Based on the medical report dated 02/02/17, the patient states since approximately June of 2015, he noticed the gradual onset of pain on his bilateral knees, which he attributes to performing his job duties which required him to sit for prolong periods of time in a cold room at 70 degrees Fahrenheit. He also performed carrying, stooping, squatting, lifting and bending. He states he reported his symptoms to his manager, who did not offer sending him to the industrial doctor. He states he continued to work with persistent pain until 01/09/17 at which point, he was terminated. He states that in August of 2015, he self-procured treatment and was advised to take Tylenol for pain. Subsequently, he was referred to an orthopedic doctor who ordered X-rays of his knees and told him that he would need a bilateral total knee replacements. He states he also received a cortisone injection in his right knee …show more content…
The patient has complaints of pain in his right knee, becoming sharp and shooting. He has clicking and locking in his right knee. He has episodes of swelling in the knee. His knee has given out, causing him to lose his balance. He has difficulty standing and walking for a prolonged period of time. He is unable to kneel and squat. He has difficulty descending stairs and walks with an uneven gait sometimes.
The patient rates the pain in his right knee at