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

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest treatment for knee arthritis when diagnosed with vitamin D deficiency

Answered by
Dr.
Dr. Aashish Raghu

Orthopaedic Surgeon

Practicing since :2011

Answered : 5181 Questions

default
Posted on Mon, 22 Aug 2016 in Back Pain
Question: In December 2014 when I was experiencing my left knee strain/jerk for continuous few weeks, I tested for Vitamin D and found insuffiency level 17.60 ng/mL for 25 Hydroxy (OH) Vit D. I had consulted my family GP and took medicine for Vitamin D and calcium for 3-6 months and thereafter it seemed ok.
Recently for last 1-2 months experiencing my left knee strain/uneasiness and now right knee intermittently.
Please advise.
doctor
Answered by Dr. Aashish Raghu 32 minutes later
Brief Answer:
Could be arthritis of knees

Detailed Answer:
Hi there.

Thanks for the query.

I have read your case, reviewed your report.

It is possible you have early arthritis of the knees. Usually the dominant knee gets affected first and then the other knee follows.

It is best to get an Xray of the knees to look for arthritis.

Avoid squatting, cross leg sitting, climbing stairs, kneeling. Eat healthy and keep well hydrated.

You can take Tablet Ibuprofen 400mg twice a day for 5 days after meals and Tablet Ranitidine 150mg twice a day for 5 days before meals.

Do follow up with your progress.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr. Aashish Raghu
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Aashish Raghu 27 minutes later
Thanks and appreciate for the quick reply.

Oh its shocking to hear the possibility of early arthritis.
I recently brought no-marking shoes to learn Squash sport and supporter for my left knee.Also have moved to XXXXXXX from XXXXXXX with daily around 2.30 to 3hours of travel from train, auto to office.

What is the exact X-Ray test I need to also should I go for Vitamin-D as well. I was also planning for Annual medical health check up that our company provides.

Please advice and also could you please share your XXXXXXX number for quick discussion.
doctor
Answered by Dr. Aashish Raghu 2 hours later
Brief Answer:
Answers

Detailed Answer:
Thanks for your reply.

Do get an AP and Lateral Xray of your knees.

You can also get Serum Vitamin D3 assessed.

Annual Health checkup is a good idea to rule out any other systemic conditions.

I am sorry. Its against the healthcaremagic compnay policies to share my personal number with you.

I shall help you online to the best of my abilities.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Aashish Raghu 12 hours later
Thanks.

What is AP ? What is prescription for X-RAY , Vitamin D3. Please share details so that I can visit Pathology Lab for the same

Also do you want me to start immediately on Tablet Ibuprofen 400mg twice a day for 5 days after meals and Tablet Ranitidine 150mg twice a day for 5 days before meals.
doctor
Answered by Dr. Aashish Raghu 18 hours later
Brief Answer:
Antero Posterior.

Detailed Answer:
AP stands for Antero Posterior. This is a position the radiographic machine and plate would be aligned to take the Xray image.

You can get both knee standing Antero posterior and Lateral xrays.

Do take Tablet Shelcal CT once a day for 2 months.

You may start on the advised medication for relief. If you prefer, you can also try with hot wet pack application and lifestyle modification as mentioned as well and take the medicines whenever needed.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
default
Follow up: Dr. Aashish Raghu 5 days later
Hello Doctor,

As per your advise, went for AP & lateral X-rays of Knee and Vitamin profile test (Vitamin D3, B12, calcium, PTH), all of these reports are uploaded for your inspection.

Please go through the same and let me know your further treatment procedure.

Thanks
xxxxxxxxx
doctor
Answered by Dr. Aashish Raghu 9 hours later
Brief Answer:
Reports assessed and comments provided

Detailed Answer:
Thanks for the reply.

I have gone through your reports.

You do have Calcium and Vitamin D deficiency.

This has caused a secondary rise in PTH but we must rule out other conditions causing rise in PTH like Primary hyperparathyroidism. So kindly do Serum Phosphorus blood test if possible.

It would be more helpful if you could take a photo of the Xray film and upload, instead of the Xray report, because certain findings pertaining to Orthopaedic importance may be better delineated by an Orthopaedician in some situations. But according to the Xray report, you do not have detectable arthritis yet.

It is advisable to continue on the calcium and Vitamin D supplements. Do go for morning walk for 45 minutes or at 3:00PM for better Calcium and Vitamin D metabolism.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
default
Follow up: Dr. Aashish Raghu 3 hours later
Thank you doctor.

Have uploaded both Knees AP & lateral x-rays for your inspection. Please let me know anything related to arthritis.

Also can you prescribe medicines for calcium and Vitamin D supplements.
doctor
Answered by Dr. Aashish Raghu 18 hours later
Brief Answer:
No confluent arthritis but weak bones bearing body weight is hard

Detailed Answer:
Hi there.

Thanks for uploading the xrays.

You do not have any confluent signs of arthritis. I suspect the knee uneasiness us due to weak bones due to the calcium and Vitamin D deficiency such is causing bone pain due to excessive pressure of the normal body weight.

You can take Tablet Shelcal CT twice a day for 2 months. Also get Injection Arachital 6 lakh units once a week, intramuscular injection for 6 weeks.

Kindly review henceforth on your progress.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Aashish Raghu 36 hours later
Thank you very much Doctor for your advise and help.

Have visited local orthopaedic and started on medication.
doctor
Answered by Dr. Aashish Raghu 9 hours later
Brief Answer:
Your Most Welcome

Detailed Answer:
Your Most Welcome
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
premium_optimized

The User accepted the expert's answer

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

Recent questions on  Shelcal

doctor1 MD

i am 20 weeks pregnant.i am taking folinext gold and orofer xt tablets after breakfast and shelcal hd calcium tablet after lunch.my home town...

doctor1 MD

i am 20 weeks pregnant now.taking folinext gold n orofer xt after breakfast. shelcal calcium tablet after lunch.following 18th week i have been...

doctor1 MD

Hi , I am vit D deficiency. current level is 13. I am having back pain .please suggest.

doctor1 MD

My father (76 years old) is suffering from Head rush symptoms for last few months. He is diabetic and is a Cardiac patient. He already has two...

doctor1 MD

hi m 22 yrs old m experiencing knee pain day by day my nails are too weak appears lik a sheet of paper is it due to calcium deficiency?? sud i go...