A 24-year-old woman who works as a tailoress has been complaining of joint pains over the past few years and pain in her right knee. This is causing problems at work, as it is aching, and she cannot complete her work sometimes. Her knee aches when she is sitting and also when climbing stairs. She cannot manage the house properly. She denies any recent injury or trauma and tells you that she thinks it swells occasionally but is never hot or red. She does not feel a click, and nor does it lock.
She reiterates that it hurts after standing at work, sitting with a bent knee for long periods, and going up and down the stairs. She says she feels well in herself. She worries that she will have walking problems as her mother has joint pains and is disabled with 'arthritis.' She walks normally, with a normal gait and no deformity. She appears overweight and has a body mass index (BMI) of 29. She…
