Great thoughts Nick.

1. She described as “discomfort”, but was not HER pain. That’s a great question and cannot rely on this to tell me a whole lot, since we all have discomfort around structures especially around a joint that had experienced recent inflammation/injury. I should have specifically looked for a taut band, however cannot say that I palpated this.
2. I didnt perform the medio-patellar plica test, just the Hughston test. I agree, it would have been useful to support with other findings and I am going to look into this at the next visit. This and more specific palpation to the area will hopefully give me some more insight.
3. I completely agree on the effect of knee hyperextension and since the last weekend course, I am starting to address it much more frequently. I think that it’s going to be more problem solving with her to figure out how she can position and support her body without having to use hyperextension for stability.
4. I really like how you have touched on the emotional side of her injury because she absolutely fits someone who needs more support and encouragement, especially since she has specific running goals post-partum. She is anxious about losing strength and the exercises she has been prescribed but is really determined to get back. I think even looking long term and setting a plan on exercise progression up to her due date, and then afterwards with an example of some running training plans once she is cleared by her physician.