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Have Ankylosing Spondylitis. Noticed Swelling And Pain On Knee. What Medicine Should I Take?

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Posted on Sat, 9 Mar 2013
Question: Dear Sir, I am a patient of ankylosing spondlitis and for the past 3 days am having pain at a specific point on my knee below knee cap, and caused swelling above the knee. What medicine shpuld i take and what excercise to follow
doctor
Answered by Dr. Saurabh Gupta (2 hours later)
Hi XXXXXXX,
Welcome and Thanks for posting your query.

Pain over your knee seems to be due to some arthritic changes in your knee.
Exercise can decrease pain, particularly for people with osteoarthritis, the most common type of arthritis.
You have to do quadriceps and hamstring exercises to strenghten the muscle around knee.
Do swimming and mild arobic exercises.
Avoid squatting and too much stairs.
For pain control you can take anti-inflammatory drug like motrin to reduce pain and inflammation. Apply diclofenac gel on the affected area. Warm compresses will also help.

Hope this will help you. Please do write back if you have any additional concerns.

Wishing you good health...

Regards.
Dr Saurabh Gupta.
Orthopaedic Surgeon.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Saurabh Gupta (6 hours later)
Dear Sir,

Thanks. Please also let me know the following
1. Motrin is not available in local drug store. Is Motrin same as brufen ? If it is brufen, what dosage should i take daily. Can i take them in regulated dose over a long period of time

2. Please let me know what are quadriceps and hamstring exercises. Is there any link i can get details on these.

Regards
XXXXXXX
doctor
Answered by Dr. Saurabh Gupta (2 hours later)
Hi XXXXXXX
Thanks for posting your query again

Motrin is same as brufen. You can take Tablet brufen 400 mg 1 tablet with food as and when required (upto 4 tablets daily).

Quadriceps and hamstring exercises-

1.Strengthening Exercises
Warm up with 5-10 minutes of low impact activity, like walking or cycling, before doing these exercises

*Straight-Leg Lift
You should feel this exercise mostly in the front of your thigh.
Lie on your back with one leg bent and the other straight. Tighten the thigh muscles in your straight leg and slowly lift it until it is about a foot off the floor. Hold it for 3 to 5 seconds. Slowly lower your leg to the floor. Repeat and switch sides.
Do: Keep your upper body relaxed and tighten your stomach muscles to keep your low back flat against the floor.
Do not: Arch your back. Do not lift your leg too high with a jerking motion.

*Single-Leg Dip
You should feel this exercise in the front and back of your thigh, hip, and buttocks.
Place two chairs on either side of you to help with balance. Lift one leg slightly in front of you. Plant your weight on the other leg. Slowly lower yourself down a few inches, pushing your weight onto the heel of your supporting leg. Hold for 3 to 5 seconds. Slowly straighten up. Repeat and switch sides.
Do: Sit back as if there was a chair behind you.
Do not: Let the knee of your supporting leg move forward over your toes.

*Hamstring Curls
You should feel this exercise at the back of your thigh.
Hold on to the back of a chair for balance. Plant your weight onto your supporting leg. Lift the other foot and bring the heel up toward your buttocks. Hold for 3 to 5 seconds. Slowly lower your leg. Repeat and switch sides.
Do: Keep your knees close together.
Do not: Lock the knee of your supporting leg. Do not bring your heel up past a 90 degree angle.

*Wall Squat
You should feel this exercise mostly in the front of your thighs.
Stand with your head, back, and hips against a wall. Step your feet out about 2 feet from the wall, hipwidth apart. Slowly slide down the wall until you are almost in a sitting position. Hold for 5 to 10 seconds, then slowly slide up. Repeat.
Do: Keep your abdominal muscles tight. Hold the position longer as you get stronger.
Do not: Slide your hips down lower than your knees. Do not let your knees move forward over your toes.

*Step Ups
You should feel this exercise in the front and back of your thigh, your hip, and buttocks.
Use a 6-inch high stool or platform. Step one foot onto the platform. Lift your other foot off the floor, letting it hang loosely off the platform. Try to hold for 3 to 5 seconds. Slowly lower your hanging foot to the floor, then bring your stepping foot down. Repeat and switch sides.
Do: Make sure when you step up that your whole foot is on the platform.
Do not: Lock the knee that is stepping on the platform.

2.Stretching Exercises

*Quadricep Stretch
You should feel this stretch in the front of your thigh.
Hold on to a wall or the back of a chair for balance. Lift one foot and bring your heel up toward your buttocks. Grasp your ankle with your hand and pull your heel closer to your body. Hold the stretch for 30 seconds.
Do: Keep your knees close together. Stop bringing your heel closer when you feel the stretch.
Do not: Arch or twist your back.

*Hamstring Stretch
You should feel this stretch at the back of your thighs and behind your knees.
Sit up tall with both legs extended straight in front of you. Your feet are neutral — not pointed or flexed. Place your palms on the floor and slide your hands toward your ankles. Hold for 30 seconds.
Do: Keep your chest open and back long. Reach from your hips. Stop sliding your palms forward when you feel the stretch.
Do not: Round your back or try to bring your nose to your knees. Do not lock your knees.

Hope this discussion was useful. Please close this discussion, if you do not have any other queries. I would appreciate your reviews about this service.

Wishing you good health...

Regards.
Dr Saurabh Gupta.
Orthopaedic Surgeon.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Saurabh Gupta

Orthopaedic Surgeon, Joint Replacement

Practicing since :2004

Answered : 5930 Questions

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Have Ankylosing Spondylitis. Noticed Swelling And Pain On Knee. What Medicine Should I Take?

Hi XXXXXXX,
Welcome and Thanks for posting your query.

Pain over your knee seems to be due to some arthritic changes in your knee.
Exercise can decrease pain, particularly for people with osteoarthritis, the most common type of arthritis.
You have to do quadriceps and hamstring exercises to strenghten the muscle around knee.
Do swimming and mild arobic exercises.
Avoid squatting and too much stairs.
For pain control you can take anti-inflammatory drug like motrin to reduce pain and inflammation. Apply diclofenac gel on the affected area. Warm compresses will also help.

Hope this will help you. Please do write back if you have any additional concerns.

Wishing you good health...

Regards.
Dr Saurabh Gupta.
Orthopaedic Surgeon.