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Having discomfort in knee. X-Ray was normal. Given Rejoint. Suggest? - Online Doctor Chats

Date : 06-Jun-2013
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
Doctor:How can I help you?
User:I have a Discomfort in right knee
User:i went to columbia asia - Ortho specialist and took an X XXXXXXX
Doctor:Please proceed.
User:and then he could not find any probs in that
User:so the doctor said to do some physsio excercises and some medcicine called rejoint
User:for 15 days..
User:and asked me to come again for a chk up.. which is due in next 2 days
User:the discomfort is basically a feeling of a joint which is loosely fitted and there was no pain involved..
User:there are no prior accidents or injuries in my right knee
User:wat would u suggest
Doctor:May I know your age and gender?
Doctor:And since when are you having this discomfort?
User:age is 25 and male
User:last 2 months
Doctor:Have you got any blood test done?
User:Yes, CBC
User:Varirtaion was in Neutrophyle - 78.8%
Doctor:Any ESR test was done?
User:and Lymphocyte - 10.2%
User:what is ESR?
User:Lymhpocyte range was 20 -40% and mine was 10.2%..
User:what does this refer too?
Doctor:ESR is a blood test done to see if a person has inflammation.
User:no, not done so far.
Doctor:High neutrophil percentage grossly indicate there could be some inflammation or infection; but it is not specific enough to diagnose any condition.
Doctor:Let me brief you.
Doctor:Knee pain is not a common symptoms in men under the age of 40 years.
User:I had done this Blood test last week to chk any indication for Dengue..
User:I had a cold and then aggrevated to fever
Doctor:It is seen in many middle aged and elderly people due to age related degenerative changes.
User:my Knee doesnt pain, just a feeling of something is not right
Doctor:In some one as young as you, the discomfort suggest there could be some inflammation of the knee structures.
Doctor:A normal X-ray has ruled out fractures or serious arthritis problems.
Doctor:which is good.
Doctor:So I feel you could be suffering with arthropathy probably induced by the infection you had recently (cold and fever)
Doctor:Such symptoms take a while to regress.
User:yes, the X XXXXXXX has 3 angles and Doc said the knee is perfect.
User:cool.. so nothing to worry abt right
Doctor:Yes, a normal X-ray is good.
Doctor:At this point of time, without a physical examination, I am unable to predict the prognosis of your problem.
User:and what does a low lymhpocyte % indicate
Doctor:The medication given to you is a supplement that helps in joint recovery.
Doctor:Please continue it and follow up.
Doctor:If symptoms persist, your doctor can evaluate you further.
User:ur suggestion on the lymphocyte count.
Doctor:Regarding your second concern about lymphocyte count,
Doctor:It a differential count expressed as percentage of total WBC / leucocyte count.
Doctor:Meaning the total percentage of neutrophil, lymphocyte, basophil, eosinophil and monocyte should be equal to 100.
Doctor:Therefore when the percentage of one cell is high, naturally the other would be low.
Doctor:That's the reason why you have low lymphocyte.
User:is that somethng to be worried abt..?
Doctor:In simple words, the low lymphocyte percentage is because you have a high neutrophil percentage.
Doctor:This relative figure will improve with time.
Doctor:So you need not worry.
User:ok, thanks for the understnd my queires with patience
Doctor:Please follow up with your orthopedic. I feel you should be better very soon.
Doctor:You are welcoem.
Doctor:Do you have any other query?
User:thanks for ur concern, would surely figure out that with my doc here
User:nothing as of now.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
User:thanks again, it was nice chatting with you XXXXXXX
Doctor:Pleasures mine.
Doctor:Bye for now.
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