Summary · Derek Holloway

15 notes and 3 attachments analysed · written today 09:40 · deleted 09:40 tomorrow

Seen 09/10/2026 for left knee osteoarthritis (follow-up 6).
Reports around 30% improvement overall; stairs easier, now walking the dog for 25 minutes (previously 10).
Still stiff for 15 minutes on rising; no giving way since last session.
Saw GP since previous session; naproxen reduced to as-needed.
Objective: L knee flexion 120° (previously 110°), extension 0°; quads 4/5; 30-second sit-to-stand 11 reps (previously 8).
Treated: L knee (tibiofemoral mobilisations grade III), soft tissue to quadriceps, progression of step-ups to 20 cm step, education on load management and weight.

Left knee pain, medial, gradual onset about 9 months ago with no specific injury; worse after a walking holiday.
First episode of left knee pain.
MRI (report on file): degenerative tear of the posterior horn of the medial meniscus and moderate medial compartment chondral loss.
Referred by GP; no orthopaedic opinion documented.

2025, left knee osteoarthritis (current): insidious onset, first occurrence. 6 sessions to date of manual therapy and progressive strengthening; improving. MRI as above.
2022, low back pain: onset after lifting a lawnmower into a car. Resolved over about 6 weeks. 3 physio sessions of advice and graded walking; resolved.
2019, right Achilles tendinopathy: mid-portion, onset after increasing walking distance. Persisted about 5 months. 8 sessions with eccentric loading programme; resolved.

Left knee osteoarthritis with degenerative medial meniscus: manual therapy and strengthening, responding well.
Low back pain (2022): advice and graded activity, resolved.
Right Achilles tendinopathy (2019): loading programme, resolved.

Summary Derek Holloway