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Suggest treatment for knee pain

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Posted on Mon, 14 Jul 2014
Question: I've had pain, off and on in my right knee for several months now. I went to my Orthopedic doctor. He did an X-ray, I had physical therapy for 4 weeks, and it did not help. The X-ray only showed I have a little Arthritis in the knee. Most of the time I can sit and walk without discomfort, except walking down stairs. I need to keep my knee straight, because it is too painful going down stairs, with my knee bent. I can go on my normal 3 or 4 daily walk, without pain. I think my doctor thinks the pain might be due to Arthritis because he told me to take Advil or Aleve as needed. Based on what I'm telling you, do you agree?
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Answered by Dr. Vaibhav Gandhi (5 hours later)
Brief Answer:
Osteoarthritis knee with probably meniscus injury

Detailed Answer:
Hello,

I have studied your case.
This can be age related osteoarthritis knee with probably meniscus injury.

For osteoarthritis of your knee.
You need to take cartilage protecting medication like chondritin sulphate [glucosamine], that you need to take for couple of months.

If required MRI knee can be done and if there is severe destruction of menisci then arthroscopic shaving can be done.

Exercises will help to strengthen muscle and joint.
In lying flat supine on back – move your ankle up and down[plantar flexion dorsiflexion],keeping small towel below knee-press your patella[knee cap ] on towel and hold for 15 sec,lift your leg straight alternately [10-15 times].
Lying on your tummy- flex knee alternately, make knee rotation in flexion.
Sitting on chair- extend your legs alternately [hold in extension for 15 sec]
Do exercises only if you do not feel severe pain on movement.

VISCOSUPPLEMENTATION: Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years.
Newer modalities for cartilage injury include autologous chondrocyte implantation[ ACI] which helps in treatment of cartilage destruction.
Till time continue your medication.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

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Suggest treatment for knee pain

Brief Answer: Osteoarthritis knee with probably meniscus injury Detailed Answer: Hello, I have studied your case. This can be age related osteoarthritis knee with probably meniscus injury. For osteoarthritis of your knee. You need to take cartilage protecting medication like chondritin sulphate [glucosamine], that you need to take for couple of months. If required MRI knee can be done and if there is severe destruction of menisci then arthroscopic shaving can be done. Exercises will help to strengthen muscle and joint. In lying flat supine on back – move your ankle up and down[plantar flexion dorsiflexion],keeping small towel below knee-press your patella[knee cap ] on towel and hold for 15 sec,lift your leg straight alternately [10-15 times]. Lying on your tummy- flex knee alternately, make knee rotation in flexion. Sitting on chair- extend your legs alternately [hold in extension for 15 sec] Do exercises only if you do not feel severe pain on movement. VISCOSUPPLEMENTATION: Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years. Newer modalities for cartilage injury include autologous chondrocyte implantation[ ACI] which helps in treatment of cartilage destruction. Till time continue your medication. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.