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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Of Knee Shows Minimal Degenerative Subcortical Marrow Signal Near Tibial Spine Near Insertion Of Acl. Indications?

my left knee is killing on the inside area of the knee cap, my dr thought it was a torn meniscus I had a mri the only thing it show is
minimal degenerative subcortical marrow signal near the tibial spine near the insertion of the acl, everything else is intact no masses are seen, and no explanation of knee sympotms, the back of my knee is also in pain near my hamstring, I just walked on the treadmill slowly for 25 minutes and my knee is on fire it feels like its leaking water, I can not cross my leg or bend it far back, do you have any ideas. I have been icing and ibu for 2 months and its getting worse
Thu, 21 Nov 2013
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Orthopaedic Surgeon 's  Response

Hello,

I have studied your case.

According to your symptoms and findings there is osteoarthritis of your knee.
You can start cartilage protecting medication like chondritin sulphate twice daily, that you need to take for couple of months [available OTC].
Take analgesic and add tab methylcobalamine

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: 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.

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
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MRI Of Knee Shows Minimal Degenerative Subcortical Marrow Signal Near Tibial Spine Near Insertion Of Acl. Indications?

Hello, I have studied your case. According to your symptoms and findings there is osteoarthritis of your knee. You can start cartilage protecting medication like chondritin sulphate twice daily, that you need to take for couple of months [available OTC]. Take analgesic and add tab methylcobalamine 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: 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. 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