited range of motion, tenderness over proximal tibia
• A new X-ray showed an increased size and number of osteochondral bodies in the right suprapatellar recess, left joint effusion