{"id":4116,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/medialkneepain\/"},"modified":"2024-12-24T12:37:38","modified_gmt":"2024-12-24T12:37:38","slug":"medialkneepain","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/orthopaedics\/knee\/kneenohistoryoftrauma\/medialkneepain\/","title":{"rendered":"Medial Knee Pain"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">History<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>M=F<\/li>\n\n\n\n<li>Middle aged<\/li>\n\n\n\n<li>Often weight related<\/li>\n\n\n\n<li>Often affecting work, recreation<\/li>\n\n\n\n<li>Possible previous injury or surgery<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:27% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"901\" height=\"603\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Orthopaedics-Osteoarthritic-knee.png\" alt=\"Orthopaedics Osteoarthritic knee\" class=\"wp-image-19785 size-full\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Orthopaedics-Osteoarthritic-knee.png 901w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Orthopaedics-Osteoarthritic-knee-300x201.png 300w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Orthopaedics-Osteoarthritic-knee-768x514.png 768w\" sizes=\"auto, (max-width: 901px) 100vw, 901px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p>Pain specific to medial aspect of the knee&nbsp;<\/p>\n\n\n\n<p><em>image copyright NHS Lothian.<\/em><\/p>\n<\/div><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Signs<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Limp<\/li>\n\n\n\n<li>Unable to squat without pain<\/li>\n\n\n\n<li>Possible effusion<\/li>\n\n\n\n<li>Possible loss of range of movement<\/li>\n\n\n\n<li>Previous surgical scars<\/li>\n<\/ul>\n\n\n\n<p><strong>M.A. &amp; J. G. 23-05-24<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h3 class=\"wp-block-heading\">Secondary care referral<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Only if ALL primary care treatment exhausted<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h3 class=\"wp-block-heading\">Primary care investigations<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>X-Ray &#8211; AP standing &amp; lateral to exclude significant OA<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Primary care treatment<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Analgesia<\/li>\n\n\n\n<li>NSAIDS<\/li>\n\n\n\n<li>Weight loss (10% wt loss = 30% incr in function)<\/li>\n\n\n\n<li>Physiotherapy<\/li>\n\n\n\n<li>Cardiovascular exercise<\/li>\n\n\n\n<li>Strengthening \u2013 leg and core muscles<\/li>\n\n\n\n<li>Corticosteroid injection \u2013 if swollen and no other contraindications to csi<\/li>\n\n\n\n<li>Simple knee support<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.nice.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">National Institute for Health and Care Excellence (NICE)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.sign.ac.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">Scottish Intercollegiate Guidelines Network (SIGN)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.versusarthritis.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">Arthritisresearchuk.org<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.versusarthritis.org\/\">https:\/\/www.versusarthritis.org\/<\/a><\/li>\n<\/ul>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>History Pain specific to medial aspect of the knee&nbsp; image copyright NHS Lothian. Signs M.A. &amp; J. G. 23-05-24<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4074,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[404],"class_list":["post-4116","page","type-page","status-publish","hentry","category-medialkneepain"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/orthopaedics\/knee\/kneenohistoryoftrauma\/medialkneepain\/\" rel=\"tag\">Medial Knee Pain<\/a>","rttpg_excerpt":"History Pain specific to medial aspect of the knee&nbsp; image copyright NHS Lothian. Signs M.A. &amp; J. G. 23-05-24","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4116","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4116"}],"version-history":[{"count":9,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4116\/revisions"}],"predecessor-version":[{"id":22129,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4116\/revisions\/22129"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4074"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4116"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4116"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}