Mr. Cervantes is a 68-year-old male patient who comes to your office complaining of increased left knee pain for the past 3 to 4 months. He has had no history of recent injury. An x-ray done less than 4 months ago showed degenerative osteoarthritic changes. He has a full range of motion and denies any recent swelling, pedal edema, temperature change, or discoloration. In Spain, Mr. Cervantes competed in many marathons since he was 19 years young. He was diagnosed with osteoarthritis of his left knee more than 10 years ago. He has decreased his weekly running, but the pain is persistent and is affecting his daily activities. He has been using over-the-counter Non-steroidal anti-inflammatory drugs(NSAIDs) on and off, but states they are no longer working and wants something “stronger.” His vital signs are all stable (within appropriate parameters) and his history is free of fever, chills, or rashes. He reports feeling healthy other than the knee pain.
1. How would you approach the management of this patient?
2. What education/adherence, monitoring, and follow-up do you plan? Word count 500-1000 words.
