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Suggest Treatment For Osteoarthritis Of Knee
Question: I have a dx of fibro ,tarsal tunnel,plantar fasciitis;chronic lbpain (cortisone under fluro),cerv and lumbar spine stenosis,DJD,osteo arthritis.I do H2o aerobics,bike,strength training.L and R knee pain .On anti imflam,nortryptline,lyrica.Any additional for pain breakthrough? 57 yo female semi retired RN.Vicodin/Percocet has beenm helpful with breakthrough but PCP not comfortable with prescribing.Any thoughts?Thank you
Brief Answer:
Yes you can take analgesic like Percocet
Detailed Answer:
Hello,
I have studied your case.
According to your symptoms and findings there is possibility of osteoarthritis of your knee.
Nortryptline, lyrica will help you.
You can also start cartilage protecting medication like chondritin sulphate twice daily, that you need to take for couple of months [available OTC].
Yes you can take analgesic like Percocet 10/325 and add tab methylcobalamine 1500mcg daily. Your PCP may be worried with side effects if you are taking it from long time. Are taking it from long time?
Physiotherapy like ultrasound and tens will help, along with knee exercises
Life style changes will help in reducing pain which include,
ACTIVITY MODIFICATION -It is important to maintain as much activity and joint motion as possible, but impact activities will aggravate arthritis. Running and jumping will often accelerate cartilage loss from the joint. The key is to focus on low impact activities, such as swimming or cycling.
VISCOSUPPLEMENTATION FOR KNEE: 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. You need to consult orthopaedic surgeon for taking it.
Many of my patients get relief from chronic pain by yoga pranayama and XXXXXXX XXXXXXX so you can also due that.
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.
If you are satisfied with answer do not forget to give rating to this answer.
Wishing you good health.
Take care.
Yes you can take analgesic like Percocet
Detailed Answer:
Hello,
I have studied your case.
According to your symptoms and findings there is possibility of osteoarthritis of your knee.
Nortryptline, lyrica will help you.
You can also start cartilage protecting medication like chondritin sulphate twice daily, that you need to take for couple of months [available OTC].
Yes you can take analgesic like Percocet 10/325 and add tab methylcobalamine 1500mcg daily. Your PCP may be worried with side effects if you are taking it from long time. Are taking it from long time?
Physiotherapy like ultrasound and tens will help, along with knee exercises
Life style changes will help in reducing pain which include,
ACTIVITY MODIFICATION -It is important to maintain as much activity and joint motion as possible, but impact activities will aggravate arthritis. Running and jumping will often accelerate cartilage loss from the joint. The key is to focus on low impact activities, such as swimming or cycling.
VISCOSUPPLEMENTATION FOR KNEE: 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. You need to consult orthopaedic surgeon for taking it.
Many of my patients get relief from chronic pain by yoga pranayama and XXXXXXX XXXXXXX so you can also due that.
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.
If you are satisfied with answer do not forget to give rating to this answer.
Wishing you good health.
Take care.
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
Answered by
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