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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Arthritis

hi doc. please advice me for my mother. she is 53 now and having arthritis in knees from last 1 and half year.. and last year in july she got suffer by blood infection and after that none of the medicines suits her and she is still in pain!!! please suggest me!!! thanks..
Mon, 27 Apr 2015
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Orthopaedic Surgeon 's  Response
Hello,

I have studied your case.

For osteoarthritis of your knee.
You need to take cartilage protecting medication like chondritin sulphate [glucosamine], that you need to take for couple of months.

I will advise to do X ray knee weight bearing and if required MRI knee can be done and if there is severe destruction of menisci then arthroscopic shaving can be done.

Physiotherapy like ultrasound and tens will help, along with knee exercises
Mild deformity can not be corrected with just medication,but further progression of deformity can be corrected.

Exercises will help to strengthen muscle and joint.
In lying flat supine on back – move your ankle up and down[plantar flexion dorsiflexion],keeping small towel below knee-press your patella[knee cap ] on towel and hold for 15 sec,lift your leg straight alternately [10-15 times].
Lying on your tummy- flex knee alternately, make knee rotation in flexion.
Sitting on chair- extend your legs alternately [hold in extension for 15 sec]
Standing half squat taking support of wall to back..

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.
Newer modalities for cartilage injury include autologous chondrocyte implantation[ ACI] which helps in treatment of cartilage destruction.

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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Suggest Treatment For Arthritis

Hello, I have studied your case. For osteoarthritis of your knee. You need to take cartilage protecting medication like chondritin sulphate [glucosamine], that you need to take for couple of months. I will advise to do X ray knee weight bearing and if required MRI knee can be done and if there is severe destruction of menisci then arthroscopic shaving can be done. Physiotherapy like ultrasound and tens will help, along with knee exercises Mild deformity can not be corrected with just medication,but further progression of deformity can be corrected. Exercises will help to strengthen muscle and joint. In lying flat supine on back – move your ankle up and down[plantar flexion dorsiflexion],keeping small towel below knee-press your patella[knee cap ] on towel and hold for 15 sec,lift your leg straight alternately [10-15 times]. Lying on your tummy- flex knee alternately, make knee rotation in flexion. Sitting on chair- extend your legs alternately [hold in extension for 15 sec] Standing half squat taking support of wall to back.. 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. Newer modalities for cartilage injury include autologous chondrocyte implantation[ ACI] which helps in treatment of cartilage destruction. 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.