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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Horrible Pain In Hips And Knees. Feels Like Grinding Stones Against Bones. Suggest Treatment

when its my time of the month I get these horrible pains in my hips and the fronts and backs of my knees. they only last a couple days each month but its been going on for 15 years or so now. the pain in my hips shoots down into my theighs and the pain in my knees is all around the knee but the back of the knee seems to be worse pain then the front of the knee. It all kinda feels like someone was grinding stones against my bones. if someone could please help me out if you have an idea what this could be id so very much appreachiate it.
Thu, 14 Nov 2013
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General & Family Physician 's  Response
Brief Answer:
Age related Arthralgia Needs Care

Detailed Answer:
Hello

I read your query and i want to reassure you that these back pains are very common and innocuous at your age group, 70 % people of your age have this problem. Age related bone degeneration with additional loss of bone mineral density during post menopausal age secondary to lack of estrogens adds to the fragility of the bones. There is decreased spaces between backbones intervertebral discs all of which give birth to back aches.

Here, the pain worsens with stretching, twisting, walking, or bending. or strenuous activities. So you need to rest with the comfortable position you feel in bed to relieve pain. so does coughing, straining, sneezing, or Valsalva maneuvers do to increase pain so avoid them and treat them early cough and constipations.

To be on the safer road I would advise an MRI scan of back bone and a bone scan to rule out worrisome conditions like sciatic, spondylosis etc ,

You need to lose weight, excercise, physical therapy, occupational therapy and unloading therapies to help the back pain, A physio therapist would be of great assistance.

You can always treat the pain with topical pain killers which are available over the counter. You may take over the counter oral NSAID like ibuprofen whenever the pain is severe. Skeletal muscle relaxants like Tizanidine would give added benefits; but you will require a prescription.
Intra-articular corticosteroid injections are used if pain unbearable and nonresponsive to above mentioned medications. Injections can be provided by back specialist.

Hope I was of some help. If you have any more queries please feel free to ask otherwise kindly close the discussion and rate the answer as per your experience.

I wish you very good luck and take some very good care of yourself.

Regards
Dr Khan
I find this answer helpful

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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Horrible Pain In Hips And Knees. Feels Like Grinding Stones Against Bones. Suggest Treatment

Brief Answer: Age related Arthralgia Needs Care Detailed Answer: Hello I read your query and i want to reassure you that these back pains are very common and innocuous at your age group, 70 % people of your age have this problem. Age related bone degeneration with additional loss of bone mineral density during post menopausal age secondary to lack of estrogens adds to the fragility of the bones. There is decreased spaces between backbones intervertebral discs all of which give birth to back aches. Here, the pain worsens with stretching, twisting, walking, or bending. or strenuous activities. So you need to rest with the comfortable position you feel in bed to relieve pain. so does coughing, straining, sneezing, or Valsalva maneuvers do to increase pain so avoid them and treat them early cough and constipations. To be on the safer road I would advise an MRI scan of back bone and a bone scan to rule out worrisome conditions like sciatic, spondylosis etc , You need to lose weight, excercise, physical therapy, occupational therapy and unloading therapies to help the back pain, A physio therapist would be of great assistance. You can always treat the pain with topical pain killers which are available over the counter. You may take over the counter oral NSAID like ibuprofen whenever the pain is severe. Skeletal muscle relaxants like Tizanidine would give added benefits; but you will require a prescription. Intra-articular corticosteroid injections are used if pain unbearable and nonresponsive to above mentioned medications. Injections can be provided by back specialist. Hope I was of some help. If you have any more queries please feel free to ask otherwise kindly close the discussion and rate the answer as per your experience. I wish you very good luck and take some very good care of yourself. Regards Dr Khan