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Inflammation, pain and mild fever
I have had PCL reconstruction surgery on 30th Jan, followed by knee debridement and lavage on 26th Feb due to consistent pain, swelling and mild grade fever. However lab results for PUS culture, Synovial Fluid culture and MTB were negative, ruling out any local infection. CRP and ESR are high at 39 and 36 respectively, rest parameters of blood test are normal . After 26 Feb, pain was reduced but still it is there. Swelling is there as well. Fever comes and go (99 to 99.5) like 3-4 times in a week. MRI was redone.
Result is- Marrow Edema in distal femur and proximal tibia, moderate joint effusion with synovial thickening and bulky patellar tendonitis . rest reported normal.
Want to know why I still have pain, swelling on knee cap and mild fever thats keeps on coming. What should I do next. I have stopped taking any antibiotics. Not taking physiotherapy sessions also due to pain and swelling. why my pain, swelling and mild grade fever are not going away completely
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Hello,consult directly with me through practo for detailed discussion, history nd necessary treatment.
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This treatment is being suggested on bases of the information provided. However
I would like to examine & investigate you in detail.
-Control Hypertension, Diabetes or metabolic disorder, if there is any.
-Any way it may be tried,
--. Dolokind Plus (Mankind) [Aceclofenac100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days.
--. Caldikind plus (Mankind) 1 tab OD x 10 days.
-(You may need help of your local doctor to get these medicines.)
--. Fomentation with warm water. Let the part not be exposed to cold.
--. Sleep on a hard bed with soft bedding.
--. Use no pillow under the head.
--. Avoid painful acts & activities.
-- .Do mild exercises for the affected part.( back and lower limbs).
--.(Take help of physiotherapist or you can visit my YouTube channel Dr. N. C. Gupta and watch 'Me & My Yoga' and 'Yoga Simplified'.
https://youtube.com/channel/ucpeqc6b1ywzwin048jsu6rw
--Do not ignore, let it not become beginning of a major problem.
--Do ask for a detailed treatment plan.
Kindly make sure, there is no allergy to any of these medicines.
--For emergency treatment visit nearest hospital.
--Wish you a quick recovery & good health.
--I hope, I have solved your problem to your satisfaction.
Dr N C Gupta MS (ortho)
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Dr. Ahesan R Shaikh
Ortho surgeon
8 yrs exp
Mumbai
PCL SURGERY WAS DONE OPEN OR BY ARTHROSCOPY.
WAS DONE IN PROPER HOSPITAL LIKE CORPORATE BIG HOSPITAL OR NURSING HOME ?
SURGERY SITE INFECTION RULED BUT COVID ?
MY PERSONAL ADVICE TO YOU WILL BE DOCTOR WHO HAS DONE SURGERY VISIT HIM TALK TO HIM AS HE HAS DONE SURGERY HE WILL BE KNOWING BETTER WHAT WAS THERE INSIDE
PCL SURGERY TAKE TIME - FOR PAIN REDUCTION AND SWELLING .
AFTER PROPER PHYSIOTHERPY IT TAKE APPROX 3 MONTHS TO GET GOOD FUNCTIONAL RANGE OF MOTION AT YOU KNEE JOINT.
TO GET COMPLETE STRONGNESS AROUND YOUR KNEE JOINT (STABILITY ) TAKES APPROX 8-9 MONTHS.
BUT ABOVE THINGS CANNOT BE ACHIEVED WITHOUT PHYSIOTHERPY.
AS YOU SAID YOUR EXPERIENCE WAS NOT GOOD UNFORTUNATELY POST SURGERY- BUT IF YOU AVOID PHYSIOTHERPY IT WILL GET MORE WORSE AND STIFFNESS WILL START SETTING IN AND IT WILL BE MORE DIFFICULT SITUATION.HOPE YOU UNDERSTAND THAT ..
IF NOT HAPPY TO GO TO PHYSIO CENTRE CALL A GOOD SPORT PHYSIOTHERAPIST AT HOME TO HELP YOU. FOR FEW DAYS AS MOBILITY INCREASE YOU CAN VISIT CENTRE FOR OTHER. EXCERSIES FOR PCL STRENGTHNING.
CAUTION:- PHYSIOTHERPY TO BE DONE AS PER YOUR OPERATING SURGEON BECAUSE HE KNOW BEST FOR YOU AS HE HAS PERFORMED THE SURGERY.
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