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Knee pain and migraine - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3558 Questions
Doctor :   HI
User :   Hi
Doctor :  
How can I help you?
Doctor :  
you can continue with your query
User :   Actually i want to discuss some problems of my father and wife.
Doctor :   ok

User :   My father aged 65 yrs and has pain in the knees after walking.Can this be cured permanently?

Doctor :   Pain in the knees is a symptom
Doctor :  
which indicates an underlying problem
Doctor :  
Only after a diagnosis, one can talk of cure
User :   But what type of doctor's will help?

Doctor :  
Orthopedician
Doctor :  
An X-ray can be asked
User :  
Is it related to sinovial fluid or any bone disease?
Doctor :  
That can be said after an examination and a x-ray
Doctor :  
So you will need to get that done
Doctor :  
Consulting an Orthopedic surgeon will surely help
User :  
ok
User :  
My wife has migraine.Can this be cured?
Doctor :  
It can be prevented
Doctor :  
How frequent is it?
User :  
It varies from month to month.
Doctor :   Ok

Doctor :  
If it is more than 3 per day
User :  
Depending on period and tension
Doctor :  
sorry 3/week
Doctor :  
then Prophylactic medications are advised
User :   What type of medication is it?

Doctor :  
Different types of medications are available
Doctor :  
Like Proparanolol, Flunarazine, Antidepressants, Atenolol
Doctor :  
So depending on the age, conditon, associated diseases, severity of symptoms, the choice is made
User :   She has taken Flunarazine
Doctor :  
Ok
User :  
previously
Doctor :  
Did it help?
Doctor :  
It has to be taken 1 daily for 2 months atleast
User :   Yes it helped

Doctor :  
Ok
Doctor :  
It is the safest of the lot
Doctor :  
Why did she stop it?
User :  
Can it be prevented permenently?
Doctor :  
Flunarazine is for prevention
User :  
Actually she was quite well after taking that medicine for about 6 months.
Doctor :  
After taking it for 2 months, it is stopped and a notice made
Doctor :  
If it resumes then continue again for 2 more months like that
User :  
Now can she start again?
Doctor :   Many cases do get resoved in 6-12 mnths
User :  
Will it have any side effect?
Doctor :  
Sure, she can start after getting a prescription from the local doctor
Doctor :  
No side effects as such except for slight drowsiness and weight gain
Doctor :  
Drowsiness is can be made unnoticed as she takes it at bedtime
Doctor :  
An exercise like Walking is also very helpful
Doctor :  
and is advised for such problems
Doctor :   Did you follow?
User :   Ya,What about the other medicines you mentioned?

Doctor :  
Those are second line drugs
Doctor :  
that is tried if it does not resolve with Flunarazine
Doctor :  
As I mentioned earlier Flunarazine is the safest
Doctor :  
So she should go with that only
Doctor :  
Is there any thing else I can help you with?
User :   CAn migraine be cured permanetly?

Doctor :   Yes, as I said after 6-12 months of treatment it is resolving in most of the cases, more than 90%
User :  
With Flunarazine i presume?
Doctor :   Yes

Doctor :  
And she also do Walking
Doctor :  
That will decrease the frequency, severity and shorten the duration of treatment as well
Doctor :  
She can see the difference in 3 months if she starts now
Doctor :  
Mean to say, a great change
User :  
Ok
User :  
My father is using knee cap now. Will it releive knee pain?
Doctor :  
It will decrease the strain on the knee joints
Doctor :  
As I mentioned earlier, you consult an Orthopedic surgeon
User :   But is there any medication.As I heard that knee replacement is only solution.Is it right?

Doctor :  
No, it is not true
Doctor :  
First diagnosis has to be made, then the treatment
Doctor :  
So get a diagnosis done first
Doctor :  
Then you can think of the treatment and alternatives
Doctor :  
Are you there?
Doctor :  
I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
User :  
Sorry i was busy.
User :  
Thanks for your suggestion.
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