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Suggest Treatment For Swelling In The Knee And Elevated Creatinine Levels

Posted on Mon, 22 May 2017

Question: I have knee swelling, fluid buildup, pain and instability, starting about three weeks ago. I have seen two doctors for this, on in ER and one in Ortho clinic at VA. Both aspirated moderate to large amt of straw colored clear fluid. Labs show elevated creatinine at 1.3 mg/dL and C-reactive Protein at 14.20 mg/L. It is difficult to walk on, as well as quite painful. Pain is usually ache or dull at rest, occas sharp with activity. I cannot stand on it for any length of time. Ideas?

Answered by Dr. Aashish Raghu (36 minutes later)

Brief Answer:
Inflammatory Pseudogout arthritis

Detailed Answer:
Hi there

Thanks for the query

According to your clinical picture, you have Pseudogout. This usually presents at your age and with CPPD crystals.

Usually NSAIDs and Colchicine are used for treating the condition. You can take Prednisone or Deflazacort steroid such will help immensely to give you relief from this inflammatory arthritis.

Apply cool packs to the affected region. Avoid squatting, cross leg sitting, climbing stairs and kneeling.

It would be good to get a diagnostic Arthroscopy to look around in your knee for the source of instability and also debride any diseased regions in the knee.

The high creatinine needs to be looked into by your Nephrologist to rule out nephrotoxicity.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr. Aashish Raghu

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Nagamani Ng