Chhaya Shah
62 Years Old | Female
Presenting Complaints
- Bilateral knee pain following a fall.
- Difficulty with transitional movements, specifically sit-to-stand and getting out of bed.
- Reduced tolerance for weight-bearing activities, including standing and walking.
Medical Diagnosis
- Right patellar fracture.
Mechanism of Injury
- The patient experienced a sudden loss of balance while standing and sustained a direct fall onto both knees, resulting in a fracture of the right patella.
Surgical / Medical Management
- Surgical fixation of the right patella using K‑wire fixation
- Post‑operative medical management for pain control and inflammation
Assessment & Clinical Findings
Clinical Findings
- Pain: Pain present over the right knee, aggravated by movement and weight bearing
- Mobility: Restricted bed mobility and difficulty with transfers
- Functional Limitation: Difficulty in sitting, standing, walking, and performing activities of daily living (ADLs)
Physiotherapy Intervention Plan
Bed Mobility Exercises
- Bed mobility exercises to improve movement in bed
Bed Transfer Training
- Bed transfer training for safe movement
Progressive Weight-Bearing
- Progressive weight‑bearing exercises as tolerated
Gait Training
- Gait training using a walker
ADL Training
- ADL training to improve functional independence
Treatment Outcomes
Significant reduction in knee pain
Able to sit independently
Able to stand with the support of a walker
Ambulates with a walker
Able to climb stairs with assistance
Clinical Conclusion
This case highlights the effectiveness of a comprehensive physiotherapy approach in managing cervical spondylosis with lumbar radiculopathy. The treatment plan successfully addressed the patient’s symptoms through a combination of therapeutic exercises, pain management techniques, and postural correction strategies. The significant improvement in pain levels and functional abilities demonstrates the value of targeted rehabilitation in managing work-related musculoskeletal disorders. The patient’s ability to return to prolonged two-wheeler driving without significant discomfort underscores the success of the intervention in restoring functional independence and quality of life.