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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Arthritis?

I m a 72 yr old male in general good health but 15 lbs overweight in my gut. Non drinker, non smoker. Three months ago, without any trauma or untoward incident, my right knee starting aching NOT in the knee cap or bone area but on the sides and behind in the popliteal area. It is NOT associated with the popliteal or sciatic nerve. I ride a bike in high gear 5 miles a day on flat ground or walk the same route at a good pace 4-5 times a week. The pain was very similar to what was characterized as growing pains as a child. After 4-5 days it went away after stopping my walks /bike rides. Two days ago the pain started again in the right knee. I have enough basal arthritis in my right thumb to soon necessitate the removal of the basal area and have a tendon folded accordion style in its place against the trapezium bone. I have no other signs of arthritis. While the right knee pain is a severe ache, it doesn t feel of arthritic origin. Any thoughts?
Wed, 25 Feb 2015
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Orthopaedic Surgeon 's  Response
Hello, madam

I have studied your case.

According to your symptoms and findings there is osteoarthritis of your knee.
You can start cartilage protecting medication like chondritin sulphate twice daily, that you need to take for couple of months.
Take analgesic and add tab methylcobalamine 1500mcg daily.

Physiotherapy like ultrasound and tens will help, along with knee exercises

Life style changes will help in reducing pain which include,
ACTIVITY MODIFICATION -It is important to maintain as much activity and joint motion as possible, but impact activities will aggravate arthritis. Running and jumping will often accelerate cartilage loss from the joint. The key is to focus on low impact activities, such as swimming or cycling.
USING CANES: Assistive devices can make it easier to go about your day without stressing your painful joint. A cane may take weight off your knee or hip as you walk. Carry the cane in the hand opposite the leg that hurts.
VISCOSUPPLEMENTATION: Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years. You need to consult orthopaedic surgeon for taking it.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
If you are satisfied with answer do not forget to give rating to this answer.

Wishing you good health.

Take care
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What Is The Treatment For Arthritis?

Hello, madam I have studied your case. According to your symptoms and findings there is osteoarthritis of your knee. You can start cartilage protecting medication like chondritin sulphate twice daily, that you need to take for couple of months. Take analgesic and add tab methylcobalamine 1500mcg daily. Physiotherapy like ultrasound and tens will help, along with knee exercises Life style changes will help in reducing pain which include, ACTIVITY MODIFICATION -It is important to maintain as much activity and joint motion as possible, but impact activities will aggravate arthritis. Running and jumping will often accelerate cartilage loss from the joint. The key is to focus on low impact activities, such as swimming or cycling. USING CANES: Assistive devices can make it easier to go about your day without stressing your painful joint. A cane may take weight off your knee or hip as you walk. Carry the cane in the hand opposite the leg that hurts. VISCOSUPPLEMENTATION: Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years. You need to consult orthopaedic surgeon for taking it. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you are satisfied with answer do not forget to give rating to this answer. Wishing you good health. Take care