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Suggest Treatment For Severe Knee Pain
Question: I have knee pain. It's right at that front bone and I cannot bend the knee. It has to stay completely straight or it makes me scream
Brief Answer:
Can be tendonitis or osteoarthritis.
Detailed Answer:
Hello,
Thanks for posting your query.
Your symptoms are consistent with tendonitis of the quadriceps tendon or osteoarthritis.
Quadriceps tendonitis is a condition characterized by tissue damage and inflammation to the quadriceps tendon.
Investigations such as an Ultrasound, X-ray, MRI or CT scan may be required to assist with diagnosis and assess the severity of the condition.
The treatment options include pain killers, hot fomentation, lubricating agents like glucosamine sulfate, chondroitin , dycerin, etc and some life style modifications and physiotherapy.
Right now you can start taking Tablet Tylenol ( Acetaminophen) Double Strength after breakfast and after dinner. It is suggested to add calcium supplements 500mg each twice daily.
You can start with walking and aerobic fitness exercises, quadriceps strengthening, patellar tapping, lateral heel wedges, etc- under the guidance of your physiotherapist.
A Big No to Stair case, squatting postures, any chair which has a sitting platform lower than your knees.
Knee brace can also be used for an earlier and prolonged relief.
In severe cases intra articular injections of steroids and hyaluronic acid may be needed after consultation with your orthopaedician.
I also encourage you to consult an orthopedician for physical examination. A few blood tests, X-rays of the knee, CT / MRI scans of the knee will help us diagnose the condition and help us in choosing the best approach of treatment.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Can be tendonitis or osteoarthritis.
Detailed Answer:
Hello,
Thanks for posting your query.
Your symptoms are consistent with tendonitis of the quadriceps tendon or osteoarthritis.
Quadriceps tendonitis is a condition characterized by tissue damage and inflammation to the quadriceps tendon.
Investigations such as an Ultrasound, X-ray, MRI or CT scan may be required to assist with diagnosis and assess the severity of the condition.
The treatment options include pain killers, hot fomentation, lubricating agents like glucosamine sulfate, chondroitin , dycerin, etc and some life style modifications and physiotherapy.
Right now you can start taking Tablet Tylenol ( Acetaminophen) Double Strength after breakfast and after dinner. It is suggested to add calcium supplements 500mg each twice daily.
You can start with walking and aerobic fitness exercises, quadriceps strengthening, patellar tapping, lateral heel wedges, etc- under the guidance of your physiotherapist.
A Big No to Stair case, squatting postures, any chair which has a sitting platform lower than your knees.
Knee brace can also be used for an earlier and prolonged relief.
In severe cases intra articular injections of steroids and hyaluronic acid may be needed after consultation with your orthopaedician.
I also encourage you to consult an orthopedician for physical examination. A few blood tests, X-rays of the knee, CT / MRI scans of the knee will help us diagnose the condition and help us in choosing the best approach of treatment.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I've had gout in this knee before but it is not as hot as it was that time...about a year ago. I have Colchicine but I don't remember the first dose they gave in doctor office. It was different than what is on the bottle. Do you know?
Brief Answer:
Details below.
Detailed Answer:
Hello.
Thanks for writing again.
Yes. Medications include allopurinol, prednisone, indomethacin or colchicine. In patients who have persistent pain I often use prednisone for 3 to 5 days and patients do well. Colchicine is given along with the pain killers. Over the counter mild pain killers will not help. You can start with ibuprofen and colchicine and see if it helps.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Details below.
Detailed Answer:
Hello.
Thanks for writing again.
Yes. Medications include allopurinol, prednisone, indomethacin or colchicine. In patients who have persistent pain I often use prednisone for 3 to 5 days and patients do well. Colchicine is given along with the pain killers. Over the counter mild pain killers will not help. You can start with ibuprofen and colchicine and see if it helps.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
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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