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Osteoarthritis and knee pain - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
Doctor :   Hi
Doctor :   I am Dr
User :   Hello
User :   I am XXXXXXXX from
Doctor :   Hi AAAAAAA
User :   Dr., my Mother In Law has some proble with her legs.
User :   from past 4 days she is having severe pain in her left knee
Doctor :   ok
Doctor :   Is it hot and red?
User :   It is hot
User :   When she touches her left knee she feels hot
Doctor :   ok
User :   She doesnt feel any pain when she sits.. but if she puts her feet on the floor or if she walks or stands she feels the pain
User :   she feels as if the nerves are pulling from her left hip to her knee
Doctor :   Is it swollen?
User :   If she stands for long time or walks, it get swollen
User :   if she sleeps and puts her leg in a min height the swelling reduces
Doctor :   Most common cause of the pain with this history is Osteoarthritis
User :   what is Osteoarthritis, Dr.
Doctor :   It is wear and tear of bones
Doctor :   Knee joint is formed by two bons
Doctor :   top femur
Doctor :   bottom tibia
Doctor :   The ends of the bones touch when we stand and walk
User :   ok.
Doctor :   because of friction between boones, thet erode the surfaces
Doctor :   The ends of the bones arecovered with soft solid gel
Doctor :   called Cartilage
Doctor :   This cartilage will be completely used
Doctor :   and there may not be any cartilage left at some point of time when there is severe didease
Doctor :   So I recommned first X ray of the knees
User :   ok...
Doctor :   To make sure how u much severe it is
Doctor :   I will recommed Paracetamol 650 3-4 times d ay
User :   ok...
Doctor :   There are some pills which boost up the cartilage
User :   ok..
Doctor :   ARTHOCARE DS-tab
Doctor :   use 1 tab daily
User :   ok...
Doctor :   they will increase cartilage
User :   I could see the veins swelling near her knees whenever she feels extreme pain
Doctor :   And also decrease pain
Doctor :   if it is swollen and red , it could be from other cause
User :   In the past she felt this kind of pain and went for X-ray
Doctor :   But u said she had chronic pain
Doctor :   I think she has the every day
Doctor :   I am I right?
User :   she has that everyday for her left knee alone
Doctor :   OK
User :   her right knee pains only if she is very much stressed and walks for a long time
Doctor :   Ok
User :   in the past she went for x-ray
Doctor :   COnsult Orthopedics
User :   and the docs mentioned that her right knee has this bone tear
Doctor :   If the pain is severe , get MRI
User :   ok
Doctor :   If it shows severe osteoarthritis, she can stay on med or she can go for knee replacement
User :   she recently went to and came... since then the pain has increased severely in her left knew and she is feeling this daily...
Doctor :   ok
User :   ok.
User :   We will consult orthopedics
User :   Could you recommend and good Orthopedist in?
Doctor :   I have no idea
Doctor :   But Customer Care will handle the issue
User :   ok.
Doctor :   Do you want them to call u
User :   sure Dr.
User :   1 final Q
Doctor :   What is That?
User :   if she feels severe pain, for temporary pain relief which medicine do you recommend?
Doctor :   Open this URL
Doctor :   use XXXXX Gel on the knee
Doctor :   Use Ibuprofen 600mg
User :   similar to Moov ??
Doctor :   But use Pantop 40 if she is ising Ubiprofen
Doctor :   Other wise chronic use cause stoamch ulcers
Doctor :   Moov is herbal
Doctor :   Volini gel is allopathic
Doctor :   You cam Mix two if u want ........
User :   ok
User :   she is not using any medicines or tablets...
User :   I can go for Ibuprofen 600mg?
User :   untill i see the orthopedist ?
Doctor :   Ibuprofen 600mg 3 times day after food +Pantop 40mg daily once for 4-5 days
User :   sure
User :   Thank you Dr.
Doctor :   You welcome
Doctor :   Bye
User :   It was nice talking to you.
User :   Bye
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