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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Osteoarthritis On Knees. Pain In Left Leg From Hip To Foot, Stiff Knee, Painful To Bear Weight. Help

I have had osteoatheritis for many years (I am 45) mainly affecting my knees,however in the lastfew weeks the whole of my left leg hurts ffrom hip to foot.I have stiffness around the knee particuarly round the back and have limited use in bending this knee .Also pain worse after being in one position for while and makes it very painful to weight bear. Not sure if this is my artheritis or something else ..... please help as very painful!
Sat, 5 Oct 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
As you mentioned that both knees are having osteoarthritis and that too from many years .
Now pain is in the left leg from hip to foot , may be due to,
1 Sciatica , diagnosis can be confirmed by physical examination by a orthopedic surgeon .
In sciatica usually pain begins from back to lateral side ( somewhat in the back of thigh) and radiate to lateral side of whole leg with pain in little finger of foot .
2 Osteoarthritis of sacroiliac joint , diagnosis can be confirmed bu C T SCAN of concerned joint and consult an orthopedician .
3 Degenerative disease of hip joint . Diagnosis can be confirmed by X ray and C T SCAN of lumbo-sacral region.
In my opinion for this pain get help of orthopedic surgeon.
Now pain in left knee , I am sorry to say that you may have develop permanent damage of cartilage of knee joint due to old lesion of osteoarthritis. Diagnosis can be confirmed by X RAY of this knee joint ( gap between femur bone & tibia diminished , so a cracking sound develops in knee).
Only an option surgery .
Good luck. Dr. HET
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Have Osteoarthritis On Knees. Pain In Left Leg From Hip To Foot, Stiff Knee, Painful To Bear Weight. Help

Hello, Thanks for the query to H.C.M. Forum. As you mentioned that both knees are having osteoarthritis and that too from many years . Now pain is in the left leg from hip to foot , may be due to, 1 Sciatica , diagnosis can be confirmed by physical examination by a orthopedic surgeon . In sciatica usually pain begins from back to lateral side ( somewhat in the back of thigh) and radiate to lateral side of whole leg with pain in little finger of foot . 2 Osteoarthritis of sacroiliac joint , diagnosis can be confirmed bu C T SCAN of concerned joint and consult an orthopedician . 3 Degenerative disease of hip joint . Diagnosis can be confirmed by X ray and C T SCAN of lumbo-sacral region. In my opinion for this pain get help of orthopedic surgeon. Now pain in left knee , I am sorry to say that you may have develop permanent damage of cartilage of knee joint due to old lesion of osteoarthritis. Diagnosis can be confirmed by X RAY of this knee joint ( gap between femur bone & tibia diminished , so a cracking sound develops in knee). Only an option surgery . Good luck. Dr. HET