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What Causes Knee Pain?

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Posted on Mon, 7 Jul 2014
Question: I am 67 and have been a runner for 35 years. I am in excellent health and at 6' and 175 pounds I have 12.5% body fat and I am a vegan. Lately I have had Knee joint pain in both knees and it's getting worse. Standing up and sitting down is painful as is kneeling. The stiffness is worsening. I just had an X-ray on the left knee which is the worst one and results were arthritis (wear and tear) in the knee joint termed degenerative arthrosis of the medial and patellofemoral compartments and small suprapatellar joint effusion. Now the right knee is getting worse as well. There is rheumatoid arthritis in my family. What is my next step? Thank you.
doctor
Answered by Dr. Vaibhav Gandhi (2 hours later)
Brief Answer:
symptoms and findings there is osteoarthritis.

Detailed Answer:

Hello,

I have studied your case.

According to your symptoms and findings there is osteoarthritis of your knee.
I will advise to do standing X ray knee and if required MRI knee can be done.
As you already have done x ray you can attach x ray film and send to me.
If there is severe destruction of menisci then arthroscopic shaving can be done.
Physiotherapy like ultrasound and tens will help, along with knee exercises
For level of osteoporosis DEXA scan can be done to start proper medication.

You need to continue cartilage protecting medication like chondritin sulphate [glucosamine], that you need to take for couple of months.

Physiotherapy like ultrasound and tens will help, along with knee exercises

Exercises will help to strengthen muscle and joint.
In lying flat supine on back – move your ankle up and down[plantar flexion dorsiflexion],keeping small towel below knee-press your patella[knee cap ] on towel and hold for 15 sec,lift your leg straight alternately [10-15 times].
Lying on your tummy- flex knee alternately, make knee rotation in flexion.
Sitting on chair- extend your legs alternately [hold in extension for 15 sec]
Standing half squat taking support of wall to back.

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.
Newer modalities for cartilage injury include autologous chondrocyte implantation [ACI] which helps in treatment of cartilage destruction.

Many of my patients get relief by yoga pranayama and XXXXXXX XXXXXXX so you can also do that.

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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Answered by
Dr.
Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

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What Causes Knee Pain?

Brief Answer: symptoms and findings there is osteoarthritis. Detailed Answer: Hello, I have studied your case. According to your symptoms and findings there is osteoarthritis of your knee. I will advise to do standing X ray knee and if required MRI knee can be done. As you already have done x ray you can attach x ray film and send to me. If there is severe destruction of menisci then arthroscopic shaving can be done. Physiotherapy like ultrasound and tens will help, along with knee exercises For level of osteoporosis DEXA scan can be done to start proper medication. You need to continue cartilage protecting medication like chondritin sulphate [glucosamine], that you need to take for couple of months. Physiotherapy like ultrasound and tens will help, along with knee exercises Exercises will help to strengthen muscle and joint. In lying flat supine on back – move your ankle up and down[plantar flexion dorsiflexion],keeping small towel below knee-press your patella[knee cap ] on towel and hold for 15 sec,lift your leg straight alternately [10-15 times]. Lying on your tummy- flex knee alternately, make knee rotation in flexion. Sitting on chair- extend your legs alternately [hold in extension for 15 sec] Standing half squat taking support of wall to back. 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. Newer modalities for cartilage injury include autologous chondrocyte implantation [ACI] which helps in treatment of cartilage destruction. Many of my patients get relief by yoga pranayama and XXXXXXX XXXXXXX so you can also do that. 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.