hi,
thank you for providing the brief history of you.
A thorough neuromuscular and musculoskeletal assessment is advised.
As you have pain in the knees which keeps altering and also in the feet then a thorough clinical examination of the knee and feet is advised.
Now something to understand here is when one side of the knee is having injury the brain itself acts as a protection and diverts 70% of weight to the other side of body and that is how the pain gets shifted from one side to the other.
Also, the pain is having change of nature which may be due to neuropathic issues which needs a proper assessment. If the SLR Test is positive clinically than it might be related to the pinched
nerve, if this test is negative then the issue is muscular.
Also, if you have a bubbling sensation than understand of the vascular system is needed . If any skin color changes are present in the lower
limbs a vascular hemodynamics is compromised which is leading to pain factor. If this is not present then have to come back to knee.
usually when knee is Injured the clinical assessment is focussed to the knee only and may be an
MRI to understand the
soft tissue Injury as well. Performing a
patella grinding test will help understand the muscle strength status. Any injury in the knee will lead to patella grinding test positive and the muscles will be weak as well.
After a thorough clinical assessment, physical therapist will be able to assist you in strengthening the muscle groups and regain the mobility.
Iny clinical experience after a thorough clinical assessment patient is advised to undergo
physical therapy and majorty of them respond well to physical therapy.
Regards
Jay Indravadan Patel