Medical history (history of illness) is an important component in the diagnosis of gonalgia (knee pain).
Family history
- Are there any diseases of bones/joints in your family that are common?
- When and where were you last on vacation?
Social history
- What is your profession?
- Do you do any heavy physical work in your profession? (Lifting and carrying heavy loads?)
Current medical history/systemic history (somatic and psychological complaints).
- Where is the pain localized?
- When did the pain occur?
- Where did the pain occur? (in the case of injuries, please give a detailed description of how the injury occurred).
- Was the onset of pain slow or sudden?
- Did the pain increase in intensity?
- Do you have start-up pain: start-up pain is expressed when a joint begins to be active.
- Do you have day and also night pain?
- Do you have rest or exertion pain?
- Do you have pain behind the kneecap that is most noticeable when walking down stairs or hills, and when standing up after sitting for long periods with the knee joint bent?
- Do you have a feeling of tension when stretching, which may appear as a feeling of pressure in the back of the knee?
- Are there functional limitations of the knee joint?
- Do you have the feeling of instability with sudden bending away in the knee joint? If so. Do you have stabbing pain in the process?
- Do you have pain in any other joints? If yes. Are the joints affected symmetrically and is there a slow, gradual progression?
- Have you noticed any other complaints such as fever or fatigue?
Vegetative anamnesis incl. nutritional anamnesis.
- Do you participate in competitive sports? If so, which sport do you favor?
- Are you overweight? Please tell us your body weight (in kg) and height (in cm).
Self anamnesis incl. medication anamnesis
- Pre-existing conditions (diseases of bones/joints; metabolic diseases (diabetes mellitus, hemochromatosis, gout); endocrinological diseases (hyperparathyroidism, thyroid dysfunction, rickets); hemophilia (hemophilia), neurological diseases (poliomyelitis, tabes, syringomyelia); inflammatory rheumatic and infectious diseases; obesity; circulatory or sensory disorders).
- Trauma (injury)?
- Operations
- Allergies
- Medication history