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Ayurvedic medicine to solve the podiatry problem - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ayurveda
Answered by

General & Family Physician
Practicing since : 2009
Answered : 673 Questions
User :   I was asked by Dr to re log in
Doctor :   Hi
Doctor :   Sorry for the inconvenience.
User :   Ok can we start again
Doctor :   Please proceed with the query.
Doctor :   Yes please .
User :   do I need to resend the initial query it is rather long
Doctor :   Please ask the last question that you had ?
User :   My original query about my problem do I need to send it to you
Doctor :   Ok.
User :   I am 53 years old female and have been diagnosed with Mixed Connective tisssue disorder and have had severe problems with my lower joints. to date I have had both knees replaced due to the destruction of the cartilide in the kness (8 years ago) and now have problems in my right foot/ankle. 6 months ago I had a mid foot fusion on the right mid foot- the TMT joints 2 and 3 and the naviculocuneiform joints were fused. There is no pain there now but over the last 6 weeks SEVERE pain in the inner side of my ankle. These are the MRI findings "Small osteochrondral injury of the distal aspect of the lateral malleolus and a corresponding surface.Marginally thin articular cartlidge of the dome more so laterally. Focal osteochrondral injury approx 1cm in AP and coronal diameter affects the calceneal component of the posterior sub joints towards its medial aspect. At the anterior margin of the joint in the sub chondral bone above the tarsal sinus focal bone marrow oedema and early cyst formation of the inferior talus. There are minor inflammatory changes in the tarsal sinus. Small areas of osteochrondral damage in the middle/anterior subtalar articulation particulary on the side of the joint" My doctor says I need a fusion of the joints in this area. What do you think. The pain is severe and disabling. Am I going to end up with a crippled foot over time. My left ankle is boyhering me and 2 years ago had an arthoscopy of the left bone with an osteochondral defect. Will my left foot/ankle go the same way as my right
Doctor :   i feel the fusion of the joints would be the best possible help as your orthopedician has advised .
Doctor :   May I know the exact diagnosis put by the orthopedician for your connective tissue disoreder ?
User :   It was termed Mixed Connectitice tissue disorder
Doctor :   Ok.
Doctor :   It is an autoimmune problem which is progressive in nature and hence the prognosis is very poor.
User :   Will it get worse in my other joints in the right foot/ankle and will it progress to the left foot I already have had a arthroscopy done on my left ankle for a osteochrondral defect 18 months ago
Doctor :   When have you been diagnosed with it ?
User :   About 4 years ago
Doctor :   Ok,
Doctor :   Have you been taking any medication ?
User :   will all my foot/ankle joints be all affected by this? Am I going to be crippled eventually
Doctor :   Usually we treat with these medications apart from the surgeries : The treatment is similar to that of lupus. Corticosteroids are usually effective, especially when the disease is diagnosed early. Mild cases can be treated with aspirin
or other nonsteroidal anti-inflammatory drugs (NSAIDs), hydroxychloroquine
or similar drugs, or very low doses of corticosteroids. The more severe the disease, the higher the dose of corticosteroid needed. In severe cases, immunosuppressive drugs (such as azathioprine
, methotrexate
or cyclophosphamide
) may also be needed.
User :   I am on a heap of medicaitons alreacy- cortisone 7.5 mg, methotrexate 10 mg weekly, plaquenil 2 daily, and I am on a pain management program of oxycontin 70mg daily and Tranmal 300mg daily due to the disabling pain
Doctor :   Ok.
Doctor :   I feel the surgery would be more helpful regarding the ankles are concerned.
Doctor :   Fusion of the joints is the best alternative as otherwise pain would be much more,
User :   Is it common for the pain to be so bad
Doctor :   Yes , there are some alternative therapies for the pain and palliative medicine.
User :   will my left foot eventually be afftected
Doctor :   I am Very sory for that , but this is a progressive disorder and you have to live with it and try some alternative therapies and be more courageous.
User :   Thank you for your advice
Doctor :   I would appreciate if you can try Ayurveda
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