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Dear Doctor, My Name Is XXXXXXX I Am 47 Yrs

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Posted on Thu, 21 May 2020
Question: Dear Doctor, My name is XXXXXXX I am 47 yrs old male. I have been working in the Government of XXXXXXX in New XXXXXXX since 1998 (sedentary work) as Executive Secretary in the Finance Ministry. Basically I hail from XXXXXXX
Now come to the point, Doctor in 2013 suddenly I got slight pain near right knee pan. Gradually it aggravated then I wen to the Primus Hospital (MRI reports attached) where MRI and X-ray get it done by the former Director, XXXXXXX and said that your cartilege damaged completely. At this young age nothing to do expect to bear. Then suddenly fire like pain emerged in the second knee pan. Immediately I went to the hospital and he has given pain killer and get it done MRI. Also it was showing that cartilege damage.
1) Doctor my age is 47 years. Problem started in 2013. My weight is 82.5 kg.
2) I was undergone MRI and Xray.
3) I took the treatment in Primus Hospital, Kamineni Hospital in XXXXXXX XXXXXXX Homeopathy, Ayurvedic massage and Physiotherapy.
4) All Doctors told me one thing Dr. Do plent of exercises like Physiotherapy, walking, gym and swimming. Second take good food and rest. Third thing said apply oil and wear braces. Inspite of all these Doctor there is no improvement at all.
5) MY QUESTION TO YOU IS DOCTOR A) WHETHER CARTILEGE REGENERATES. 2) KINDLY PRESCRIBE EXACT MEDICINES WHICH GIVES IMMENSE RELIEF FROM PAIN (DON'T SUGGEST INJECTION DOCTOR AS MY FAMILY IS NOT ACCEPTING FOR THIS) 3) WHAT EXERCISES TO DO 4) WHAT PRECAUTIONS TO TAKE TO GET NORMAL.
6) DOCTOR MY WORRY IS THAT BEFORE 1998 WHEN I WAS IN XXXXXXX I WAS 60 KG. I DID NOT WAIT FOR ANY VEHICLE SINC CHILDHOOD, I USE TO WALK EVEN 10 KM ON FOOT. NEXT THERE WAS NO INJURY TO MY KNEE.
7) I PRAY YOU DOCTOR SHOW ME COMPLETE CURE FOR THIS PROBLEM AS I WANT TO LIKE EARLIER AS WELL AS REST OF THE PERSONS. PRESENTLY WHAT I AM DOING IS I AM TAKING MEDICINES 1) CARTIGEN FORTE AND FLEXURA D FOR PAIN KILLER 2) PHYSIOTHERPAY WHICH I LEARNT FROM PRIMUS HOSPITAL. 3) THIRD THING APPLYING OINTMENT AND WEARING BRACES. 4) ONLY THING TO REDUCE WEIGHT I HAVE TO GO OUT FOR WALKING, GYM AND SWIMMING DOCTOR. KINDLY HELP ME.
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Follow up: Dr. Aashish Raghu (0 minute later)
Dear Doctor, My name is XXXXXXX I am 47 yrs old male. I have been working in the Government of XXXXXXX in New XXXXXXX since 1998 (sedentary work) as Executive Secretary in the Finance Ministry. Basically I hail from XXXXXXX
Now come to the point, Doctor in 2013 suddenly I got slight pain near right knee pan. Gradually it aggravated then I wen to the Primus Hospital (MRI reports attached) where MRI and X-ray get it done by the former Director, XXXXXXX and said that your cartilege damaged completely. At this young age nothing to do expect to bear. Then suddenly fire like pain emerged in the second knee pan. Immediately I went to the hospital and he has given pain killer and get it done MRI. Also it was showing that cartilege damage.
1) Doctor my age is 47 years. Problem started in 2013. My weight is 82.5 kg.
2) I was undergone MRI and Xray.
3) I took the treatment in Primus Hospital, Kamineni Hospital in XXXXXXX XXXXXXX Homeopathy, Ayurvedic massage and Physiotherapy.
4) All Doctors told me one thing Dr. Do plent of exercises like Physiotherapy, walking, gym and swimming. Second take good food and rest. Third thing said apply oil and wear braces. Inspite of all these Doctor there is no improvement at all.
5) MY QUESTION TO YOU IS DOCTOR A) WHETHER CARTILEGE REGENERATES. 2) KINDLY PRESCRIBE EXACT MEDICINES WHICH GIVES IMMENSE RELIEF FROM PAIN (DON'T SUGGEST INJECTION DOCTOR AS MY FAMILY IS NOT ACCEPTING FOR THIS) 3) WHAT EXERCISES TO DO 4) WHAT PRECAUTIONS TO TAKE TO GET NORMAL.
6) DOCTOR MY WORRY IS THAT BEFORE 1998 WHEN I WAS IN XXXXXXX I WAS 60 KG. I DID NOT WAIT FOR ANY VEHICLE SINC CHILDHOOD, I USE TO WALK EVEN 10 KM ON FOOT. NEXT THERE WAS NO INJURY TO MY KNEE.
7) I PRAY YOU DOCTOR SHOW ME COMPLETE CURE FOR THIS PROBLEM AS I WANT TO LIKE EARLIER AS WELL AS REST OF THE PERSONS. PRESENTLY WHAT I AM DOING IS I AM TAKING MEDICINES 1) CARTIGEN FORTE AND FLEXURA D FOR PAIN KILLER 2) PHYSIOTHERPAY WHICH I LEARNT FROM PRIMUS HOSPITAL. 3) THIRD THING APPLYING OINTMENT AND WEARING BRACES. 4) ONLY THING TO REDUCE WEIGHT I HAVE TO GO OUT FOR WALKING, GYM AND SWIMMING DOCTOR. KINDLY HELP ME.
doctor
Answered by Dr. Aashish Raghu (1 hour later)
Brief Answer:
Answer

Detailed Answer:
Hi there

Thanks for the query

I have read your queries and understood your problem. Here are the answers to your queries-

There is less chance for cartilage to regenerate in your case because already bone is rubbing on bone.

I cannot prescribe on this Internet platform but you can take Tablet Glucosamine and Diacerin.

Do knee extension exercises to straighten the knee. Avoid much knee bending.

Lot of walking is known to cause more wear and tear to the knee and not necessarily injury that can cause arthritis.

You can get better relief with injection or full cure with total knee replacement.

You are doing everything well. Avoid running. Swimming is fine. Losing weight is a good solution to reduce symptoms.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Aashish Raghu
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Aashish Raghu (0 minute later)
Brief Answer:
Answer

Detailed Answer:
Hi there

Thanks for the query

I have read your queries and understood your problem. Here are the answers to your queries-

There is less chance for cartilage to regenerate in your case because already bone is rubbing on bone.

I cannot prescribe on this Internet platform but you can take Tablet Glucosamine and Diacerin.

Do knee extension exercises to straighten the knee. Avoid much knee bending.

Lot of walking is known to cause more wear and tear to the knee and not necessarily injury that can cause arthritis.

You can get better relief with injection or full cure with total knee replacement.

You are doing everything well. Avoid running. Swimming is fine. Losing weight is a good solution to reduce symptoms.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Aashish Raghu
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Aashish Raghu (53 minutes later)
Dear Doctor. Thank you very much for your answer.
1) Kindly tell me Glucosamine and Diacerin are both different. In fact, I have been taking cartigen forte consists of The salts Boron, Chondroitin Sulphate, Chromium Picolinate, Copper, Glucosamine Sulphate Potassium, Manganese, Methyl Sulfonyl Methane, Selenium, Silicon, Vitamin C, Vitamin D3, Vitamin E, Zinc are involved in the preparation of Cartigen Forte Tablet. Kindly tell me for what this tablet is used for.
2) Kindly write pain killer.
3) As far as medication concerned you are saying Glucosamine and Diacerin.
4) For exercises Physical therapy
5) Shall I wear braces doctor. If so, which one is good for me.
6) Doctor there is no scope for me to run, play games, etc.
7) Is there any diet particularly which gives strength to muscle.
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Follow up: Dr. Aashish Raghu (0 minute later)
Dear Doctor. Thank you very much for your answer.
1) Kindly tell me Glucosamine and Diacerin are both different. In fact, I have been taking cartigen forte consists of The salts Boron, Chondroitin Sulphate, Chromium Picolinate, Copper, Glucosamine Sulphate Potassium, Manganese, Methyl Sulfonyl Methane, Selenium, Silicon, Vitamin C, Vitamin D3, Vitamin E, Zinc are involved in the preparation of Cartigen Forte Tablet. Kindly tell me for what this tablet is used for.
2) Kindly write pain killer.
3) As far as medication concerned you are saying Glucosamine and Diacerin.
4) For exercises Physical therapy
5) Shall I wear braces doctor. If so, which one is good for me.
6) Doctor there is no scope for me to run, play games, etc.
7) Is there any diet particularly which gives strength to muscle.
doctor
Answered by Dr. Aashish Raghu (9 minutes later)
Brief Answer:
Answer

Detailed Answer:
Glucosamine and Diacerin are both different.

Cartigen Forte can help strengthen tissues in the knee including help in cartilage regeneration.

For pain relief you can take Tablet Paracetamol 650mg three times a day for 5 days if you are not allergic to Paracetamol.

Glucosamine and Diacerin are not pain killers. They are helpful in reducing cartilage degeneration and may help in regeneration.

Do Quadriceps strengthenin exercises. Wear knee brace if it's painful and unstable to walk.
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Aashish Raghu (0 minute later)
Brief Answer:
Answer

Detailed Answer:
Glucosamine and Diacerin are both different.

Cartigen Forte can help strengthen tissues in the knee including help in cartilage regeneration.

For pain relief you can take Tablet Paracetamol 650mg three times a day for 5 days if you are not allergic to Paracetamol.

Glucosamine and Diacerin are not pain killers. They are helpful in reducing cartilage degeneration and may help in regeneration.

Do Quadriceps strengthenin exercises. Wear knee brace if it's painful and unstable to walk.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Aashish Raghu (8 minutes later)
Doctor sorry to disturb you, i think it is my last question:
1) Shall I take Cartigen forte, Glucosamine and Diacerin 3 tabs.
2) When I went to pain Management Doctors wrote me Gabapin NT and Gabapin 100 and Gabapin 400NT.
3) Paracetamol doesnot help me. Can you suggest any alternate medicine which gives ample relief. Is Flexura D safe to take every day.
default
Follow up: Dr. Aashish Raghu (0 minute later)
Doctor sorry to disturb you, i think it is my last question:
1) Shall I take Cartigen forte, Glucosamine and Diacerin 3 tabs.
2) When I went to pain Management Doctors wrote me Gabapin NT and Gabapin 100 and Gabapin 400NT.
3) Paracetamol doesnot help me. Can you suggest any alternate medicine which gives ample relief. Is Flexura D safe to take every day.
doctor
Answered by Dr. Aashish Raghu (46 minutes later)
Brief Answer:
Answer

Detailed Answer:
No trouble at all. Please feel free to ask whatever questions on your mind.

You can take Cartigen Forte and Diacerin once a day.

Gabapin may help in pain due to nerve damage for example due to Diabetes.

Flexura D has Diclofenac which is harmful in long term, can cause stomach ulcers and kidney failure. Injection will give significant relief but since your family isn't happy with this idea it may not be possible for you.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Aashish Raghu (0 minute later)
Brief Answer:
Answer

Detailed Answer:
No trouble at all. Please feel free to ask whatever questions on your mind.

You can take Cartigen Forte and Diacerin once a day.

Gabapin may help in pain due to nerve damage for example due to Diabetes.

Flexura D has Diclofenac which is harmful in long term, can cause stomach ulcers and kidney failure. Injection will give significant relief but since your family isn't happy with this idea it may not be possible for you.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Aashish Raghu

Orthopaedic Surgeon

Practicing since :2011

Answered : 5482 Questions

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Dear Doctor, My Name Is XXXXXXX I Am 47 Yrs

Dear Doctor, My name is XXXXXXX I am 47 yrs old male. I have been working in the Government of XXXXXXX in New XXXXXXX since 1998 (sedentary work) as Executive Secretary in the Finance Ministry. Basically I hail from XXXXXXX Now come to the point, Doctor in 2013 suddenly I got slight pain near right knee pan. Gradually it aggravated then I wen to the Primus Hospital (MRI reports attached) where MRI and X-ray get it done by the former Director, XXXXXXX and said that your cartilege damaged completely. At this young age nothing to do expect to bear. Then suddenly fire like pain emerged in the second knee pan. Immediately I went to the hospital and he has given pain killer and get it done MRI. Also it was showing that cartilege damage. 1) Doctor my age is 47 years. Problem started in 2013. My weight is 82.5 kg. 2) I was undergone MRI and Xray. 3) I took the treatment in Primus Hospital, Kamineni Hospital in XXXXXXX XXXXXXX Homeopathy, Ayurvedic massage and Physiotherapy. 4) All Doctors told me one thing Dr. Do plent of exercises like Physiotherapy, walking, gym and swimming. Second take good food and rest. Third thing said apply oil and wear braces. Inspite of all these Doctor there is no improvement at all. 5) MY QUESTION TO YOU IS DOCTOR A) WHETHER CARTILEGE REGENERATES. 2) KINDLY PRESCRIBE EXACT MEDICINES WHICH GIVES IMMENSE RELIEF FROM PAIN (DON'T SUGGEST INJECTION DOCTOR AS MY FAMILY IS NOT ACCEPTING FOR THIS) 3) WHAT EXERCISES TO DO 4) WHAT PRECAUTIONS TO TAKE TO GET NORMAL. 6) DOCTOR MY WORRY IS THAT BEFORE 1998 WHEN I WAS IN XXXXXXX I WAS 60 KG. I DID NOT WAIT FOR ANY VEHICLE SINC CHILDHOOD, I USE TO WALK EVEN 10 KM ON FOOT. NEXT THERE WAS NO INJURY TO MY KNEE. 7) I PRAY YOU DOCTOR SHOW ME COMPLETE CURE FOR THIS PROBLEM AS I WANT TO LIKE EARLIER AS WELL AS REST OF THE PERSONS. PRESENTLY WHAT I AM DOING IS I AM TAKING MEDICINES 1) CARTIGEN FORTE AND FLEXURA D FOR PAIN KILLER 2) PHYSIOTHERPAY WHICH I LEARNT FROM PRIMUS HOSPITAL. 3) THIRD THING APPLYING OINTMENT AND WEARING BRACES. 4) ONLY THING TO REDUCE WEIGHT I HAVE TO GO OUT FOR WALKING, GYM AND SWIMMING DOCTOR. KINDLY HELP ME.