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Doctor suggested TKR.Need suggestions
My Father is having knee pain from past 7 8 months.Doctor said the cartilage between the two bones in the knee is almost all reduced. He needs TKR as suggested by doctor. For now He is taking conjoint 3D,enzomac,cyra and peg-NT medicines now and in every 15days he has to take injection Is there any other way to cure this without surgery.Cant it be cured with these medicine. I am attaching the xray report. Please help.
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Dear patient, first I would like to know age of your father. Definitely X-ray shows degenerative changes but still clinical examination in person is needed to assess range of motion swelling etc. There are few other options to try-
1) Continue medicines mentioned above along with physiotherapy and regular exercise as advised by physiotherapist. Early stage can get benefits from this.can use knee caps, hot fomentation, avoid squatting, climbing stairs, sitting cross legged.
2) If he is non diabetic, intra-articular steroids can be given every 6-9 months to prolong surgery.
3) A trial of intra-articular PRP can be given.
All these recommendations depend on actual clinical examination.
Next Steps
Please visit nearby Orthopaedic Surgeon.
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Avoid massage
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If the pain is severe and not amenable to any nonoperative intervention affecting lifestyle,walking and sleep disturbance plz go for TKR and donor try any fancy stem cell or PRPP injections
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Try out the newer therapy of Stem cell and PRP injections for knee joint
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stop the painkiller/steroid injections
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Patient has to decide when to go for TKR. If pain symptoms are hampering his daily living activities then go for it. TKR has very good success rate so don't worry
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Yes it is possible without surgery at present but sometimes it better to show some one near you
As sometimes the exact cause of pain could be other then thining of cartilage
Ur fathers xray shows there is a possibility of medical treatment
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Dr. Kiran Reddy Chennuri
Orthopedic surgeon
18 yrs exp
Hyderabad
What injection is he taking every 15 days?
According to the x-ray, the joint looks like it can be managed conservatively without surgery. There are multiple management protocols for such cases, like Nutriceuticals(rosehip, curcumin, Boswellia etc), Viscosupplementation with Hyaluronic acid, Platelet-rich plasma injections etc. Each treatment has to be individually tailored to the patient and according to his demands/expectations.
One size fits all approach does not work in orthopaedics.
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do not depend on pain killers for a prologed period of time, they are bad for the kidneys
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.