Margaret is visiting your clinic for her annual check-up. From her file you note that she is a…

Margaret is visiting your clinic for her annual check-up. From her file you note that she is a 62-year-old woman from Kooralbyn, Queensland. She owns and has worked on a dairy farm with her husband and two sons for the past 30 years. She is 165cm tall and has maintained a BMI of 28 – 30 kg/m2 since she first came to the clinic in 1995. Her medical history is limited but includes numerous ankle sprains and patellar tendonitis as a teenager and young adult from playing competitive netball. Some of the injuries required physiotherapy but no surgery was performed. Margaret continues to play in a friendly league on Thursday night when possible. Today Margaret is complaining of increasing bilateral pain in her knees. She has noticed it developing for a few years now but didn’t care to mention it because it was very minimal. Upon further questioning you determine that the pain is more prominent during times of activity and last week her knees gave way a couple times while playing netball. On occasion she will wake with stiffness in her knees but it only lasts a few minutes. Her knees become quite tender after a long day on the farm and she has recently started to hear creaking and grating sounds as she bends, similar to what her mum experiences.

Following further assessment and testing Margaret is diagnosed with osteoarthritis. Although the exact aetiology of Margaret’s osteoarthritis is unknown, the doctor believes the cause is secondary to previous injuries, and general joint/s wear and tear.
.Following further assessment and testing Margaret is diagnosed with osteoarthritis

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