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What causes knee pain? - Online Doctor Chats

Date : 20-Apr-2014
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:I hope so! I have had an avascular necrosis in my foot. Im having terrible knee pain whe bearing weight. I'm wondering if this could be the same thing. I do have an MRI, is there a way for me to show you the image?
Doctor:
Let me read your query for few minutes to be able to have a good discussion here.
User:Ok
Doctor:thank you
User:No problem
Doctor:I have read your query and seen the MRI as well
Doctor:yes, the knee pain could be due to the same thing
User:What do you think ? I have more images, do you want to see them
Doctor:i.e. Avascular necrosis
Doctor:Yes, sure
Doctor:please upload them
User:Do you also think that's what it is?
User:I can't tell you how bad the pain is, but only when I bear weight
User:Also I just had knee meniscus repair surgery on March 5th
Doctor:I have seen the other images as well
User:What do you think
Doctor:Seems like there is compensation to blood supply
User:Huh
Doctor:The AVN along with the meniscal repair both together are giving you severe pain
Doctor:It is more so because of the AVN
User:So it's definitely an avn
Doctor:Yes
User:What do you think is the best treatment
User:My orthopedic told me I need to have a knee replacement
Doctor:May I know your age?
User:If I'm not ready to do that is there something else I can do
User:52
Doctor:Knee replacement is the ultimate and permanent remedy for this
User:There are other treatments ,right?
Doctor:If you are not willing for it now, then you can try other measures like Core decompression
Doctor:Bone graft
User:And why do I keep getting avns and also I broke 4 ribs last year without trauma
Doctor:Osteotomy can be tried too
Doctor:Oh, that is sad
Doctor:sorry about that
Doctor:Because of weak circulation
Doctor:The cause could be heavy medicines intakes
User:Is the avn on my shin? Right below the knee is where it hurts
Doctor:lack of calcium
User:I take 3000 of calcium and drink lots of milk
Doctor:No, it is above your shin
Doctor:in the femur region
Doctor:However, you are perceiving the pain below knee because that part is compromised in blood supply
User:Oh, because when I try to take a step the pain feels like it's in my shin
User:Oh okay
User:Well I'm very impressed, I can't thank you enough
Doctor:It's my pleasure
User:If I would like to talk to you again at some point can I ask for you
Doctor:Sure
User:One more thing if I didn't do anything, would this go away
Doctor:I wish your pain vanishes quickly and you return to normal activity sooner
Doctor:NO
User:Will it go away eventually if I just rest it
Doctor:It would not go away eventually
Doctor:In fact, it worsens over time
User:Thanks
Doctor:Hence, even after a year, total replacement of the joint is the ultimate treatment
User:So do I have to worry about being diagnosed with osteonecrosis
User:I mean will I keep getting avns
Doctor:You would not keep getting it again and again
User:Not even in other bones
Doctor:However, the present ones would not disappear either
Doctor:It is not necessary for you to get it in other bones as well
Doctor:And it is usually just one joint in the body that is involved and not multiple joints
Doctor:So you can relax on this front
User:Wonderful! Well thanks I do appreciate your time. Have a good night!
Doctor:Thank you too
Doctor:Good night to you as well
Doctor:Thanks for visiting me here. Bye for now.
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Diseases and Conditions
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