Hi all...

I need your help with this patient...

He a 40 y/o gentleman who is very active in sports. Had ACL recon on left knee in 2000. Rehab done well not with me definately.

In 2005, Rt Knee AcL recon done...in Kuala Lumpur. Rehab went for 5/52 weeks in the hospital. after that continue rehab by himself...till now after one year came to me.

Seen large effusion the knee...went to KL to extract the fluid on and off.
Quads wasting...marked wasting.
Hamstring strengh good 5/5.Other muscles gluts, abds. add, rotators 4/5. Quads is bad...
Pt able to play football, fully squat, running in figure of 8.
Balance : fair in dynamic std
I think is the control of both quads and hamcstring is affected...How do i help him???

Pt problem now...
1. pain after sports...
2. quads wasting...
3. Pain when climbing down stairs...

when i give exs...
lateral step up & std one leg pick object on floor....pt reported pain!!

Pls help me with this patient.


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