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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ligament Tear In Ankle, Deep Bone Bruise, Knee Twisted. Having Swelling, Numbness, Pain. Cortisone Not Working. Cure?

I had a fall last summer and injured my left leg and ankle.
I tore some ligaments in my ankle, had a deep bone bruise in my left xhin and twisted my knee. I had physio and some accupuncture. Since then I have awful swelling in my ankle and foot with numbness in my ankle and foot and constant pain in my knee. My doctor said it's arthritis in my knee from the injury and I had cortisone which didn't work. This has been over a year now and I have not had a pain free day. A CT scan a few weeks after didn't show much. A sports medicine specialist told me to ride an exercise bike 30 minutes a day. I can barely bend my knee without horrible pain and could not do the bike..I tried. What would you suggest next?
Wed, 21 Aug 2013
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General & Family Physician 's  Response
Hi, it is really aasome for so long with the pain, any i have some suggestions for pain relief, if they are help full i will be glad.
I to my patients with such symptoms prescribe, injections of combination B 1 , 6,and 12. for 10 consecutive days, and N.S.A.I.D.S for pain relief.
Avoid taking potato, other tubers, tomato, egg, chicken, and sea foods, for at least 10 days and observe . Thank you.
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Hi, thanks for writing to HCM.

It looks from the description that you are more concerned about the knee pain than your ankle.

The initial mainstay of treatment for arthritic knees is as follows -
* PHYSICAL THERAPY : In the early case physical therapy is directed at maintaining joint mobility and improving muscle strength. Other measures, such as massage and the application of warmth, may reduce pain.
* LOAD REDUCTION : Protecting the joint from excessive load may slow down the rate of cartilage loss. It is also effective in relieving pain. Weight reduction for obese patients, wearing shock-absorbing shoes, avoiding activities like climbing stairs and using a walking stick are worthwhile.
* ANALGESIC MEDICATION : Simple over the counter medications like acetaminophen is sufficient in most cases. If this fails to control pain, a non-steroidal anti-inflammatory drug may be better.
* VISCOSUPPLEMENTATION: Hyaluronic acid injections given into the joint in prescribed dosages will give good short term relief in selected cases and helps in postponing total joint replacement surgery atleast for a year or two.
* JOINT REPLACEMENT : Joint replacement is nowadays the procedure of choice for OA in patients with intolerable symptoms, marked loss of function and severe restriction of daily activities.

Hope this information is helpful. Good day
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Ligament Tear In Ankle, Deep Bone Bruise, Knee Twisted. Having Swelling, Numbness, Pain. Cortisone Not Working. Cure?

Hi, it is really aasome for so long with the pain, any i have some suggestions for pain relief, if they are help full i will be glad. I to my patients with such symptoms prescribe, injections of combination B 1 , 6,and 12. for 10 consecutive days, and N.S.A.I.D.S for pain relief. Avoid taking potato, other tubers, tomato, egg, chicken, and sea foods, for at least 10 days and observe . Thank you.