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Severe ankle pain, not cured by medications. Remedy? - Online Doctor Chats

Date : 12-Jun-2013
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor:How can I help you?
User:gud mrg
Doctor:Good morning
User:sir my father is 59 years old works as a welder .From last 6 months he his suffering from heavy ankle pain .
User:he has visited several doctors ,gne for ayuverdic and homeopathic medicines but it is not cured
User:done scanning and blood tests but no one was able to find the exact reason.Even i took him to the hosmat hospital bt not cured
User:legs ,hands are paining heavily for him.After getting in the morning ,to make is hands straight ,he takes 2-3 min
User:wht can be done sir?
Doctor:Is the pain located on both ankles?
User:ya both the ankles
Doctor:You mentioned legs and hands are also paining - can you specify if its the joints that pain or the muscles?
User:joints .Because after waking up in the morning and even after walking for about a half km,he feels heavy pain.
Doctor:Can I take that as knee joints and elbow/wrist joints?
User:ya sir
Doctor:Is there swelling and warmth over the joint during times of pain?
User:Sir till now swelling was not there bit today he tld that it is swelling a bit
Doctor:Has he lost weight?
Doctor:May I know his current weight and height?
User:ya little bit
User:may be around 56-62 kgs and 5.5
Doctor:Does he suffer from any other medical disease - diabetes, high blood pressure, arthritis, thyroid problems?
User:no sir
Doctor:I would like to know what diagnosis/treatment was suggested at Manipal and Hosmat hospital?
User:In manipal they have told fr scanning and blood test and after that they have given certain medicines and in case of hosamt they have told it is because of vitamin C deficiency and gave certain vitamin tablets
Doctor:Let me brief you.
Doctor:Pain of large joints with early morning stiffness of the joint is associated with a clinical condition known as osteoarthritis.
Doctor:Osteoarthritis is an age related joint wear and tear condition.
Doctor:It can be triggered by vitamin D and calcium deficiency.
Doctor:Without an opportunity to examine the joints and without having a look at his X-ray/blood test,
Doctor:I would not be able to confirm this possibility.
Doctor:Are you following?
User:sir can ths be cured?
Doctor:It is a chronic condition which will occur in almost every individual.
Doctor:Some people experience it at the age of 45; some at about 60 and few after 65 years.
User:if you are able refer me any good doctor in that field it will be very helpful
Doctor:Presence of other triggering factors such as strenuous physical exercise, vitamin D and calcium deficiency will stimulate early onset.
Doctor:Further, the condition can be progressing.
Doctor:It can be kept under control with exercise, vitamin D and calcium supplements.
Doctor:Pain killers and other pain relieving options would be needed if there is severe pain affecting daily life.
Doctor:The medications are available as oral tablets, joint injections.
Doctor:Rarely in most severe cases surgical therapy may be needed.
Doctor:You need to consult a joint specialist or a rheumatologist
Doctor:to evaluate this condition and the right mode of treatment applicable to his current situation will be suggested.
User:can u refer me any of them nw?
User:I an ready to brg him tomorrow only if given an appointment
Doctor:Hosmat is the premier institute for bones and joints in Bangalore.
Doctor:If you are not happy with the treatment there, you may try consulting rheumatologist.
User:can u suggest any rheumatologist in bangalore ?
Doctor:He is a rheumatologist practising at Manipal.
Doctor:I am not sure if he practices else where.
User:sir how can i get his appointment?
Doctor:You can try him, but I think you may not be able to get his appointment early.
Doctor:If your father
Doctor:*father's condition is stable, then you can try him at Manipal.
Doctor:You may get his appointment early.
User:ok thk u very much sir
Doctor:You may try any one of these doctors and get your father treated.
Doctor:Do you have any questions?
User:no sir thats it
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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