Hello And Merry Christmas Just Wondering What Would Cause This
Probably osteoarthritis, follow the advice below.
Detailed Answer:
Hello dear and welcome to ‘Ask A Doctor’ service.
Merry Christmas to you too.
I have reviewed your query and here is my advice.
I already reviewed the attached report and your medical history.
Your symptoms seem to be related to osteoarthritis.
I recommend you to do some examinations to confirm the diagnosis.
I recommend:
A complete blood count
An X-ray of the knee
Rheumatoid factor level and uric acid level
ESR level
Meanwhile, I recommend you to use anti-inflammatory medication such as Ibuprofen 400 mg three times a day daily.
I recommend using Voltaren cream for local application.
I also recommend using cold compresses for relief.
Hope I have answered your query. Let me know if I can assist you further.
Follow up queries explained below in details.
Detailed Answer:
Hi again dear,
I am sorry for my late response.
There are many medical conditions that cause osteoarthritis.
It can be genetic. One other cause can be overweight.
Repetitive movements or injuries at the knee can also be a cause.
The exact reason is not really known.
I see that you are already using panadol osteo which is an anti-inflammatory medication.
This medication is at the same family of medications with Ibuprofen.
So, you should not take them both.
In my daily practice Ibuprofen has been more effective to relieve the pain, so I would recommend Ibuprofen.
You can also use Voltaren cream for local application.
Hope I helped you.
Take care dear,
Dr.Dorina Gurabardhi
You should try just Ibuprofen on its own.
Detailed Answer:
Hi again dear,
Celebrex is also an anti-inflammatory medication.
If you take it with Ibuprofen it may irritate your stomach.
So, you should try just Ibuprofen on its own for the pain.
Regarding pre-diabetes I highly recommend to do the examination HbA1c.
Hemoglobin A1c (HbA1c) test measures the amount of blood sugar attached to hemoglobin.
It reveals the level of blood glucose over the last 6 weeks.
After this examination you should consult an endocrinologist and get a second opinion.
If you have further queries, feel free to contact me again.
Take care dear,
Dr.Dorina Gurabardhi