2. Objectives of session
At the end of the class, students will be able to:
Take relevant pain history for knee problems
Observe a patient with knee problem
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3. HOPI: Pain Assessment
Site of the Pain
Side of pain
Type of pain
Depth
Constancy
Relation of pain/ Clearing area
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Body Chart
SINs
6. HOPI: Pain Assessment
Site of the Pain? Retropatellar?
Type of pain?
Aching pain= Degenerative changes
Sharp Catching pain= mechanical problem
Arthritic pain= associated with stiffness and
eases with movement
Pain at rest= is not mechanical pain
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7. HOPI: Pain Assessment
Pain during activity= subluxation, patellar
tracking disorder
Pain after activity= synovitis, tendinitis
Constant pain irrespective of activity= Tumor
Pain around knee= contusion, tear of ligament or
muscle
Ask if patient has pain during any activity or
position or movement
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8. HOPI: Pain Assessment
What activity and position aggravates pain?
What activity and position relieves pain?
SIN
Severity of pain:
Visual analogue scale (VAS)
Numerical pain rating scale
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9. Past History
Any previous injury indicates recurrent injuries
around knee.
Was the pain at the same site?
Similar nature?
What was the treatment given during that
time?
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