Dr. Narendra Kumar (Internal Medicine) needs a second opinion on this medical case.
A 69 year old female presents with knee pain which is progressively increasing over the past 2 months. She is gaining weight lately.
His doctor suggested surgery to debride bilateral knees which she denied.
Examination shows swelling in both knees, weak quad, hip extensors & abductors, poor patellar tracking, poor control of subtalar joint neutral with gait, tight gastroc-soleus and anterior hips; weak core; poor balance with single leg stance.
What are your views on the treatment part.