Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

168 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suffering with knee pain and muscle weakness. Any effective solution?

Answered by
Dr. Kulbir Singh

General & Family Physician

Practicing since :2010

Answered : 726 Questions

Posted on Mon, 7 Jan 2013 in Bones, Muscles and Joints
Question: Hi, i have been suffering with knee pain and muscle wastage & weakness in my right leg (from buttocks to thighs), i have consulted so many doctors however none of them given a better solution. please help me and give right solution for my problem.
Answered by Dr. Kulbir Singh 2 hours later
Hello XXXXXXX and thanks for posting the query
I have read your query with diligence. The condition which can be responsible for the symptoms your are suffering from are:
1. PIVD: Prolapse Inter-vertebral Disc or lumber herniated disc which compress the nerve root is the very common cause for that. Get your MRI lumber spine done to find out the reason.

2. Arteriosclerosis vascular disease: Insufficiency in the blood supply to the legs can be the cause but sometime swelling is present in the legs. Color Doppler of the vein of the leg is helpful.

3. Bursitis: Bursitis is a swelling of the bursa at the inside of the knee and causes pain, redness and stiffness.

4. Vitamin B12 deficiency

5. Infection of the bone of the leg (Osteomyelitis)

6. Phlebitis means inflammation of the veins, and can cause redness, itching, irritation, pain, and swelling.

7. Neurological Atrophy: It occurs when there is an injury to, or disease of, a nerve that connects to the muscle. Nerve conduction studies help you to rule out this.

8. Alcohol

Feel free to consult your doctor if you are not investigated for the above said causes. If any of the above investigation already done than please let me know.

Happy to answer your other queries.

Best Wishes

Dr. Kulbir Singh
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Kulbir Singh 4 days later
Dear Doctor,

Thanks for your reply. With refer to your given 7 symptoms which causing to my leg & muslc waste problem as i like to provide some of my under gone medical test reports to you so you can review my medical condition better and kindly give your valuable advice & suggestions to my problem.

1. MRI Lumbar Spine: Done it on 10-04-2011 and reports says Lower Cord & Conus appears normal, Vertebral body heights and signal intensities are maintained.

L1 -L2: No significant discal contoural abnormality. Thecal sac normal. Ligamentum flavum normal. Facet joints are normal. Central spinal canal and nerve root canals are of adequate dimensions.
L2-L3: Same as L1-L2
L3-L4: Same a L2-L3
L4-L5: Mild broad based posterior discal bulging. Thecal sac mildly indented.
L5-S1: Diffue annular discal bulging.
Paraspinal soft tissues in view normal.
Impression: At L4-L5 level mild broad based psoterior discal bulging.

2. MRI of Right Knee Joint: Done it on 25-04-2011
Meniscus: Normal
Cruciate Ligaments (ACL & PCL): Intact.
Collateral Ligaments: Intact.
Joint Space: Normal
Patella: Normal
Bone: Normal
Articular Cartilage: Normal

3. ENMG Report: Done it 3 times on 3-10-2009, 13-10-2009 (Except for occasional fasciculations in right vastus lateralis otherwise normal ENMG study. To Correlate Clinically) and 14-05-2011 (Conventional lower limb motor and sensory studies are withing normal limits. Needle EMG of the right L3-S1 muscles was normal. There is no evidence of an ongoing neurogenic or myopathic process.

Doctor, from last 3-4 years i have spent all the money, time etc to get out from this problem but all the doctors were said samething that there is no issue with your right leg, then how come i am sufferring from muscle waste and knee pain. Now i am in position that i cannot afford to spend that much again since my financial situation not supporting me. So i request you to please look into this and help in giving better solution.

Answered by Dr. Kulbir Singh 4 hours later
Hello XXXXXXX and thanks for the query again
It is good that your ENMG and MRI knee is absolutely normal. But in report of MRI lumber spine there is nothing mentioned about the nerve compress at vertebral level (L3-L4 or L4-L5). Although there is disc bulge maximum at L4-L5 level. I think you have the film of the scan, consult your doctor and find whether there is any nerve compression that is causing your problem.

I can understand your financial condition and as the cost of investigation is too high, you can follow some measures to get rid from it:
1. Do regular daily exercise of the limb as advised by your physiotherapist.
2. Take vitamins and calcium supplements once a day.
3. Physiotherapy like wax bathing, diathermy also help in getting cured if done at regular interval.
4. Completely STOP SMOKING AND ALCOHOL. Smoking is a measure factor responsible for that.
5. If you are a chronic smoker than you have to get investigated for Arteriosclerosis Vascular disease. You can take anti-coagulant like aspirin by consulting your doctor.
6. Use hard bed to sleep and do hot fermentation twice a day.
7. Reduce your weight if you are overweight.

Hope the precautions will help you. Write back if you have any doubt in your mind.

Best Wishes
Dr. Kulbiir Singh
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Kulbir Singh 24 minutes later
Hello Doctor,

Thanks for yor prompt reply.
*As you mentioned above that: But in report of MRI lumber spine there is nothing mentioned about the nerve compress at vertebral level (L3-L4 or L4-L5)..As per doctor advice i have undergone the MRI Lumber spine and MRI flim checked by same doctor n said everything is normal.
*Doctor, i dont SMOKE and abt ALCOHOL occasionaly i take Beer nothing else.
*Doctor, My height: 5.8" & weight: 69 kgs.
*Doctor, Please suggest any good Vitamins & Calcium supplements so i can start (as of now only i can afford to buy this and use).

Answered by Dr. Kulbir Singh 1 hour later
Hello XXXXXXX and thanks for providing the detail
Along with the supplements you can also concentrate on exercises as directed by your physiotherapist. Consult your physiotherapist once and do rest of the exercise at home. Alternative therapies like therapies in Ayuveda also helps in improving in the strength of the limbs. These type of therapies are not costly you may try these.

Supplements you can take are Calcimax for calcium and Supradyn for vitamins. Hope combination of supplements and exercise will help you. Though the recovery is slow but you have to continue with the precaution till you get maximum recovery.


Dr. Kulbir Singh
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,  
Lab Tests ,  
Medical Topics

Recent questions on  Physiotherapy

doctor1 MD

hello sir,

this is Hina ,from Punjab...Actually my father had brain injury due to accident,i want to seek your suggestions regarding this case..hope it would be fine with you.....

My father met from an accident on 22nd aug,2007..he had brain injury..bone from right side of brain was taken it was fully was very serious as per doctors..according to doctors he

had no chances of survival...he was in icu for 5 months.brain was operated..the bone taken out was central portion of controls intelligence,memory etc as doctors said..he spoke by end of november..

memory was nt fine that time..but now it is fully fine..he remebers almost everything...during first year of accident he was not able to eat himself,but now it is fine..also had urine and stool problem..he

couldnt know ...physiotherapy is almost continuous from then...his right leg is affected,which doesnt hold body weight...he cannot stand on his own,cannot sit without back support..using two persons

support,we make him to sit on a chair having side and back support...for 1 year he had memory problem,irritation from family,short tempered..used to say many things to us ,if we do for pap's benefit..

but til two years stool and urine problem remained...but by some manual efforts(not exactly physiotherapy) he was able to sit without back support holding sides of bed..we used to make him walk,in which right feet was moved by us..means some activity was seen. he had some fit (not exactly fit,doctors said that brain injured patients have it because of weak nerves) in dec -ve impact was seen as such..because of no +ve results for another 1 year we consulted doctors.

doctors told that their is fluid in brain,for that shunt(dnt knw exactly:shunt,but some pipe to drain the fluid) was put in brain ,so another operation in may 2009..after that some positive results were seen

like,he came to know before passing stool..but not urine..irritation was reduced(one medicine was given by doctor)..but the activity shown in two years that i have mentioned was no more...but we found brain more irritation.. sometimes he used to say 'i will die nd al,u r not caring for me etc'..from then we have seen no much +ve results.physiotherapy is continuous..but he is still not on his own.cannot stand,sit without back support,walk etc..voice is also not much clear..

I think he prefers sleeping..he has become so efforts from his side.physiotherapy is not working...we say all day to try to get up,try to move ur right feet..but he thinks that we are doing wrong to him.

and doctors have said :in this case u can only wait..there is no other option,had checkup in pgi.said the solution to this case..such patients can be well all of a sudden,u never this really happens??

can we hope for this magic??sir,we couldnot understand what to do..3 years have passed..and we have no positive results...

now the status is like this:he can only eat himself,memory is fine..but sometimes he talk strange as'where are we sitting'(becoz he hasnt gone anywhere from three years,this question shouldnot arise,and in his own home he asks where are we?i want to go home etc..but he talks so intelligently,that listening to it u can not say that he has brain injury...

but he cannot sit without back support,cannot sit on bed cross leg..cannot stand on his own (2 persons to support) which he used to before 2nd operation atleast for 5 mins..can speak..but sometimes not properly..

physiotherapy is continuous...but no improvements as i said u before..sometimes when we ask 'why havnt u gone to office?'he says 'i will go tomorrow'..he shouldnot say this as he must know that he had accident..

i think his will has died..he never make efforts to get up..want to lay on the bed whole time...we say him everytime to get up,try to do something..but he never listens...there is no cooperation from his side during is done physiotherapist said'if u gather all world doctors then also he cannot improve,until and unless he has will to get up'....he asks for our help for even a small work which he can do himself...

sir,wat to do???is there any option??till now we have heard,just to wait in these this really??can nothing be done??how can we make him try,make efforts as his brain is not fine..everyone has tried to make him understand that he has to do proper exercise for standing,walking..but he prefers sleeping...

i really need help,need has been 3 years..and we want papa to get well soon..atleast to be on his own...what are the chances in such cases??sir,be frank to reply,eventhough it is negative ..but please do reply on this mail( YYYY@YYYY this is only till 20th july) and( hina.watts@ WWW.WWWW.WW also.i really want help..please reply whenever u get time


hina watts


doctor1 MD

I had a discectomy and I woke up in excruciating pain. A week later a laminectomy to stop the pain. Epidural injection,Morhine, Dilaudid , nothing helps. Something does not seem right. My Dr. has released me and says it will take a year to get...

doctor1 MD

My entire right arm keeps falling asleep whenever I sleep, regardless of my position. This has been happening for over a week. I have a history of both stroke and neuropathy. I am a 54 yr old woman.

doctor1 MD

Since yesterday, I have a sharp pain in my right leg at the knee, and above, and the right buttock. It s sharp, stabbing pain in the knee and buttock. Nothing seems to help it (e.g. Ibuprofen , changing position (standing, sitting, laying,...

doctor1 MD

My daughter is suffering from Erb s palsy at the right hand ... Thats due to prolonged labour and critical (normal) delivery - Doctors said. But my Child was suffering, i was crying .. she was not able to use her hand .. but there was grip in the fingers .. We took her to Vellore CMC Hospital- Hand surgery department, Dr Anderson suggested physiotherapy and there was improvement ... On her third month she was lifting her hand to an extend ... she turns 3 next October ... Now she is recovered around 80-85% ... Can someone tell me ... can this be completely cured?? Is there any advanced technology which can help the baby escape from a muscular surgery that making the muscle around C5-C8 nerves rigid / stiff ??? A million thanks for the suggestions .... -Kavitha (Bangalore) YYYY@YYYY

doctor1 MD

Hi, My son is suffering from cerebral palsy. He is 4 years old. He is not able to sit and speak. Though he is able to smile and he understands all activities. His MRI brain is normal. But Spasticity is very high in hands and legs. He is under continuous physiotherapy but sign of improvement is very very slow. Dr s at AIIMS last yeay gave him BOTOX dose also Please advice

doctor1 MD

I hurt my tailbone almost a yr ago.i'vehad SI joints steriod injections also caudall epidural injection in tailbone. Have constant tingling pain across buttocks. Can't sit. Barely walk or stand. Going to aquatic & regular physical therapy. Would it help if physical therapist rectally aligned tailbone. She's trained. Neurosurgeon referring me to a physiotherapy dr. Help,