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Treatment for knee pain due to osteoporosis, Diabetic and BP patient - 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 : 2005
Answered : 2408 Questions
Doctor :   hi
Doctor :  
how can i help u
User :   hello, I would like to consult an orthopaedician
Doctor :   i am a general practisionor

Doctor :  
Dr AAAAAAA
Doctor :  
i will help yu in your qureis
User :   ok...my mother is the patient


Doctor :  
ok
Doctor :  
please proceed
User :  
my mother is 60 yrs old
User :  
diabetic since 8 yrs
User :  
hypertension since 10-15 yrs
Doctor :  
ok
User :  
she had a left knee acute pain about 6 yrs back, then she underwent some treatment from an ortho and took some medicines and rest
User :  
it was cured
User :  
about 15 days back again, the same thing happened to her right knee
Doctor :  
ok
User :  
sudden high pain, unable to even stand
Doctor :   ok
Doctor :  
i will help u in this
Doctor :  
can i ask few Q
User :  
then we showed her to an ortho 15 days back
User :  
there were a few x rays
Doctor :  
ok
User :  
the doctor concluded that this due to osteporosis in the bones
User :  
her bones are weak, I suppose
Doctor :  
ok
User :  
he gave her the following medication
User :  
celadrin - 1-0-1
Doctor :  
please proceed
User :  
Jocal-C 0-1-0
User :  
Jocal 1-0-1
Doctor :  
ok
User :   Ultracet (painkiller) 1-0-1 only when there is pain
User :  
he has asked her to wear a knee supporting belt
User :  
he has asked her not to sit crosslegged, squat etc
Doctor :  
ok
Doctor :  
how is she feeling now
User :   today, suddenly the pain has shot up and she is unable to even move her knee


Doctor :  
ok
Doctor :  
can i ask few Q
User :  
go ahead
User :   yes


Doctor :  
is there any pain at rest
User :  
yes
User :   are you there doctor
Doctor :   yes i am here
Doctor :  
there was some technical issues
User :   ok
Doctor :  
sorry for that
User :  
no problems
Doctor :  
shall we proceed
User :  
yes
Doctor :  
since how many years she is diabetic
User :   8 yrs


Doctor :  
ok
Doctor :  
is she on tablets or insulin
User :  
its all under control though, the range is around 220-250 ppbs
User :  
she is on tablets
Doctor :  
ok
Doctor :  
220 - 250 is very high
Doctor :  
it should not cross 180
Doctor :  
if if croses 180 the sugars will appear in urine
Doctor :  
ok
User :   not, but last time when the ortho saw her (15 days back), he said it was ok


User :  
ok
Doctor :  
wats her wt and ht means is she obese
User :  
yes, slightly
Doctor :  
no way
User :  
she is about 5ft 2 inches and about 60 kgs in wt
Doctor :  
ok
Doctor :  
let me explain few things about
Doctor :  
Osteoporosis
User :   ok


Doctor :  
characterized by the loss of the normal density of bone, resulting in fragile bone.
Doctor :   the risk factors are
Doctor :  
1. female sex
Doctor :  
2. estrogen harmone defeciency in menopause'
Doctor :  
3. any family history
Doctor :  
4. even diabetes
Doctor :  
5. obesity
User :   are you asking me about any of these
Doctor :  
these are the risk factor
User :  
ok
Doctor :   in your mother
User :   ok


Doctor :   regarding the treat ment
Doctor :   even vitamin D defeciency can cause it
Doctor :  
calcium defeciency
Doctor :  
coming to medications
Doctor :  
1. calcium is required
User :   ok


Doctor :  
your mom is taking that
User :  
ok
Doctor :  
celedrin is a first-line treatment in women
Doctor :   let her continue that
User :  
ok
Doctor :  
she may also need harmone replacement thereapy
User :   what is that


Doctor :   Estrogen replacement therapy remains a good treatment for prevention of osteoporosis
Doctor :   but the side effects of it are more
User :  
ok
Doctor :  
consult a gynecologist and then take it
User :   ok


Doctor :  
hi i am sorry there are more patients i am chatting with
Doctor :   even SERM drugs will also help
User :  
no problem take your time
Doctor :  
this drugs will also help
User :   is it better to go back to the same ortho again today or should we wait till the current course of medicine is complete (advised for 3 weeks)


Doctor :  
is she not able to move her legs
User :  
yes
Doctor :  
ok
Doctor :   yu need to apply cold packs
Doctor :  
over her legs
Doctor :  
and Movon cream or gel
User :  
is that the same as MOOV
Doctor :  
let the leg be in elevated position
Doctor :  
no its MOVON gel or spray
Doctor :  
ask her to take this tablets for 1-2 days
User :   which tablets


Doctor :  
tab . SUMO for 2 times a day for 2 days
Doctor :  
after food
User :   are these pain killers


Doctor :  
yes these are pain killers
Doctor :  
which will hellp yu reduce the pain immediatlty
User :  
should this be taken apart from ULTRA M that the doctor has prescribed
User :   can BENGAY/ ROBINI/ VOLINI be used instead of MOVON or should MOVON only be used


Doctor :  
yes yu can sue VOLINI
Doctor :  
this will help
Doctor :   did she take ultraflam today
Doctor :  
in the morining
User :  
yes, she has taken in the morning
Doctor :  
ok
User :  
now in the last 15 minutes to half hour, the pain has slightly reduced
Doctor :  
let her take this tablets in the after noon
Doctor :  
and in night
User :  
she is able to walk a few steps with some pain
Doctor :  
shall we procee
User :   my email id is YYYY@YYYY
Doctor :  
ok
Doctor :  
do yu have any other queries that i can help yu with
Doctor :  
does she have acidity problenm
User :   YYYY@YYYY


Doctor :  
ok
Doctor :  
i got he email
Doctor :  
because she is on painkiller does she any acidity
Doctor :   hi XXXXXXXX are yu there
User :   yes,
User :  
in fact she feels that might be the cause
User :  
she had a few jackfruits last night and she feels that might have caused the acidity and hence the pain in the leg
User :  
is it possible and right to assume that??
Doctor :   no

Doctor :   AAAAAAA fruit does not acidity
User :  
ok
Doctor :  
but acidity can worsen the leg pain
Doctor :  
she is taking any tablets for it
Doctor :  
for acidity
User :  
doctor, just to summarise what you mentioned over phone, she should take SUMO in place of ULTRA M twice a day for 2 days till the pain exists
User :  
no tablets for acidity
Doctor :  
ok
User :   she has to treat her legs alternatively with hot and cold water


Doctor :  
she needs the acidity tablets
Doctor :  
yes
User :  
be on greens as much as possible
User :  
will it help her relieve pain
User :  
for now
Doctor :  
not for now its for longterm
User :  
ok
Doctor :  
they contain more vitamains
Doctor :  
specially vitamin d
Doctor :  
so helps in bone formation
Doctor :  
is that ok
Doctor :  
nothing to worry
Doctor :  
she will be fine
Doctor :  
but she need a good control on sugar status
User :  
ok....are u prescribing any medicines for acidity now
User :  
sure, we will do that
Doctor :  
yes
User :  
is SUMO better than ULTRA M
Doctor :  
yes sumo for temproary relief
User :  
ok
Doctor :  
it will reduce the pain soon
Doctor :  
after 2- 3 days she can stop it and
User :  
is it a high dozage one and will not affect acidity
Doctor :  
continue with ultra M
Doctor :  
let me explain that all pain killers will cause
Doctor :  
acidity
Doctor :  
tab. NEXPRO 40 mg once daily
Doctor :  
half an hour before food
Doctor :   break fast
Doctor :  
for 10 days
Doctor :  
this will reduce her acidity
Doctor :  
is that ok
User :   ok.


Doctor :   please fill the feed back form
Doctor :  
is there anything else i can help you
User :   please send the email on the osteoporosis
User :  
i have sent the feedback, appreciate your service
Doctor :  
yes i'll do that for you AAAAAAA
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
Doctor :   hi are yu back
Doctor :  
hi are yu back
Doctor :   I have to close this window since there is no response from your side, we are available 24/7 please get back to us if you need further medical advice.

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