Basic Information

Patient name: V. B.
Age: 67 years old
Gender: Female
Occupation: Retired

Medical History

Anamnesis: 67-year-old patient presents to the clinic with pain in the right knee, symptoms that appeared approximately 3 months ago.
Family history: None known.

CLINICAL PRESENTATION:

Symptoms: Pain in the right knee.
Duration: 3 months
Aggravating factors: None.
Alleviating factors: None.

Treatment History:

Current medications: None.
Previous treatments: None.

Investigations:

Results: Knee MRI.
Diagnosis:
- Advanced right gonarthrosis.
- Bone edema.
- Baker's cyst.
- Subchondral fracture with depression in the posterior-superior region of the lateral femoral condyle.
- Essential hypertension grade 1.

Treatment Plan:

Recommended medication: Nonsteroidal anti-inflammatory drugs as needed.
Therapeutic interventions: 20 sessions of hyperbaric therapy.

EVOLUTION AND PROGNOSIS:

Evolution: The patient presented for a new clinical and imaging evaluation, after completing the first treatment cycle, which included 20 sessions, for lateral condyle necrosis.
During the treatment, she walked without support, avoiding intense physical efforts.
Prognosis: Following the treatment, the patient no longer complains of significant pain. The pain felt in the cervical spine has been considerably reduced, from a score of 8/10 to 3/10.

FINAL OBSERVATIONS:

Regular check-ups with the attending neurologist and reassessment as needed are recommended.