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Background and purpose: Chronic pain can have a significant impact on patients in the realm of orthopedic physical therapy. These patients can develop underlying biopsychosocial issues and behaviors that can significantly affect their progress with physical therapy. The purpose of this report was to examine the role of pain behavior and patient education on functional mobility in a patient with chronic osteoarthritic associated knee pain. Case description: A 53-year-old female with history of chronic pain presents to physical therapy with an exacerbation of right knee pain following a mechanical fall at work. Intervention: Patient education regarding the degenerative nature of the condition and avoidance of painful behaviors. Other interventions included joint mobilization, strengthening exercises, interferential current and icing as a modality were included. Outcomes: The patient did not improve per objective measures used to measure range of motion, pain, joint mobility, strength, and the Lower Extremity Functional Scale. However, the patient expressed improvement in standing and gait tolerance and her ability to complete vocational tasks at work. Discussion: Earlier recognition of biopsychosocial factors and the proper referral to the correct medical professionals may have helped this patient increase progress and achieve goals set with physical therapy sooner. With the number of patients that suffer from chronic pain, it may be necessary to include further education on chronic pain behaviors, their implications, and how to recognize them early in the rehabilitation process in the student physical therapist curriculum. Correspondence to: Heather Disney, PT, DPT, MTC, OCS, University of Saint Augustine for Health Sciences, San Marcos Campus, USA, Tel: 6192064969; E-mail: hdisney@usa.edu

A biopsychosocial approach in physical therapy to treat a patient with chronic osteoarthritic associated knee pain