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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Thyroid Problems , High BP And Osteoarthritis

I have type 2 diabetes, thyroid disease, high blood pressure, osteo arthritis. I take Tylenol 2 caplets at night for the arthritis as that s when the pain is the worse. Advil or Aleve raises my blood pressure. The dr wants me to cut back to one Tylenol a day. This does not touch my pain and I cant sleep. What should I take for pain?
Fri, 24 Jul 2015
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Orthopaedic Surgeon 's  Response
Hello

I have studied your case.

For osteoarthritis,
Precaution to be taken
Activity modifications-avoid squatting, avoid cross leg sitting on floor, and reduce stair climbing.
Weight reduction is very important to prevent progression.
Do daily exercises and stretches.
Diet rich in calcium and vitaminD will help to reduce progression.
Use knee brace for support to prevent further deformity.

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

If there is severe destruction of menisci then arthroscopic shaving can be done.
Physiotherapy like ultrasound and tens will help, along with knee exercises.

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.
If you are satisfied with answer do not forget to give rating to this answer.

Wishing you good health.

Take care
I find this answer helpful

1 Doctor agrees with this answer

Orthopaedic Surgeon Dr. Vaibhav Gandhi's  Response
Hello,

I have studied your case.

You can start cartilage protecting medication like chondritin sulphate Along with tylenol, that you need to take for couple of months.

If required MRI 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 joint exercises.

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.
If you are satisfied with answer do not forget to give rating to this answer.

Wishing you good health.

Take care

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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Suggest Treatment For Thyroid Problems , High BP And Osteoarthritis

Hello I have studied your case. For osteoarthritis, Precaution to be taken Activity modifications-avoid squatting, avoid cross leg sitting on floor, and reduce stair climbing. Weight reduction is very important to prevent progression. Do daily exercises and stretches. Diet rich in calcium and vitaminD will help to reduce progression. Use knee brace for support to prevent further deformity. 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 If there is severe destruction of menisci then arthroscopic shaving can be done. Physiotherapy like ultrasound and tens will help, along with knee exercises. 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. If you are satisfied with answer do not forget to give rating to this answer. Wishing you good health. Take care