Basic Information

Patient name: K. D.
Age: 32 years old
Gender: Female
Occupation: General Nurse

Medical History

Anamnesis: The patient presents with tibial and left lateral femoral bone edema, post-traumatic.
Family history: None known.

Clinical Presentation:

Symptoms: Pain in the left knee.
Duration: Several weeks.
Aggravating factors: None.
Alleviating factors: None.

Treatment History:

Current medications: None.
Previous treatments: None.

Investigations:

Results: Knee MRI.
Diagnosis: Edema of the left medial femoral condyle and ipsilateral tibial plateau.

Treatment Plan:

Recommended medication: None prescribed.
Therapeutic interventions: 20 sessions of hyperbaric therapy followed by reassessment are recommended.

Evolution and Prognosis:

Evolution: The patient presents for reassessment and reports that the pain has almost completely disappeared, being present only during knee flexion. Previously, the pain was evaluated at 8/10, and currently it is 1/10, according to the patient. Mobility is greatly improved; before therapy, flexion was impossible.
Prognosis: Very good. Significantly increased mobility, absent pain, peripheral sensitivity, motor function, and intact vascularization. Healing is confirmed radiologically and clinically at approximately 90%.

Final Observations:

HBOT sessions as needed. MRI follow-up in 1 year.