Mild knee pain. Overweight. Is it early arthritis? - Online Doctor Chats
Hello doctor ,
How are you doing?
Has there been any trauma or anything?
What is your weight?
when started my excercise then i noticed the pain vanished, but now i am not regular to my exercise and the pain has aggravated
and your height?
that is 174 cms
We would be looking at some kind of early arthritis
what should i do to get rid of this
if you dont start exercising and lose weight
The treatment is to exercise , lose weight
i have done hard to loose weight but unable to as i am from the child
for last one year i was more on salads and fruits and braught my weight to 89 but now i am sick of salads and eat rice
When was it checked?
some time last year
Lets do one thing
I will tell you the basic principles of diet and exercise
and set up an appointment with a dietitian for you
She will call you at a time of your choice
So you can eat the food you want
and lose weight as well
that sounds good
For the exercise part, I would be looking at cardiovascular exercise for you for about 50 minutes daaily
You can walk jog run skip swim
do whatever you like
But you need to do it atleast 5-6 days a week
Start slowly but build it up gradually
So you can start with 20 minutes and build it by 5 minutes a week
Does that sound ok?
as far as the diet is concerned
Breakfast should be the heaviest meal and dinner should be your lightest meal
ok i do the reverse
Dinner should be by 8:30 pm assuming you go to sleep by 11 pm
also, eat something small every 3-4 hours
If you want to eat rice, dont eat it at dinner time
and if you must, eat brown rice
that has more fibre and is much healthier
also start your day with a fruit
followed by poha/2 idlis/upma/
do you eat non veg?
once in a month
No eggs also?
not at all except for the egg puff which is very very rare
After that say around 10-11 pm have 1 cup coffee + 1 biscuit
Lunch can be 1 cup rive + dal+veggies+salad
In the evening have a fruit bowl/sandwich/poha
and dinner can be 1-2 chapattis +dal+veggies
Does that sound ok to you?
yes but need to struggle initially
You will feel more active and you will do better at work as well
yes i have experienced this but was not able to sustain
sustaining the exercise and diet is more important
because you were depriving yourself of your favourite food
This way, you can eat your favourite food and still lose weight
missed to tell you I have a collestrol pills daily night Razel 5 mg" does this pills have a side effect on the knees
It can lead to pain in the muscles,
That is a known side effect
This can tell us whether its a myopathy
what myopathy is
Myopathy means a problem with the muscles
then in such case how would the collestrol level be managed
It can be managed if you lose weight, exercise and manage your diet
But we cannot say definitely its because of the drug you're taking
Have you been screened for diabetes?
yes in my last master check up
i am not a diabetic , last feb
Did anybody in your family have heart disease?
none , but my mother was diabetic and hence issue with heart
at what age did she have the problem?
See, in my opinion you need not take this drug
There is no need
We can very well control it with dietary modification and exercise
ok that great
i will start exercising from , can i expect the dieticians call
But I want you to speak with the dietician
Tell her you have higher levels of cholesterol
She'll plan accordingly
Within 2-3 months I think we should be looking at a better, more permanent solution
will you place a request on my behalf for a call
yes i agree
I did that already
They'll call you in some time
that grt thanks by when can i expect the call
Within the next 15-30 minutes
Is there anything else I can help you with?
thanks a ton doctor , i will stop the collestrol drug and however monitor my levels for few months
nothing . It was nice chatting with you, you had been a great support ...thanks once again
Thanks for consulting me
Bye for now
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