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Pain with swelling and redness in knee - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Arthritis
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2304 Questions
Doctor :   hi
Doctor :   how can i help you
User :   hi
User :   i am having sever knee pain
User :   sever**
User :   severe i mean :)
Doctor :   ok
Doctor :   carry on
Doctor :   tell me more about it
Doctor :   When did it start
Doctor :   Which side?
User :   i ve had rheumatic artheritis as a kid

User :   the right knee at present
User :   when i was 13 i was treated for it
Doctor :   ok
User :   i have had no issues for all these years
User :   but now it looks like the pain has come back
User :   and at times i get a small swelling on the left hand finger too
Doctor :   how old are you now?
User :   30
Doctor :   so when did the present complaint start
User :   about 4 months back
Doctor :   Was it all of a sudden or gradually incressing
Doctor :   the pain
User :   not all of a sudden
Doctor :   As this is an online consultation, I have to ask you a few questions because I cannot examine you. It will take some time so please be patient
User :   ok not an issue

Doctor :   so is your pain only in the rt knee
User :   yes
Doctor :   or is it moving to other joints
User :   at time i have pain on both my knees
User :   and sometimes its not there
Doctor :   do the pain sametime in both knees
User :   well yes
Doctor :   or first one and after few days
Doctor :   other
Doctor :   ??
User :   starts with one ...
User :   and then both
Doctor :   ok
User :   sometime both i mean
Doctor :   what happens to the knee
User :   they swell
Doctor :   redness
User :   no
Doctor :   pain to touch
User :   cant make ut ...
User :   i cant make out the color
Doctor :   does they pain on pressing
User :   yes
Doctor :   how much they swell
User :   a little

User :   but the swell is visible
Doctor :   ok did yo uconsult a doctor
User :   yes i did
User :   i was given a cream called dynapar
User :   for the swelling
Doctor :   ok did it come down
User :   ya

User :   but i need to know
User :   if there is a permanent cure to it
User :   because i have heard that arthritis
User :   re occurs during old age
Doctor :   i just want toknow the exact diagnosis that was made
Doctor :   at age 13
Doctor :   what were you given then
User :   i dont know the tablets given
Doctor :   as medication
Doctor :   ok who treated you
User :   i guess it was micropyrin
User :   a child specialist and an ortho
Doctor :   are you told to take Pencillin injections every 3 weeks
User :   i was given pencillin then
User :   yes

User :   i remember that
Doctor :   so are you taking pencillin
Doctor :   even now
User :   now ?
User :   nope
Doctor :   ok did you take the course
User :   yes at 13 i have completed that course
User :   and i have to take micropyarin ... for about 6 months
Doctor :   for how long did you take
User :   pencillin ?
Doctor :   yes
Doctor :   any cardiac complications then at age 13?
User :   what cardiac ?

User :   what is that ?
Doctor :   heart problem
User :   i don t know

Doctor :   ok
User :   and i have clubbed finger nails

User :   thats what every doc notices ...when i go for any treatment
Doctor :   ok are you hurt anytime recently
User :   last year

User :   i met with an accident
User :   last feb
Doctor :   did you have inury to the rt kne
User :   both the kness had bruises

User :   not major injury
Doctor :   ok any infection then to the knee
Doctor :   were you anytime hospitalized for any thing
User :   nop
Doctor :   do you have fever now for the last 4 months when the pain swells up
User :   nope
Doctor :   were you able to walk
User :   yes
User :   but when i have to climb staircase .. i have pain
User :   or when i have to sit on the chair ..floor and stand up ... i have pain
Doctor :   any recent infection anywhere in the body
User :   nope
Doctor :   ok
User :   i bought an aurvedic lotion called myovedic its helps ... but i need a permanent cure
User :   is it because of the cold climate

User :   in bangalore ?
Doctor :   are any blood invetstihgations done
User :   no
Doctor :   xray of the knee joint
User :   blood investigation for ?
Doctor :   when you went to a doctor for this knee swelling
User :   no

Doctor :   so he just prescribed dynopar
User :   yes
User :   and suggested some exercise
Doctor :   and what did he say to you
User :   for the knee
Doctor :   so how many times it recurred aftere you seen the doctor
User :   i met the doctor about 3 months back
Doctor :   ok
User :   since then its been there
User :   and pain keeps recurring
User :   i mean mild pain has always been there
User :   sometime i feel a lot better
Doctor :   so are you continously using dynopar
User :   ya

User :   offlate i have used myovedic
User :   and if i use it regularly the pain disappears
User :   but is that a permanent cure ?
Doctor :   thrilok i feel this is probably an arthralgia
User :   ok what is that ?
Doctor :   but with your description I could not find out the exact cause
User :   hmm ok
Doctor :   arthralgia is swelling and pain in a aparticular joint
Doctor :   As you had rheumatic fever as a child
Doctor :   have you ever seen a rheumatologist
User :   ok

User :   no
User :   an ortho and a child specialist treated me
User :   not heard of a rheumatologist
Doctor :   ok but i feel this is not likely due to be a rheumatic after this long
User :   ok
Doctor :   What is your occupation
User :   i m a software engineer
Doctor :   do you exercise regularly
User :   no

User :   i have been told not to excert
User :   as in not to use weights
Doctor :   ya
Doctor :   dont exert pressure on your knee
User :   so what kind of exercise will help me ?
User :   i have been told not to do squats
Doctor :   you should have strong muscles above tthe knwee so that the knee dont fall to the brunt of your weight
User :   iam not heavy
User :   luckily i dont put on weight
User :   iam only 65 Kgs
User :   slim build
Doctor :   ok
User :   but now that iam 30 i guess i wont have control over my weight
User :   i eat cautiously
Doctor :   you can consult aphysitherapy to get a better idea of exercise
User :   ok

Doctor :   he wll make you to do
Doctor :   and you later on can continue with
Doctor :   them for sometime
Doctor :   yourself
User :   alright

Doctor :   anything I can help you?
User :   can u suggest a goos physio?
Doctor :   yo ucan search frm the homepage
User :   a physiotherapist
Doctor :   of our portal
User :   ok
User :   thank you
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