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Knee pain,TB recovery - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1692 Questions
User :   Hi i am 31 year old and have been diagnosed with TB in right hip joint. I am on TB Medication from last 4 months
i have two main queries
1. Recently i noticed that my Knee has unusual pain when i wake up in the is very recent just today i could notice it to level of concern. few times it use to ache but not much.Before this TB was diagnosed i never had any problems with it
2.I had to get admitted initially as i was not able to move(it was a sudden thing and before i was diagnossed with TB) . After the diagnosis i have improved everyday upto 2 months but last two months i could not see significant improvement.
I still limp a bit so wanted to know how long will it take to walk normally ?
Doctor :   hello
User :   Hello
Doctor :   give me a min, let me read your query
User :   All right
Doctor :   this pain that you have been noticing
Doctor :   can you tell me more
Doctor :   does it happen only in the mornings?
Doctor :   does the pain moves anywhere ?
User :   today it happened which i could notice
User :   i have been doing physio classes after right Hip TB was diagnosed
Doctor :   is it a constant pain or does it comes and goes ?
User :   so sometimes during the excersie i had felt it...but it never occured to me that it could be an issue
Doctor :   i see
User :   it is not constant pain
User :   sometims .
User :   as i have recently ..just today morning i felt it
Doctor :   what kind of movements aggravates it?
User :   i was sleeping
User :   early morning i got it
Doctor :   so the pain woke you up?
User :   nope...i got up and then realised the pain
User :   so started searching the net
User :   and got this site....
Doctor :   ok
Doctor :   is it still hurts ?
Doctor :   has the intensity of pain the same ?
User :   i am sitting ...n in comfortable positin...when i get up from the bed i am feeling it
Doctor :   or has it gone down ?
User :   i cant tell as it is only couple of mins...
User :   and i need to walk
User :   i have been sitting over the bed
User :   do you want me to check it ?
Doctor :   ok well since you have had this for the first time ...i will recommend that you take 400 mg of IBUPROFEN...that will help to reduce the pain
User :   i am not worried about the pain
User :   i have read that the TB can flow thru bloodstream and infect the other joint
User :   if that is the case i may need to go to doctor ?
User :   so need your suggestion on that
Doctor :   its rare if you are taking your medications regularly
User :   yes..i am very particular about the medication...
Doctor :   and that kind of pain is CONSTANT
Doctor :   as joints get infected
User :   you mean in my knee ?
Doctor :   yes
Doctor :   now here what you can do
User :   ok
Doctor :   take the medication and theu can yon for the next 2 days try to give your knee as much as rest
Doctor :   take the medication and then
Doctor :   try to give your knee as much as rest as you can
Doctor :   also do apply some cream to ease the pain... in the night before going to bed
User :   ok.. all i am worried about getting TB in another part of the body
Doctor :   massage your knee to improve circulation
User :   can you get TB on other part while you are on your Anti-TB Medication ?
Doctor :   the spread of TB is extremely rare and only happens in untreated cases
User :   Ok.
Doctor :   but if the pain persists or increases in intensity after 2 days
Doctor :   than you need a examination
User :   ok.
Doctor :   you should be fine
Doctor :   dont worry
User :   i am regularly visiting my TB doctors . So do i need to make urgent appointment with them if the pain persist after 2 days ?
Doctor :   yes regular checkups are must
Doctor :   if the pain is increasing you can set up an appointment
User :   ok.
User :   my second query was related to the walking
Doctor :   TB if treated well is 100% cured
User :   yes but the damages it does are irrevocable...arent they ?
Doctor :   not if you are taking your medications
User :   like i have been told that my right hip cannot be restored back to the cartilage has been eaten up by bacteria
Doctor :   its a long treatment and you need to be patient
Doctor :   who told you that ?>
User :   per my doctors
User :   based on the Xray
User :   my right hip did not come up normal
Doctor :   what all diagnostic tests you went thru ?
User :   they have advised me to avoid all streneous activities...
Doctor :   thats true
Doctor :   REST IS MUST
User :   once i am back to normal walking
User :   well...i meant...that was applicable for rest of my life
Doctor :   you have to be careful in your life
Doctor :   but with good physio therapy you can regain your strength back
User :   but from the cases that you know many of them will come back to normal walking
Doctor :   it all depends on the physio therapy
User :   yes i have been doing physio and hydro therapy sessions
Doctor :   and the success rates are high
Doctor :   thats good
Doctor :   dont worry you will be fine
Doctor :   just be positive
User :   what the usual time period of recovery in such cases
Doctor :   and take care and take medications and keep on doing the exercise
Doctor :   it will take about 5-6 months
Doctor :   to up to a year in some cases
User :   well i am very positive but i do not want to ignore and hence these are precautionary measures..
Doctor :   thats good you are taking good care
User :   you mean it will take upto 5-6 months to walk normally ?
Doctor :   yes
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