Hello doctor.
My mother has knee on knee so doctor has suggested knee replacement surgery and for temporary relief we are going ahead with intraarticular knee injection. He asked to do certain blood test before that. ESR test result is 110 mm/hr although ref range is 0 to 20. He asked to consult physician to understand reason for high value. Pls suggest
Answers (12)
Get your queries answered instantly with Care AI
FREE
There are so many causes .
But it shows the inflammation somewhere in body may be in knee joins or anywhere else in body .
So need to be evaluated further after adequate history talking.
Hello,
For treatment please pay and consult at practo or pay and consult at GPay.
My GPay number is same as my mobile number . My GPay number is +91959508739nine.
Take a glass of milk daily.
Thanks.
Dr Praful Mahamuni,
Family Doctor,
MBBS .
An ESR of 110 mm/hr is significantly elevated. While ESR is a nonspecific marker, it indicates the presence of inflammation, infection, or systemic disease. Given your mother's condition and upcoming procedures, this high ESR needs to be evaluated further before proceeding with any intra-articular injection or knee replacement surgery.
Possible Causes
Osteoarthritis with secondary inflammation
Rheumatoid arthritis or another autoimmune disorder.
Chronic infection – such as tuberculosis, osteomyelitis, or a low-grade urinary/respiratory infection.
Anemia, especially anemia of chronic disease.
Next Steps
Detailed history and physical examination by a physician or rheumatologist.
Additional blood tests:
CRP (C-Reactive Protein)
CBC (Complete Blood Count)
RA Factor, Anti-CCP
ANA, dsDNA (for autoimmune diseases)
Serum creatinine, LFTs
Chest X-ray – to rule out tuberculosis or other chronic infections.
Urine routine and culture – to check for urinary tract infections.
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.
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.
Flu
Reasons for flagging
Hateful or abusive contentSpam or misleadingAdvertisement