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Knee Pain
My mother is suffering from Knee pain for some years and has trouble walking. She has arthritis issue in the past, but it keep on recurring. What is the best possible way to get it diagnosed and relieve her from this stressful pai
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Sports Taping- stretch the tape from both ends and apply on the affected area
Contrast Fomentation (Hot and Cold).
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weight bearing x ray
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it seems to be a degenerative osteoarthritis,which reoccurs because of lack of precautions or overuse.there can be an increase in blood uric acid level which aggravates the condition.first you should get the X-RAY one and test of Blood uric acid level done.
Next Steps
go to a physiotherapist and take the treament.Ultrasonic therapy helps in healing and reducing tenderness if any,Wax therapy increases blood circulation and helps in relieving pain and swelling,Exercises will increase the muscle strength.Do it for at least 2-3 weeks.You will get the relief for sure.......in chronic cases ,if not responding(no relief at all) after taking physiotherapy,need to take hydrocortisone injection. if having any increase in uric acid level, avoid taking protein diet along with the physiotherapy.
Health Tips
avoid over standing. no cold exposure,do frequent knee movements,avoid cross leg sitting.avoid stair climbing, prolonged walking.
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You need to do x ray to cinfirm severity level. Start hot application 2-3 times in a day then stretching followed by strenthing exercise. This will reduce her pain and progression.
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Get an x Ray done in standing position. It seems degenerative arthritis if one looks at your mother's age. But severity and further treatment to be guided by symptoms and xray. Always remember that tkr or surgery is not the only solution. orthopaedic or physio can help in many other ways.
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Looks like your mother pain is from degenerative osteoarthritis of the knee. This typically has flare ups with with varying intensity and duration of pain. Plain Xray/Radiographs of the knee in standing position in both planes can easily show the severity / stage of osteoarthritis.
Next Steps
Please consult an orthopaedic doctor nearby for further assessment and management.
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Dr. Anantha Lakshmi (PT)
Cardiovascular And Pulmonary Physiotherapist
7 yrs exp
Hyderabad
Pain relief : both hot and cold fermentation 3times a day, (ice pack is much effective) ultrasound therapy and IFT can reduce the pain - consult a physiotherapist.
She need to strengthen her muscles.
1) Lie flat on back and press the downwards if needed place a pillow under knee - 30 to 50 repetitions per day.
2) sit comfortably in a chair and move the leg inwards and upwards for 10 to 15 mins twice daily
These two exercises you can find in Internet STATIC QUADRICEPS EXERCISES AND DYNAMIC QUADRICEPS EXERCISES or isometric exercises.
3) walking and cycling are best exercises.
Walking - 1/2 a km in a day and gradually increase
Cycling (static cycle) - 10 to 15 mins in a day
Precautions : avoid stair climbing, avoid squatting, always sit in a chair or a stool, avoid cross leg sitting.
Consult an orthopaedic doctor and take an x-ray. By seeing how much damage is there and if the pain is very severe he will advise you for the further treatment.
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Dr. Saurabh Bhalla
Occupational Therapist
8 yrs exp
Delhi
Arthritis can be diagnosed by various investigations X-ray, Physical examinations, and Blood tests(SGPTOT, RA factor etc...) , depending on the condition of her joints some strengthening exercises may do along with some medication that are believed to help in lubrication of the joint , or she might need a joint replacement. for both the things initial strengthening is advisable.
Next Steps
Check with nearest rheumatologist, how is the condition of the joint and what will be the best possible solution.
Health Tips
DO NOT OVER STRESS the joint in any manner (walking / bearing weight unnecessarily). she must avoid climbing stairs as of now and preferably use the ramps wherever possible. and please arrange a full day or two for your mother and consult the rheumatologist / orthopaedic.
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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.