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NEUROLOGY Dear Doctor My Wife Is 69 Year Old And

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Posted on Thu, 12 Mar 2020
Question: NEUROLOGY
Dear Doctor My wife is 69 year old and normal built. Oflate she is getting pain in the right knee leftside and burning sensation. stiff legs after sitting for long time to get up.subsides after a few steps.There is no swelling or inflamation in the legs. here xray, orthoapaedic says her knees are not deteriorated. enclosed herewith the x ray.No damage.
She is diabetic since 2008 .No insulin. She takes glycomet 500 mg twice .her sugar levels are always normal.HBA1 c is always below 6 in all these years.She applies some ayurvedic oils and apply diclofenac gel .she is taking calcium since many years.Now she is taking citracal. She has taken cholocalciferal alomost 3 times during the last 2 years. If pain and burning is more she takes aceleophenac or ultracet tablets.
I am wondering whether her case is an orthoapedic or a neurological.Kindly suggest how best can she manage this problem.
doctor
Answered by Dr. Aashish Raghu (3 hours later)
Brief Answer:
Answer

Detailed Answer:
Hi there

Firstly xray is not normal. There are early changes of Osteoarthritis of the knees with joint space narrowing. This is the cause of her stiffness and pain. Applying warm packs will help with relief. Avoid bending knee much. Physiotherapy will also help.

Regarding the burning sensation, it is due to nerve damage from Diabetes. She can benefit from Pregabalin medicine and must keep up with good blood sugar control.

A Neurologist will be able to help with the pain management better because of the Diabetes.

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. Vaishalee Punj
doctor
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Follow up: Dr. Aashish Raghu (1 hour later)
Dear doctor
she is taking neurotrat one everyday during night . is it the same as pregabalin? does taking ultracet often damage kidneys? is hot pack available in the market is useful? Will you please name one for us. and how often does she to use this hot pack kindly advise.
doctor
Answered by Dr. Aashish Raghu (51 minutes later)
Brief Answer:
Answer

Detailed Answer:
Neurotrat has Pregabalin. She can continue taking that. Ultracet metabolises by the kidneys so it needs good kidney function for proper action. It does not cause kidney damage if taken in normal doses. Hot water bag as on XXXXXXX in website you can go for
LUMONY® Water Bag Heat Cold Pack Sports Injury Neck Knee Pain Relief (Multi-Color).

Use 3-4 times a day with hot water inside the bag.
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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NEUROLOGY Dear Doctor My Wife Is 69 Year Old And

Brief Answer: Answer Detailed Answer: Hi there Firstly xray is not normal. There are early changes of Osteoarthritis of the knees with joint space narrowing. This is the cause of her stiffness and pain. Applying warm packs will help with relief. Avoid bending knee much. Physiotherapy will also help. Regarding the burning sensation, it is due to nerve damage from Diabetes. She can benefit from Pregabalin medicine and must keep up with good blood sugar control. A Neurologist will be able to help with the pain management better because of the Diabetes. I hope I have answered your query. I will be available to answer your follow up queries. Regards, Aashish Raghu