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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Recommend Treatment For Knee Pain In The Elderly

I,Kallol Purkait, age 54 years, suffering from pain at right heal,knee and right elbow and this pain moves at left toe,anklet and knee.I work in air condition room.Blood test (crp, anti ccp, uric acid and hb) is (2.59, negetive, 4.4 and 9.6) respectvely. My doctor prescribe me tablet ( SAZO 500) during 1 month but still I feel pain .
Thu, 27 Aug 2015
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Orthopaedic Surgeon 's  Response
Hello,

I have studied your case with diligence.

When such patients come to our hospital I advise them blood test like ESR, HLA B27.

Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have such complain?
Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine?

It may be seronegative spondylo arthropathy.
NSAIDs, DMARDs (disease-modifying anti-rheumatic drugs) are sometimes prescribed in more severe cases. These include methotrexate and sulfasalazine.Corticosteroid injections for severe pain and inflammation in a specific joint.TNF-a inhibitors, a newer class of biologic 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.
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Recommend Treatment For Knee Pain In The Elderly

Hello, I have studied your case with diligence. When such patients come to our hospital I advise them blood test like ESR, HLA B27. Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have such complain? Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? It may be seronegative spondylo arthropathy. NSAIDs, DMARDs (disease-modifying anti-rheumatic drugs) are sometimes prescribed in more severe cases. These include methotrexate and sulfasalazine.Corticosteroid injections for severe pain and inflammation in a specific joint.TNF-a inhibitors, a newer class of biologic 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.