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What Causes Persistent Knee Pain In A Hypertensive Patient?
Question: There is this persistent knee pain i have been heaving for past three months. I have been to the hospital severally without improvement. Its d joint, it actually started from d foot & it kept moving up. Now my waist, d right side is beginning to pain me.
My right side tube was removed as a result of an ectopic pregnancy in 2005. I am high per tensive too. If it is important to mention.
My right side tube was removed as a result of an ectopic pregnancy in 2005. I am high per tensive too. If it is important to mention.
Brief Answer:
You need to get it investigated.
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone through your query and understand your concerns. I would insist you to get an X ray of both knees - AP and lateral done and to share the reports using the facility on the upper right of this page. Arthritis needs to be ruled out. You also need to get your blood tested for RA factor, uric acid and fasting blood sugar. Based on the findings I would be able to suggest you suitable interventions.
Hot compress should provide relief.
I do not think that there is a relation with your ectopic pregnancy.
Let me know if I could help further.
Regards
You need to get it investigated.
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone through your query and understand your concerns. I would insist you to get an X ray of both knees - AP and lateral done and to share the reports using the facility on the upper right of this page. Arthritis needs to be ruled out. You also need to get your blood tested for RA factor, uric acid and fasting blood sugar. Based on the findings I would be able to suggest you suitable interventions.
Hot compress should provide relief.
I do not think that there is a relation with your ectopic pregnancy.
Let me know if I could help further.
Regards
Above answer was peer-reviewed by :
Dr. Sonia Raina
Thank u Dr XXXXXXX i have done all d above mentioned tests, & d xray Dr says there is no problem So he recomended some drugs. (cataplam) with omeprazole bcos of my ulcer. (Sorry i forgot to mention earlier that i have stomach ulcer). I took all d drugs, i felt some relieve, but when the drugs finished d pain returned. I go out for exercise in d Mornings.
Brief Answer:
Still insist you to upload the reports.
Detailed Answer:
Thanks for writing back. Even though the X rays do not reveal any definite problems I would still insist you to upload the reports (being able to glance at the plates would have been helpful but that is perhaps beyond scope). I am looking to know about the gap between the joint surfaces which indicates the thickness of the cartilage and therefore the erosion.
Regarding the gastritis, in order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take omerazole once daily before breakfast. You may also try normaxin for symptomatic relief.
* Avoid Cataflam (diclofenac potassium). It aggravates gastritis.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. Rather than taking laxatives, I would insist you to increase your dietary fibre intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
Regards
Still insist you to upload the reports.
Detailed Answer:
Thanks for writing back. Even though the X rays do not reveal any definite problems I would still insist you to upload the reports (being able to glance at the plates would have been helpful but that is perhaps beyond scope). I am looking to know about the gap between the joint surfaces which indicates the thickness of the cartilage and therefore the erosion.
Regarding the gastritis, in order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take omerazole once daily before breakfast. You may also try normaxin for symptomatic relief.
* Avoid Cataflam (diclofenac potassium). It aggravates gastritis.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. Rather than taking laxatives, I would insist you to increase your dietary fibre intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank u Dr XXXXXXX i shall do as u say. Should i go for a new xray or do i send d one i did d last time.
Brief Answer:
Old X ray should suffice
Detailed Answer:
If the previous X ray is not too old, it should suffice and I would insist you to upload the reports first.
Regards
Old X ray should suffice
Detailed Answer:
If the previous X ray is not too old, it should suffice and I would insist you to upload the reports first.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Alright
Brief Answer:
I will await your response.
Detailed Answer:
I will wait for you to upload all the relevant reports.
I will await your response.
Detailed Answer:
I will wait for you to upload all the relevant reports.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Attached are the test result please.
Brief Answer:
Get your blood sugar as well as HbA1c levels checked.
Detailed Answer:
Thanks for writing back. Glucose 2+ in urine is concerning and calls for evaluation of fasting blood glucose as well as blood for HbA1c levels. Other reports are within acceptable limits.
Regards
Get your blood sugar as well as HbA1c levels checked.
Detailed Answer:
Thanks for writing back. Glucose 2+ in urine is concerning and calls for evaluation of fasting blood glucose as well as blood for HbA1c levels. Other reports are within acceptable limits.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks Dr, so what should i do next?
Here is the xray result.
Here is the xray result.
Brief Answer:
See a physical therapist to know about the exercises.
Detailed Answer:
Thanks for writing back and for attaching the X Ray.
The joint space seems slightly reduced and that indicates that the cartilage is being eroded away. The ailment is called osteoarthritis and that is the cause of your knee pain.
Osteoarthritis treatment plans can involve:
Exercise.
Weight control.
Rest and joint care.
Nondrug pain relief techniques to control pain.
Medicines.
Complementary and alternative therapies.
Surgery.
The following link should help you in understanding the problem and in managing it:
http://www.mayoclinic.org/diseases-conditions/osteoarthritis/diagnosis-treatment/treatment/txc-0000
Regards
See a physical therapist to know about the exercises.
Detailed Answer:
Thanks for writing back and for attaching the X Ray.
The joint space seems slightly reduced and that indicates that the cartilage is being eroded away. The ailment is called osteoarthritis and that is the cause of your knee pain.
Osteoarthritis treatment plans can involve:
Exercise.
Weight control.
Rest and joint care.
Nondrug pain relief techniques to control pain.
Medicines.
Complementary and alternative therapies.
Surgery.
The following link should help you in understanding the problem and in managing it:
http://www.mayoclinic.org/diseases-conditions/osteoarthritis/diagnosis-treatment/treatment/txc-0000
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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