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Suggest Treatment For Osteoarthritis Of Knee
Question: sir my wife is suffering from gap between bones in knee joint docor has given her glusamine sulplate 600mg three times a day and some knee lifting excersices.he also advised to avoid stairs and not to exert the knee too much but she is having pain and discomfort. more she walks and stands more pain is there.after rest pain subsides a little please advice.she was given pain killers alsos but is not taking them
Brief Answer:
X ray shows there is osteoarthritis of your knee.
Detailed Answer:
Hello,
I have studied your case.
X ray shows there is osteoarthritis of your knee.
You can continue cartilage protecting medication glucosamine sulphate, which you need to take for couple of months.
If required MRI knee can be done and if there is severe destruction of menisci then arthroscopic shaving can be done.
Physiotherapy like ultrasound and tens will help, along with knee exercises
Life style changes will help in reducing pain which include,
LOAD REDUCTION: Protecting the joint from excessive load may slow down the rate of cartilage loss. It is also effective in relieving pain. The heavier you are, the more stress you put on your joints. Weight reduction for obese patients, wearing shock-absorbing shoes, avoiding activities like climbing stairs and using a walking stick are worthwhile.
ACTIVITY MODIFICATION -It is important to maintain as much activity and joint motion as possible, but impact activities will aggravate arthritis. Running and jumping will often accelerate cartilage loss from the joint. The key is to focus on low impact activities, such as swimming or cycling.
VISCOSUPPLEMENTATION: Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years.
You may benefit more by arthroscopic shaving.
Does she have any chronic disease which lead to early knee degeneration?
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
If you are satisfied with answer do not forget to give rating to this answer.
Wishing you good health.
Take care.
X ray shows there is osteoarthritis of your knee.
Detailed Answer:
Hello,
I have studied your case.
X ray shows there is osteoarthritis of your knee.
You can continue cartilage protecting medication glucosamine sulphate, which you need to take for couple of months.
If required MRI knee can be done and if there is severe destruction of menisci then arthroscopic shaving can be done.
Physiotherapy like ultrasound and tens will help, along with knee exercises
Life style changes will help in reducing pain which include,
LOAD REDUCTION: Protecting the joint from excessive load may slow down the rate of cartilage loss. It is also effective in relieving pain. The heavier you are, the more stress you put on your joints. Weight reduction for obese patients, wearing shock-absorbing shoes, avoiding activities like climbing stairs and using a walking stick are worthwhile.
ACTIVITY MODIFICATION -It is important to maintain as much activity and joint motion as possible, but impact activities will aggravate arthritis. Running and jumping will often accelerate cartilage loss from the joint. The key is to focus on low impact activities, such as swimming or cycling.
VISCOSUPPLEMENTATION: Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years.
You may benefit more by arthroscopic shaving.
Does she have any chronic disease which lead to early knee degeneration?
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
If you are satisfied with answer do not forget to give rating to this answer.
Wishing you good health.
Take care.
Above answer was peer-reviewed by :
Dr. Raju A.T
sir thankyou for the answer.my wife has problem of bulky uterus and she is advised uterus removal after 3-4 yrs .she undergoes papsmear test for uterus every 6 months and she had lot of medication since 7-8 yrs for irregular periods .other than this she suffers from bouts depression and gastritis otherwise she does not have any chronic disease.can she go for brisk walking please advice. she was physically less active upto 1yrs back her weight is 64 kgs and height is 5ft 3 inches.please suggest food to have and avoid to improve the symptoms.
Brief Answer:
Explained below
Detailed Answer:
Hello again,
Chronic gastritis and depression can aggravate arthritis and osteoporosis.
You may need calcium supplement and proper treatment for gastritis also.
She can walk on plain surface,walking distance should be limited as per pain tolerance.
More focus should be given on knee exercises,yoga,weight reduction.
She should avoid sour and bitter ,acidic food.
Take more protein ,minerals and vitamins .Fruit juice and fresh half cooked vegetables will help .
Drink lot of water.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
If you are satisfied with answer do not forget to give rating to this answer.
Wishing you good health.
Take care.
Explained below
Detailed Answer:
Hello again,
Chronic gastritis and depression can aggravate arthritis and osteoporosis.
You may need calcium supplement and proper treatment for gastritis also.
She can walk on plain surface,walking distance should be limited as per pain tolerance.
More focus should be given on knee exercises,yoga,weight reduction.
She should avoid sour and bitter ,acidic food.
Take more protein ,minerals and vitamins .Fruit juice and fresh half cooked vegetables will help .
Drink lot of water.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
If you are satisfied with answer do not forget to give rating to this answer.
Wishing you good health.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thankyou sir for answer to my earlier queries.as we live in hilly area we must either go down or have to climb a little while walking so it advisable to go for walking .secondly when she has pain in knee it covers all her legs also that is she has pain in legs also and feels relaxed after bending knees.Since last 3-4 months ahe is suffering from cough also which subsides some times and again comes back and has taken 5 bottles of cough syrup. please do suggest ways to reduce weight little faster as she cannot burn too many calories because of knee pain
thanking you
thanking you
Brief Answer:
Explained below
Detailed Answer:
Hello
It is advisable to walk on plain surface,you locally should find such place where you can walk on plain surface.
For leg pain you can take inj methylcobalamin once week from your treating/local GP.
For persistent cough you may need to investigate like blood test and x ray chest and if required PFT.
For weight reduction,
You can take high protein, and vitamin diet,take heavy salads and fruit juices.
Avoid fatty, oily, junk food,milk products containing high fat,non veg.
Drink 4 to 5 little water daily.
Do exercises for weight reduction,yoga,pranayama.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
If you are satisfied with answer do not forget to give rating to this answer.
Wishing you good health.
Take care.
Explained below
Detailed Answer:
Hello
It is advisable to walk on plain surface,you locally should find such place where you can walk on plain surface.
For leg pain you can take inj methylcobalamin once week from your treating/local GP.
For persistent cough you may need to investigate like blood test and x ray chest and if required PFT.
For weight reduction,
You can take high protein, and vitamin diet,take heavy salads and fruit juices.
Avoid fatty, oily, junk food,milk products containing high fat,non veg.
Drink 4 to 5 little water daily.
Do exercises for weight reduction,yoga,pranayama.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
If you are satisfied with answer do not forget to give rating to this answer.
Wishing you good health.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
sir,
Thankyou for the answer.i am satified with the the methods you have suggested for management of my wife osteoathrities. plese do suggest additional medicines other than she is already taking.please do suggest me some ways to motivate her her to try more and put more affort on her part so that she feels better quicklyand she becomes optimistic that she will get better.thanking you
Thankyou for the answer.i am satified with the the methods you have suggested for management of my wife osteoathrities. plese do suggest additional medicines other than she is already taking.please do suggest me some ways to motivate her her to try more and put more affort on her part so that she feels better quicklyand she becomes optimistic that she will get better.thanking you
Brief Answer:
Explained below
Detailed Answer:
Hello again,
she can take tab foursteps twice daily to avoid further knee degeneration.
Start her yoga ,pranayama ,and XXXXXXX kriya[art of living foundation].
Daily her schedule should include knee exercises.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
If you are satisfied with answer do not forget to give rating to this answer.
Wishing you good health.
Take care.
Explained below
Detailed Answer:
Hello again,
she can take tab foursteps twice daily to avoid further knee degeneration.
Start her yoga ,pranayama ,and XXXXXXX kriya[art of living foundation].
Daily her schedule should include knee exercises.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
If you are satisfied with answer do not forget to give rating to this answer.
Wishing you good health.
Take care.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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