HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Have Arthritis In Knees. Suffer Upper Back Pain. Walks Slowly. Advised Knee Surgery. On Vitamin D3. Treatment?

Hi there,
My mother has had arthritis in her knees for a number of years and is in need of knee replacements. However she has also suffered with some upper back pain over the last year. However within the last three/four months, she has gone from being a carer for my gran to herself barely being able to stand or walk to the bathroom, even with the aid of a frame. It takes her 20 minutes to get to the bathroom as she has to sit down every few steps.

She used to be able to climb the stairs but now has to sleep downstairs, she can not turn on her side in bed without aid and has to move her legs with her hands beneath her to stand up. Last Monday she went to hospital for her knee replacement but we raised concerns on her being able to do the rehabilitation exercises. The surgeon examined her and got the physiotherapist to do so too. He advised for her to sort her back out before she can have knee surgery. To put it in perspective we are more worried about her mobility in regards to her back rather than her knees that need to be replaced at the moment.

Blood tests revealed that she is vitamin D deficient, so her GP has put her on vitamin D3, 50,000 iu once a week for the past 8 weeks with no improvement, rather a massive incline in mobility.

Her symptoms are:
- Severe exhaustion and fatigue, especially after and physical exertion
- lack of strength
- tightness of back muscles
- muscle spasms, shaking
- having to bend back when trying to walk

Could you please give a desperate family some advice on what we should be asking from the GP/ specialists etc.. what you think might be wrong?

We can see a deterioration in her condition on a daily basis, she has her first physio appointment on Monday, I have no idea how we will get her in and out of the house, as no ambulance service is available.

Many Thanks,

Bobby
Fri, 4 Oct 2013
Report Abuse
Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

From the given description, I feel that her muscular weakness may be due to some problem either in the cervical spine or Dorsolumbar spine.

I suggest you to have an MRI scan of the cervical spine & Dorsolumbar spine which will show up any neurological involvement.

Consult a neurophysician for further evaluation and management.

Hope this information is helpful. Good day
I find this answer helpful

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on MRI


Loading Online Doctors....
Have Arthritis In Knees. Suffer Upper Back Pain. Walks Slowly. Advised Knee Surgery. On Vitamin D3. Treatment?

Hi, thanks for writing to HCM. From the given description, I feel that her muscular weakness may be due to some problem either in the cervical spine or Dorsolumbar spine. I suggest you to have an MRI scan of the cervical spine & Dorsolumbar spine which will show up any neurological involvement. Consult a neurophysician for further evaluation and management. Hope this information is helpful. Good day