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State ex rel Monroe v. Industrial Commission of Ohio9/29/2005
and finding increased pain and stiffness of left knee.
Edema and restricted motion of knee again present.
Req: X-ray of left knee[.]
Left knee wrapped with elastic bandage. Disp: Celebrex 200 mg qd[.]
{ } 5. On June 27, 2002, Dr. Kravanya telephoned relator. On that date, Dr. Kravanya wrote:
Phone -- pt Informed on X-ray findings Osteoarthritis present[.]
The injury, in my medical opinion, aggravated the quiescent condition. Continue Celebrex 200 mg qd[.]
{ } 6. On July 29, 2002, relator was again examined by Dr. Kravanya. Dr. Kravanya wrote:
Left knee continues to cause pain and difficulty in standing and changing positions.
Negative edema today, positive tenderness to palpation and with range of motion testing.
Advised on exercises for strengthening knee joint.
{ } 7. On October 17, 2002, relator was examined by orthopedic surgeon David H. Krahe, D.O., as a new patient upon referral from Dr. Kravanya. On October 17, 2002, Dr. Krahe wrote:
HX: Clarence is a new patient who is seen today [upon] referral from Dr. Kravanya. This 75 year old male fell at work, Sears Hardware. He fell off some boxes and injured his left knee. Was seen in the emergency room and X-rays were taken. He was treated conservatively. He subsequently had an MRI of his knee done. He has been taking two Advil three times a day and wrapping his knee. He has been functioning rather well. It bothers him when he walks for extended periods of time. He does get some clicking in his knee with pain. We have not reviewed the X-rays they are at Sagamore.
MRI: His MRI was reviewed and he does have maybe a partial tear of his ACL and also a tear of the medial meniscus. He has a mild effusion in his left knee.
EXAM: On exam this is a very pleasant 75 year old male in no acute distress at the present time. He has no effusion in his left knee. He has a full range of motion. He has pain with palpation on both the medial and lateral joint lines, more medially. He has no collateral instability. He get slight pain with a Lachmans but he is not unstable that I can detect today. He does get pain with McMurrays consistent with a medial meniscal tear.
IMP: Degenerative medial meniscal tear left knee and sprain ACL left knee.
REC: We are going to treat him conservatively and get him on a quad rehab exercise program, a knee sleeve, and further recommendations pending his results with the exercise program.
{ } 8. On January 23, 2003, relator was again seen by Dr. Krahe. Dr. Krahe wrote:
HX: Clarence is a follow up on his left knee. It is still bothering him. He has been doing the exercises and taking Advil but no real relief in his symptoms. It bothers him when he first gets up, it is stiff and it bothers him after he has been walking. He does get some clicking.
EXAM: His exam he has no effusion and a negative Lachmans. He has a full range of motion. He has pain with a valgus stress and pain on the medial joint line. He has a positive McMurrays.
IMP: Tear medial meniscus and early degenerative arthritis left knee.
REC: He really does not want to entertain surgery at this point in time. We are going to get him into therapy. I am going to place him on Celebrex with samples and a script. If he fails to improve we'll see him back and consider an injection and/or arthroscopy.
{ } 9. On March 18, 2003, Dr. Krahe completed a C-84. On the C-84, Dr. Krahe certified TTD from June 25, 2002 to an estimated return-to-work date of April 27, 2003.
{ } 10. O
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