Today I treated a female outpatient with a sore knee and quads who had a stroke previously, I did some mobilizations on her patella and trigger points and massage on vastus lateralis and ITB as well as some stretching to her quads in sidelying. Her issue was mainly knee pain due to weak VMO and tight lateral structures and some pain in her quads on her unaffected side as she was overusing the unaffected side. I taped her knee to improve patella tracking, but was not happy with it and had a physio to check it for me. Apart from the taping I did the intervention well, the patient reported 6/10 pain before the intervention and nil pain afterwards which was very satisfying. It was more challenging to do an intervention on a larger individual with limited mobility. Tonight I will read up about various taping techniques not just in relation to the knee but also taping the shoulder to inhibit and facilitate muscles.
I went to take an inpatient to the physio gym to carry out an exercise program, as their obs had not been taken I took them myself and noted that the pulse rate was very low at 40 beats per minute. I informed the nurse and posponed the exercise program. It turned out that the beta blocker dosage was too high and their medications were modified accordingly.
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