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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Pain In Knees, Spreading To Ankles, Most Severe At Night. Causes And Treatment?

I am a 70 year old female with general good health. I suffer from severe pain in the left knee which goes down to the ankle only while resting in the night. My leg is weak and I do get pains when I strain my legs - either walking too much or even sitting down on long trips. However, the pain is most severe in the night and often I lose sleep because of the pain. Can you help??
Fri, 2 May 2014
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Orthopaedic Surgeon, Joint Replacement 's  Response
There can be two causes of such pain. Either it can be knee osteoarthritis or it can be pinch nerve in spine. I would advice you to get standing x ray of the knee and MRI of the spine. Till you get these investigations I would like to suggest you
1.Avoid sitting cross leg and squatting
2.Take calcium and vitamin D 3.
3. take tramdol for pain relief
4. Hot water fomentation
5. Diclofenc gel
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Severe Pain In Knees, Spreading To Ankles, Most Severe At Night. Causes And Treatment?

There can be two causes of such pain. Either it can be knee osteoarthritis or it can be pinch nerve in spine. I would advice you to get standing x ray of the knee and MRI of the spine. Till you get these investigations I would like to suggest you 1.Avoid sitting cross leg and squatting 2.Take calcium and vitamin D 3. 3. take tramdol for pain relief 4. Hot water fomentation 5. Diclofenc gel