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Suggest Treatment For Chronic Knee Pain For A Year Which Increases While Climbing Down The Stairs

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Posted on Thu, 3 Oct 2019
Question: my wife has been having pain in her eight knee since knee since a year and we were told to get an mri done for that,please suggest the problem and the best treatment option ? she has been majorly when climbing down the stairs!her age is 37,surprisingly when she runs up on the stairs she has no or less pain and while she climbs slow she experiences more pain
doctor
Answered by Dr. Dr. Praveen Tayal (1 hour later)
Brief Answer:
Osteoarthiritis may be there .

Detailed Answer:

Hello,
Thanks for posting your query.
Thanks for writing to us.
From your symptoms it seems that her right knee joint have undergone osteoarthritic changes. These are basically age related degenerative changes in the weight bearing joints like knee and is characterized by joint pain and stiffness. Upon movement the stiffness gradually relives. Sometimes application of hot pads can make the movement possible.
The treatment options include pain killers, hot fomentation, lubricating agents like glucosamine sulfate, chondroitin , dycerin, etc and some life style modifications and physiotherapy.
Right now you can start taking Tablet Tylenol ( Acetaminophen) Double Strength after breakfast and after dinner. It is suggested to add calcium supplements 500mg each twice daily. This will take care of her mild symptoms in 3-5 days.
She can start with walking and aerobic fitness exercises, quadriceps strengthening, patellar tapping, lateral heel wedges, etc- under the guidance of your physiotherapist.
A Big No to Stair case, squatting postures, any chair which has a sitting platform lower than your knees.
Knee brace can also be used for an earlier and prolonged relief.
In severe cases intra articular injections of steroids and hyaluronic acid may be needed after consultation with your orthopaedician.
I also encourage you to consult an orthopedician for physical examination. A few blood tests, X-rays of the knee, CT / MRI scans of the knee will help us diagnose the condition and help us in choosing the best approach of treatment.
I hope my answer and recommendations are adequate and helpful. Waiting for your further follow up queries if any.
Wishing you good health.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Praveen Tayal (44 minutes later)
sir we have got the mri done and I sent you the report,which doctor should I consult in delhi?whatever the report suggests this problem can be resolved without operating?
doctor
Answered by Dr. Dr. Praveen Tayal (29 minutes later)
Brief Answer:
Detail below .

Detailed Answer:

Hello.
Thanks for writing again.
I have gone through attached report , there is nothing to worry . You can consult any orthopedic surgeon in XXXXXXX , this problem can resolve without surgery .
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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Suggest Treatment For Chronic Knee Pain For A Year Which Increases While Climbing Down The Stairs

Brief Answer: Osteoarthiritis may be there . Detailed Answer: Hello, Thanks for posting your query. Thanks for writing to us. From your symptoms it seems that her right knee joint have undergone osteoarthritic changes. These are basically age related degenerative changes in the weight bearing joints like knee and is characterized by joint pain and stiffness. Upon movement the stiffness gradually relives. Sometimes application of hot pads can make the movement possible. The treatment options include pain killers, hot fomentation, lubricating agents like glucosamine sulfate, chondroitin , dycerin, etc and some life style modifications and physiotherapy. Right now you can start taking Tablet Tylenol ( Acetaminophen) Double Strength after breakfast and after dinner. It is suggested to add calcium supplements 500mg each twice daily. This will take care of her mild symptoms in 3-5 days. She can start with walking and aerobic fitness exercises, quadriceps strengthening, patellar tapping, lateral heel wedges, etc- under the guidance of your physiotherapist. A Big No to Stair case, squatting postures, any chair which has a sitting platform lower than your knees. Knee brace can also be used for an earlier and prolonged relief. In severe cases intra articular injections of steroids and hyaluronic acid may be needed after consultation with your orthopaedician. I also encourage you to consult an orthopedician for physical examination. A few blood tests, X-rays of the knee, CT / MRI scans of the knee will help us diagnose the condition and help us in choosing the best approach of treatment. I hope my answer and recommendations are adequate and helpful. Waiting for your further follow up queries if any. Wishing you good health. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal