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Suggest Treatment For Pain Near The Knee And Hip Joint

Posted on Thu, 13 Aug 2015

Question: She has been complaining pain near to knee as well below hip joint for last 3 weeks. When she gives rest, the pain subsides. Even for small walking or activity she started getting pain. Though the pain is not much these days when compare to 2 weeks back. We did bone scan to see whether there is any loosening of prosthesis. Here goes the result
" LIMBS: Perfusion and Blood pool phase: Mildy increased tracer uptake seen in the region of the left knee joint, Left mid shaft of femur, lateral condyle of left femur. Delayed phase: Delayed images shows increased tracer accumulation along the margins of the prosthesis in the left lower femur, concentrating maximally at the left mid shaft & lateral condyle of left femur. "
Could you please let me know your view on the report. One more point, there is no redness or fever all these days.

Answered by Dr. Dr. Praveen Tayal (26 minutes later)

Brief Answer:
Suggests inflammation.

Detailed Answer:
Hello,
Thanks for posting your query.
The bone scan report suggests an increased tracer uptake around the joint. This is suggestive of an inflammation in the area. It can be related to osteoporosis. If she is getting a complete pain relief at rest then a loosened prosthesis is not likely. It is best to do a hot compress thrice a day in the painful area and add some calcium supplements regularly to her diet.
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.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

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

Follow up: Dr. Dr. Praveen Tayal (8 hours later)

Thanks a lot for quick response. Is it perfectly fine to use hot compress in prosthesis area? I remember doctor was saying about not to use any hot compress in prosthesis area.

Thanks
XXXX

Answered by Dr. Dr. Praveen Tayal (32 minutes later)

Brief Answer:
She can use a heating lamp and apply local analgesic gel for relief.

Detailed Answer:
Hello.
Thanks for writing again.
She can do the hot fomentation by heating lamp. Avoid using a hot water bottle. Taking anti inflammatory medicines will also help.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

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

Follow up: Dr. Dr. Praveen Tayal (24 hours later)

Hello Doctor,
She started using GabaNeuron(300mg) once per day after dinner. Also started taking calcium tablet once in a day. Please let me know whether we are taking correct medicine or not.

Answered by Dr. Dr. Praveen Tayal (1 hour later)

Brief Answer:
Both will help her.

Detailed Answer:
Gabaneuron helps in controlling a nerve related pain. She needs an anti inflammatory medicine also like Hifenac -P on regular basis.
Taking calcium tablet will help her.
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. Shanthi.E