Will be assessing Mrs X's pain scale using VAS(visual analog scale) in order to obtain her pain severity. At the same time, measure the swelling using a limb girth measurement (measuring tape) to compare swelling on both knees. from the palpation, mild warmth is presented on the left medial knee and  nil on the right side using the dorsum of the hand. Crepitus is present on the left knee while performing ROM test (knee flexion) about mid range. MMT is performed to test quadriceps and hamstring strenght. goniometer is used to obtain the exact range of motion of knee flexion and extension. posture is analysed using wall test and gait is by using a parallel bar/treadmill to identify any abnormal gait patten. 

 short term goal 
- to reduce pain 
- to reduce swelling and inflamation 
- to improve ROM 
- to improve muscle power 
- to improve posture and gait 

long term goal 
- to improve ADL 
- to improve prolong walking without pain 
- to be able to climb stairs without pain  

- pain management (cryocuff, tens, ultrasound, laser,etc)
- Joint mobilization (grade I and II)
- stretching
- muscle strenghtening exercise (isometric exercises, SQE, IRQ, SLR, etc)
- posture awareness
-gait training
-HEP

-pain and mild swelling present on the left knee d/t inflamation
- decrease ROM of left knee d/t pain and swelling and joint stiffness
- decreased muscle power d/t weakness of hamstring and quadriceps 
-  abnormal posture and gait d/t pain 

Short Term Goal 
- to reduce pain and swelling 
- to increase muscle strenght ( flexors and extensors)
- to improve ROM of left knee
- to improve posture and walking gait to improve ADL
-To improve functional activities 
-To prevent deformities

Long Term Goal 
- to be able to walk longer without pain 
- to be able to climb stairs without pain

- joint mobalization (grade I and II)
- stretching
- modalities ( tens, ultrasound, lazer, etc)
- MFR 
- strenghtening exercises/ isometric exercises ( wall squat, sit to stand, SQE, IRQ, etc)
- weight bearing exercises
- postural awareness 
- gait training 
- HEP 

- Pain and swelling at Lt knee d/t inflammation.
-Decrease ROM of flexion and extension of Lt knee d/t pain and swelling.
-Varus deformity on Lt knee d/t OA knee.
-Reduce Muscle power of flexor and extensor on Lt knee d/t pain.
-Decrease mediolateral joint stability d/t reduce in muscle strength.
- Gait abnormality with decreased cadence d/t pain.

-Poor posture d/t OA knee .
-Reduce in functional activity d/t pain and swelling.

*STG 
-To reduce pain
-To reduce swelling and inflammation
-To maintain ROM for Lt and Rt knee ( flexion & extension)
-To maintain muscle power for Rt and Lt knee 
( flexor & extensor)

*LTG 
-prevent secondary complication such as muscle wasting 
- Optimize ADL 
-To correct Posture and Gait Pattern

-Modalities( Cryocuff, Tens , ultrasound , laser, etc)
-Knee Brace
-Joint Mobilization( grade I and II )
- stretching
-Strengthening Exc ( isometric exc, SLR , SQE and etc)
-Heel slides 
-Stretching (Hamstring stretch)
-myofascial release
-HEP 
-Pt's Education