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Dr. Andrew Rynne

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Exp 50 years

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Suggest cure for problem in the knee and back

dr,i am 56 years old.i have joint knee problem,my doctor told me to go for joint replacement untill i am 65 but now my dr. told me i also have back problem here is my report pls suggest me wat to do.1.degenerative changes wid osteophytes along da anteriolateral margin of cervical vertebrae r seen. 2.no fracture or dislocation is seen. 3.disc spaces appear normal. 4.no bony erosion is seen. 5.no evidence of cervical rib. 6.prevertebral soft tissue shadows appear normal.(IMPRESSION) CERVICAL SPONDYLOSIS.
Fri, 16 Jan 2015
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hello,
Thanks for your query.
You might suffering from cervical spondylosis. It is a common degenerative condition of the cervical spine. It is most likely caused by age-related changes in the intervertebral disks.

I suggest you to consult an orthopaedician nearby for a detailed examination.
Your doctor after diagnosing the condition may refer you for physical therapy. The physical therapist will help you reduce your pain using stretches. The therapist will show you how to do exercises that make your neck muscles stronger.
You can take analgesic and muscle relaxant after discussing with your doctor.
You also need some life style modification like-

Do not sit for prolonged period of time in stressful postures
Do use firm collars while traveling
Do not lift heavy weights on head or back
Do not turn from your body but turn your body moving your feet first
Do turn to one side while getting up from lying down

Most common reason for knee pain at advanced age is arthritis knee.This can be confirmed by some features which are present in radio-graph or x ray of knee.
Medicines which you re taking at present do not help with knee osteoarthritis.To have relief in osteoarthritis knee,you should do following-

-Start doing exercises for quadriceps muscles.You may learn this from your physiotherapist.

-Start doing warm fomentation with rubber bag over knee for at least 3 times a day.

-Take a good analgesic like advil or aleeve.

-There are some dietary substances like glucosamine ,chondroitin sulfate,MSM which can be taken OTC.These substances help in repairing of damaged cartilage of knee in early stages.

-Avoid squatting movements at knee.

-In early stages exercises, medicines ,joint supplements & intra articular injections are helpful & may revert the changes but in late cases joint replacement is only option.


I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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