Se MIO Dr. Billy Paul Wilson © Internatior MBBS, M.S. Ortho, MRCS, FRCS (TR &ORTH) ‘Senior Consultant Orthopaedic Surgeon Head of Arthroscopic Surgery, Knee reconstruction & Sports injuries Unit 33.02.17 have reviewed Mrs KUSUM VERMA, 46Female, MR No. 483462 in clinic today. Diagnosis: 2 months post Right knee arthroscopic partial medial meniscectomy + limited lateral release + debulking of ACL + chondroplasty medial femoral condyle on 14.12.2016 Her severe pain related to the root tear has settled down She gets symptoms from the patellofemoral joint mainly white trying to get up from a hyperflexed knee position She gets aching sensation at the (On examination: Right knee No effusion Reconstructed ACL stable ROM 0° to 125° (-5* to 130° on left side ) Plan: 1. thave reassured her regarding the symptoms 2. Physiotherapy 24. Generic knee exercise 2.2. Focus on Quadriceps strengthening exercise 2.3. Patella mobilization 2.4. Hamstring stretching exercise 3. Continue with Ice pack application for every 3 - 4 hours for every 10-15 minutes 4, Tab. Etoshine 60 mg (after food ) 1-0-0 for 6 weeks 5. Tab, Rantac 150mg (before food) 1-0-1 for 6 weeks 6. ARK gel for local application 7. Toavoid sitting on low chair and repetitive stair climbing 8. Review in clinic in 6 weeks time on 27.03.2017 (Monday) MIOT INTERNAT SERNA UO soi Or, BILLY PA