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What Causes Pain In Hip And Knee While Walking?

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Posted on Fri, 6 Jun 2014
Question: I have ,supposedly Osteroarthritis of the hip (otheer hip replaced 11 years ago). Troubl;e walking pain in hip and knee and just above ankle, This area above ankle is swellen and very sore at times and hard to walk on. Any ideas. I am on Prednisone,and Hydroco now four 4 days but no relief in pain ,etc.
I thought that my symptoms seems relatd to possible irritation of nerves leading to right side because pain seems tomove around but steady in hip. But back of knee and above ankle are involved.
doctor
Answered by Dr. Mukesh Chugh (38 minutes later)
Brief Answer:
steroid induced osteoporosis may be a cause

Detailed Answer:
Hello,
Thanks for writing.
I have gone through your query,the most likely cause for your suffering is hip and knee osteoarthritis for this may get x-ray done to confirm the same and send the x-ray picture to me. For this you may have tablet ultracet semi as pain killer under medical guidance beside taking glucosamine and chondroitin sulphate as they help in cartillage regeneration.
The pain just above the ankle could be because of osteoporosis (bone weakness),induced by long term use of prednisone.My advice would be take weekly dose of tablet alensol D which inhibit bone resorption,after having discussion with your treating doctor.Take diet rich in calcium (1000mg/day) and vitamin D(1000 i.u./day) for bone weakness.
Hope this helps.
Take care and I shall be glad to answer any further query.
Regards
Dr. Chugh, Orthopaedic surgeon
Virtual clinic http://bit.ly/drmchugh
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Mukesh Chugh (2 hours later)
I had a cortizone shot about month ago in fleshy part of leg below hip. Did nothing. Had shots in shoulder and knee --but in joint aND THEY GOT GREAT RESULTS. Should thisd have gone in joint?? Only been taking Prednisone for thre ddays. How long to shjow results?? I think I have strong bones but she is ordering
test soon .
I also asked Dr if I shouldnt go to a Dr with your degree but she said she knows it is osteoarthritis . Would be more confident if she would let me go to one.
With my condition, and if I can stand the pain will it worsten my conditojnn if I played lite game of golf (arms swinging not hips pr body?
doctor
Answered by Dr. Mukesh Chugh (1 hour later)
Brief Answer:
Cellulitis may be a cause needs examination

Detailed Answer:
Hello
It’s good to see you
First of all please accept my apologies as I read it that you are on prednisone for years. The injection cortizone gives excellent results when given inside the joint (intra articular) but the results are temporary and may last for unpredictable period (2-5 months) .They should not be given for more than 3 injections in a year.
As the hip joint is deep seated it is uncommon and difficult to give as compare to the other joints. This may be given under ultra sonograpy guidance. Prednisone has results in 24 – 72 hour time. But you may get x-ray done to see the early sign of osteoarthritis.
As far as pain and swelling above ankle is concern it may a skin and soft tissue infection that is cellulitis. It is a common bacterial skin infection. It may first appear as a red, swollen area that feels hot and tender to the touch. The redness and swelling often spread rapidly. Cellulitis is usually painful. It is treatable with preferred antibiotics like augmentin along with wound dressing and pain killer.
You may play golf once the cellulitis is ruled out by physical examination and blood test.You may have a word with your doctor what so ever has been discussed between us.
Hope this information suffices
Wishing you good health
Dr.chugh, orthopaedic surgeon
profile at http://bit.ly/drmchugh


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
doctor
Answered by
Dr.
Dr. Mukesh Chugh

Orthopaedic Surgeon, Joint Replacement

Practicing since :1997

Answered : 1619 Questions

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What Causes Pain In Hip And Knee While Walking?

Brief Answer: steroid induced osteoporosis may be a cause Detailed Answer: Hello, Thanks for writing. I have gone through your query,the most likely cause for your suffering is hip and knee osteoarthritis for this may get x-ray done to confirm the same and send the x-ray picture to me. For this you may have tablet ultracet semi as pain killer under medical guidance beside taking glucosamine and chondroitin sulphate as they help in cartillage regeneration. The pain just above the ankle could be because of osteoporosis (bone weakness),induced by long term use of prednisone.My advice would be take weekly dose of tablet alensol D which inhibit bone resorption,after having discussion with your treating doctor.Take diet rich in calcium (1000mg/day) and vitamin D(1000 i.u./day) for bone weakness. Hope this helps. Take care and I shall be glad to answer any further query. Regards Dr. Chugh, Orthopaedic surgeon Virtual clinic http://bit.ly/drmchugh