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

195 Doctors Online
Doctor Image
MD
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.

Suggest treatment for arthritis

Answered by
Dr.
Dr. Hari Charan Perigela

General Surgeon

Practicing since :1995

Answered : 2287 Questions

default
Posted on Fri, 7 Apr 2017 in Lump
Question: Hello Dr., my mother suffers from vericose veins and also has arthritis. She has been recommended knee replacement and the orthapedic referred her to a vascular surgeon to be sure that her existing condition won't be an impediment to the knee surgery. We got a doppler done on his advise. The vascular surgeon has now recommended an angiography of the veins in her legs before the knee surgery. I suspect we are being fleeced. Her reports are attached. Could you advise? Also there is no vascular specialist in your queue. Could you direct me to a specialist who can help?

doctor
Answered by Dr. Hari Charan Perigela 27 minutes later
Brief Answer:
She can undergo knee replacement.

Detailed Answer:
Hi
I saw the reports in detail.
If she has severe joint pain,she can go for knee replacement surgery.
She has varicose veins in both lower limbs. Veins will be tortuous and dilated near knee joint. Perforators are present in the leg which doesnt come in the incision line of Knee replacement.
Orthopaedician can go ahead with his surgery even though he encounters the vein or he can simultaneously remove the vein with the assistance of vascular surgeon.
Nothing to worry.
Hope i answered your query.If you have any questions,i will clarify further.
Wish her good health.
Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
default
Follow up: Dr. Hari Charan Perigela 16 minutes later
Thank you doctor. Just reconfirming that she doesn't need the vericose procedure, right? And a knee surgery won't lead to any complications in her condition?
doctor
Answered by Dr. Hari Charan Perigela 10 hours later
Brief Answer:
She can go ahead with knee replacement first.

Detailed Answer:
Hi
Varicose veins can be dealt later after knee replacement surgery.It can be managed by RADIO FREQUENCY ABLATION/LASER therapy.
Wish her good health.
Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication
Treatment/Therapy
Medical Procedures ,   ,  

Recent questions on  Laser therapy

doctor1 MD

Hello.. my stomach feels heavy after eating,it gets really big and sometimes makes it hard to breathe,i was told i have abnormal heart beat,which is now heart block,all my ecg are abnormal and no one knows why,in addition i have hip dysplasia,after going for laser therapy,and some injections,the inflammation is less now,i have a swollen lymph exactly where my hip joint is,i don't know why,i have constant vaginal discharges before/after period and sometimes when i am pressed,but gyneacologists said its normal.all these are freaking me out and i don't know what to do..i am 28 years old.Thank you for your time.

doctor1 MD

Hallo doctor, i m 19 years old and i am suffering from a problem of tanning on my face and hands from quite some time, my face and arms are somewhat dull as compared to my hands, so please suggest me is a good treatment available considering this , and also is laser therapy is helpful for the above problem . Thanking you Mannat kamboj Dehradun, INDIA

doctor1 MD

Last year in march some bleeding starts during my stool.I showed to Gen.Physician.He has given me some medicine.It stopped bleeding.Again it happened in may and again I visited the same doctor and taken the same medicine but no relief.It happens on and off.This year in first week of April continuous bleeding starts one-two times a daily.Again I showed to the same doctor.He adviced me for clonscopy test.I have gone for clonoscopy test under gastroentrology department in Maharaja Agresen Hospital,Punjabi Bagh on 30-04-2011 where small Haemorrihods found positve.Doctor said it is small hence no operation required and suggested Dafflon 500 mg for 14 days.I have taken the same tablet.It stopped but again started bleeding.Now I am fed up.I have to commute by metro train and bus dailly for six hour.It is internal pile.Please suggest me what to do.Is laser therapy available in Noida and it is safe or not.Kindly reply at the earliest.

doctor1 MD

I have back pain in my lower back across my buttocks only after walking about 5 to 10 minutes it goes away when I sit down usually only after several minutes then I can walk again for another short time, laying down or siting causes no pain. after...

doctor1 MD

Hi, i am 25 years married Lady. i have PCOD and when the hormone tests where done, I have a high Prolactin level ie; 39.93ng/ml (The Ref. Range is 1 - 30). My Gynecologist prescribed me Cabergoline, 0.5mg once per week for Six weeks. I have started my medicine two days before. following questions are arising in my mind.
1) can i become pregnant?
2) will my irregular cycle become normal?
3) what diet i have to follow?
4) will the hair growth in body get reduced once Prolactine level is normalized?
Hope you can help me.

doctor1 MD

For about 2 weeks, my right shin is sore to touch. Its about a 1-2 inch spot that hurts. It feels like a bruise is there, but there is no visible bruise or swelling there. It does not hurt when I walk, run, exercise, etc. No pain when I bear...

doctor1 MD

I have black spots over my back. is there any treatment?