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The case began after a tennis-related twisting injury and was followed by ongoing intermittent symptoms despite initial treatment with Voltarin. Clinical assessment showed a limp, medial joint tenderness, and swelling without effusion, with normal temperature and blood pressure. Initial x-ray did not demonstrate osteoarthritis, while functional impairment persisted across flexion and extension strength. MRI confirmed damaged medial cartilage. The letter emphasizes the patient’s anxiety and reduced work capacity, alongside lifestyle factors including tobacco use and weight gain over the treatment period. The requested management is arthroscopic removal of the damaged cartilage to reduce the risk of future degenerative change such as osteoporosis/osteoarthritis. An appointment has been arranged with the specialist.",{"@graph":69,"@context":105},[70,84],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/david-taylor-medical-referral-letter/25933/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/david-taylor-medical-referral-letter/25933.png","ImageObject",300,407,{"name":92,"@type":93},"Maeve","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-18","2026-05-07",true,{"@type":102,"interactionType":103,"userInteractionCount":8},"InteractionCounter",{"@type":104},"ViewAction","https://schema.org",{"og:url":107,"og:type":108,"og:title":65,"og:site_name":95,"og:description":67},"https://docshare.wps.com/document/david-taylor-medical-referral-letter/25933","article",{"robots":110,"canonical":107},"index,follow",{"doc_id":112,"site_id":62},25933,1778195277,{"code":4,"msg":5,"data":115},{"doc_id":112,"user_id":116,"nickname":92,"user_avatar":117,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":66,"file_id":118,"file_url":119,"file_type":120,"file_size":121,"view_count":8,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":122,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":66,"faqs":66,"seo_title":123,"seo_description":67,"update_tm":113,"read_time":52},5909877438554,"https://ap-avatar.wpscdn.com/avatar/5600025385ad2bf12a7?_k=1778553567797529272","cbCaiif7Mvs4zWNb","https://ap.wps.com/l/cbCaiif7Mvs4zWNb","pdf",17887,"English","David Taylor Medical Referral Letter | PDF"]