Basic Information

Patient name: R. A.
Age: 37 years old
Gender: Male
Occupation: Priest

Medical History

Anamnesis: 37-year-old patient presents for HBOT evaluation, having been diagnosed with osteonecrosis of the left medial femoral condyle. The pain started after a pilgrimage to Mount Athos, Greece, where the patient reports spending a lot of time on his knees.
Family history: None known.

CLINICAL PRESENTATION:

Symptoms: Knee pain.
Duration: Several months
Aggravating factors: Cold weather.
Alleviating factors: None.

Treatment History:

Current medications: Nonsteroidal anti-inflammatory drugs as needed.
Previous treatments: Nonsteroidal anti-inflammatory drugs which led to temporary pain relief.

Investigations:

Results: Knee MRI.
Diagnosis: Osteonecrosis of the medial condyle of the left femur.

Treatment Plan:

Recommended medication: Nonsteroidal anti-inflammatory drugs as needed.
Therapeutic interventions: Hyperbaric therapy protocol of 20 sessions followed by reassessment.

EVOLUTION AND PROGNOSIS:

Evolution: Favorable.
Prognosis: Good.
Result: At evaluation, the patient presents without pain. Imaging investigations show a 90% reduction in edema, and mobility is normal. The patient underwent, on his own initiative, another 20 sessions. At reassessment, his general condition remained good, without other complaints, and imaging investigations show complete remission.

FINAL OBSERVATIONS:

Evaluation recommended as needed.