Patient Case Study: Published on


Ron Clinton PT, M.Ed.,Certified McKenzie Physical Therapist

Barb V. is an 83 year old who was doing Pilates and walking 3 miles a day.

She was having a long relaxing dinner with friends one day and when she got up to leave she had intense pain in her knee. An x-ray by an orthopedist showed what he called bone on bone changes.

He recommended a total knee replacement which the patient did have in
January 2023.

After surgery she had a course of physical therapy but she still had pain.

The next intervention was a nerve block which did not relieve the pain.

After that she tried a $12,000 pain intervention that did not work.

She eventually got complete relief using the McKenzie Method (

It turns out that, using directional preference assessment (McKenzie), the pain was determined to be originating from her low back.

On discharge this summer she was walking 1.5 miles without pain. I spoke to her on 11-7-23 and she is back to walking 3 miles per day.

So, her knee still has the same x-ray changes, but they were not the reason for her pain.

The takeaways for anyone with significant knee pain are the following:

1. An x-ray or MRI is a picture at a point in time but is often not the final answer for the proper and most effective treatment.
2. A McKenzie assessment can rule out or rule in the spine as a contributor or as the primary source of the problem.
3. Try Physical Therapy before injections, surgery or expensive treatments.
4. Empower yourself with information from the websites mentioned above.

Published on

Similar Posts