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Joint pain

She has been suffering a lot due to joint pain in knee, she walks very lil and then wants to seat, basically all gels between knees have dried... Hence, suffering going up... At this age I also don't prefer to go for knee replacement, as it's recovery time is huge... Her body weight is also high than height... Pls advice, how can we take this forward? Also, give best advice... What to do? Which doctor or clinic should I go in Mumbai or Navi Mumbai
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Doctor Answers (9) on Joint pain

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Dr. Vishwas Virmani Noida | Physiotherapist
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Contrast Fomentation (Hot and Cold). Avoid Squatting- Avoid sitting Cross legged Core Strengthening Exercise- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day. Hams Stretching- lie straight, take the leg up, pull the feet towards yourself, with a elastic tube or normal belt. repeat 10 times, twice a day. Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain.
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Her symptoms are suggestive of Osteoarthrosis(also called osteoarthritis)of the knee. In advanced cases (pain on routine activities), total knee replacement is the solution. 65 is an appropriate age for this surgery.
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I must say your medical problem has generated lot of debate on surgical and non surgical mangement of osteo arthritis knee.
You must understand the mechanics. She is over weight, has a high BMI. Now how to loose weight when one's knees hurt while walking. So one tends to walk less. This vicious cycle take the patient to bed one day.
Consult a good knee surgeon in your area.
Knew replacement surgery has stood the test of time and no amount of argument can downgrade it.
Consult a joint replacement surgeon and he will explain the procedure better.
At 65 she is at the right age to get TKR done.
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Dr. Deepak Relhan Delhi | Physical Medicine and Rehabilitation Specialist for Stroke
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You should go that Physiotherapist who is good in hands on therapy.
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There is no alternative in physio for knee replacement

As per history its already totally advanced athritis which need joint replacement
Which is surgery meant for old age

Recovery time is hardly three wks with good surgical expertise n rehab

Dont waste tiime expecteing a relief via physio, it one modality helps to reduce pain but not assure.

Thanks n regards

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Dr. R Murali Coimbatore | Sports and Musculoskeletal Physiotherapist
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Greetings, sorry about the pain.

Knee replacement is not the answer. All joint structures are designed to last a lifetime, so take care of structures around knee, they will maintain knee well

Get a physio well versed in structed exercise, they will help to settle the knee well.

If unable to find a physio, mail me knee photos both front and back view,will guide you through the process.

If possible can drop all the  way here to my place,get examination done and get back to normal life without replacement in 2 months.

For pain as first-aid give ice for 10 min Daily.

If any concerns do let me know.

Remember do not lose a joint for the sake of poor or lack of practitioner knowledge towards non replacement method to save a joint.

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Dr. Rahul Gulve (PT) Hyderabad | Physiotherapist
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In the old age the knee joint's get degenerated and irritates when walking, I thinks you tried everything, like maintenance, exercises,physiotherapy and medication. Not cured?

Reduce wait and simply go for knee replacement. she will be happy active for 10-15 year's!

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Saurabh Bhalla Delhi | Occupational Therapist
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Knee Replacement should be prefered, but prior to that you should do weight reduction (diet control, + Exercising ) and MUSCLE STRENGTHENING. Since you mentioned that the condition is severe and painful eventually what happens is that just because of pain the person looses interest in walking and ends up lying in bed.
Next Steps
Start with Exercise as it is necessary (Quadriceps Strengthening) and simultaneously start with weight loss Programme.
Health Tips
DO NOT RELY HEAVILY ON EXERCISES. as EXERCISE CAN BENEFIT YOU UP TO A CERTAIN EXTENT. STAY HEALTHY.
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Dr. Deepak Dhole Mumbai | Physiotherapist
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Not to stop activity like ...like walking ....take rest in between while walk.......use commode...avoid cross leg sitting......prevent injury. .......take...pain killers ..which have......without.....side effects.........use only pain get worsen.......hot water fomentation......drink..lot of water...have....healy diet........do rgular......age ...check ups.thanx.
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