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Mild knee pain. Overweight. Is it early arthritis? - Online Doctor Chats

Date : 30-May-2013
User rating for this question
Very Good Posted in: Arthritis
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User:Hello doctor ,
Doctor:How are you doing?
User:For past few months i have been observing an mild knee pain specially when i climb stairs
Doctor:Has there been any trauma or anything?
Doctor:What is your weight?
User:when started my excercise then i noticed the pain vanished, but now i am not regular to my exercise and the pain has aggravated
Doctor:and your height?
Doctor:I think its your weight which is putting stress on your joints,
User:that is 174 cms
Doctor:We would be looking at some kind of early arthritis
User:what should i do to get rid of this
Doctor:if you dont start exercising and lose weight
Doctor:The treatment is to exercise , lose weight
Doctor:Temporary relief can be with Volini spray or hot fomentation
User:i have done hard to loose weight but unable to as i am from the child
Doctor:Has a thyroid profile been done for you?
User: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
User:my t3 t4 and tsh are normal
Doctor:i understand
Doctor:When was it checked?
User:some time last year
Doctor:Lets do one thing
Doctor:I will tell you the basic principles of diet and exercise
Doctor:and set up an appointment with a dietitian for you
Doctor:She will call you at a time of your choice
User:that's grt
Doctor:and make a healthy diet plan for you
Doctor:So you can eat the food you want
Doctor:and lose weight as well
User:that sounds good
Doctor:For the exercise part, I would be looking at cardiovascular exercise for you for about 50 minutes daaily
Doctor:You can walk jog run skip swim
Doctor:do whatever you like
Doctor:But you need to do it atleast 5-6 days a week
Doctor:Start slowly but build it up gradually
Doctor:So you can start with 20 minutes and build it by 5 minutes a week
Doctor:After 2-3 months, we'll start you on weight training for which you'll need to visit a gyn
Doctor:Does that sound ok?
Doctor:as far as the diet is concerned
Doctor:Breakfast should be the heaviest meal and dinner should be your lightest meal
User:ok i do the reverse
Doctor:Dinner should be by 8:30 pm assuming you go to sleep by 11 pm
Doctor:also, eat something small every 3-4 hours
Doctor:If you want to eat rice, dont eat it at dinner time
Doctor:and if you must, eat brown rice
Doctor:that has more fibre and is much healthier
Doctor:also start your day with a fruit
Doctor:followed by poha/2 idlis/upma/
Doctor:do you eat non veg?
User:once in a month
Doctor:No eggs also?
User:not at all except for the egg puff which is very very rare
Doctor:After that say around 10-11 pm have 1 cup coffee + 1 biscuit
Doctor:Lunch can be 1 cup rive + dal+veggies+salad
Doctor:In the evening have a fruit bowl/sandwich/poha
Doctor:and dinner can be 1-2 chapattis +dal+veggies
Doctor:Does that sound ok to you?
User:yes but need to struggle initially
Doctor:You will feel more active and you will do better at work as well
User:yes i have experienced this but was not able to sustain
User:sustaining the exercise and diet is more important
Doctor:because you were depriving yourself of your favourite food
Doctor:This way, you can eat your favourite food and still lose weight
User:missed to tell you I have a collestrol pills daily night Razel 5 mg" does this pills have a side effect on the knees
Doctor:It can lead to pain in the muscles,
Doctor:That is a known side effect
Doctor:I would suggest that you get a creatinine kinase level done
Doctor:This can tell us whether its a myopathy
User:what myopathy is
Doctor:If this pain is due to the statin, The only treatment for this would be to stop the drug
Doctor:Myopathy means a problem with the muscles
User:then in such case how would the collestrol level be managed
Doctor:It can be managed if you lose weight, exercise and manage your diet
Doctor:But we cannot say definitely its because of the drug you're taking
User:my collestrol LDL was 140 but still the local Dr suggested for the pills
Doctor:Have you been screened for diabetes?
User:yes in my last master check up
User:i am not a diabetic , last feb
Doctor:Did anybody in your family have heart disease?
User:none , but my mother was diabetic and hence issue with heart
Doctor:at what age did she have the problem?
User:at 53-54
Doctor:See, in my opinion you need not take this drug
Doctor:There is no need
Doctor:We can very well control it with dietary modification and exercise
User:ok that great
User:i will start exercising from , can i expect the dieticians call
Doctor:But I want you to speak with the dietician
User:for sure
Doctor:Tell her you have higher levels of cholesterol
Doctor:She'll plan accordingly
User:wil do
Doctor:Within 2-3 months I think we should be looking at a better, more permanent solution
User:will you place a request on my behalf for a call
User:yes i agree
Doctor:I did that already
Doctor:They'll call you in some time
User:that grt thanks by when can i expect the call
Doctor:Within the next 15-30 minutes
Doctor:Is there anything else I can help you with?
User:thanks a ton doctor , i will stop the collestrol drug and however monitor my levels for few months
User:nothing . It was nice chatting with you, you had been a great support ...thanks once again
Doctor:Thanks for consulting me
Doctor:Bye for now
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