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Osteoarthritis

My mother is suffering from severe knee pain, consulted many doctors but could not find the exact reason for pain some say she has arthritis, some say synovial fluid is finished, some say that bones have become dry due to lack of synovial fluid, she had symptoms like pain in knee and below that and swelling in knee joint & ankle joint due to pain , she is not able to walk more than 10 minutes, she need to sit after every 10 minutes, seeing her symptoms i studied on net that she is suffering from bone marrow edema , osteoarthritis. Please tell me is it so? Am I right? If it is so please suggest me what is the treatment for this, if synovial fluid is less or no then how it can be made ? One thing more I want to tell we belong to middle class family we do not have much money to spend on , my parents have spend all money in making their children educated for which I m today able to write to you, so also please suggest me the best othropaedist where I can get my mother treated.
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Dr. Vishwas Virmani (PT)
Physiotherapist 20 yrs exp Noida

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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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Dr. Raviraj Francis
Sports and Musculoskeletal Physiotherapist 7 yrs exp Mumbai

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Hello there...well definately it looks to be a strong case of osteoarthritis...however i would like to know since when your mother is suffering from knee pain...if it is since many years then conservative treatment can be of limited help..but if its a recent pain flair up then physio and supplimentary medication can work very well in building up her knee stabilty and strenghth along with decrease in her pain. The fact that u have mentioned that she cannot walk more than 10 mins means her lifestyle is affected in that case a visit to a specialist consultant is necessary.
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Dr. Akash P Rangari
General Physician 8 yrs exp Hyderabad

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Hi. It's clear from your complaints that she is suffering from osteoarthritis(OA). I would suggest you to see an orthopedic because we need to know on which stage of OA is she. It's wrong to say that we have only one solution- replacement. The treatment of OA varies with the stage .Replacement is preserved for last stage. Initially we start with analgesics physiotherapy and life style modifications.Other than this also there are many treatments like few specified exercises,injecting  knee joint with fluid that lubricates and cushions it.According to the stage of OA treatment varies and believe me if  you reached the last stage,physiotherapy exercises medications only give you symptomatic relief and you have to choose for replacement. About your financial issues all these procedures are included in your annual health insurance scheme so no need to pay from your pocket. Hope it helps.
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Dr. Deepak Sikka (PT)
Clinical Physiotherapist 12 yrs exp Ghaziabad

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Dear u r so confused. There is No need to be confused. These are the same things whether it is reduced synovial fluid or osteoarthritis or bone oedema these r the same things. N this is osteoarthritis. Rest of the thing are the symptoms or u can say changes in joint due to osteoarthritis wether it is reduced synovial fluid or bone oedema. Now the treatment part the best treatment is physiotherapy so go to any good Physiotherapy Clinic and examined properly and take the physiotherapy treatment as advice by ur physiotherapist and obey the physiotherapist strictly. There is No need of any orthopaedic as they have only one option and that is joint replacement surgery. So go for a good Physiotherapist and take physiotherapy strictly and ur mother will be alright very soon.
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Dr. Divya Ahuja
Orthopedic Surgeon Mumbai
Your mother does have osteoarthritis of knees, but the way you describe it that she can walk for 10 min and then needs to sit and then she can walk again for 10 minutes also points towards a condition called Lumbar canal stenosis. Therefore a proper examination by orthopedic surgeon and an evaluation/opinion regarding spine should be considered as well. Both the issues are commonly co-existent and may need to be addressed. Physiotherapy & exercises will definitely give you some benefit, but its not a permanent solution. A permanent solution would be surgery, but there is no harm in doing physiotherapy and exercises after a proper evaluation & understanding of the situation.
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Dr. Manish Bansal
Orthopedist 18 yrs exp Jalandhar
Hi. It will be difficult to ascertain the diagnosis purely based on the history that you have provided. She will need to have an X-Ray of her knees, for more information. But on the face of it, it looks like osteoarthritis. And all the things that you are saying like decreased synovial fluid, bone marrow edema etc can be the manifestations of the osteoarthritis. The first line of treatment of osteoarthritis is conservative, ie, painkillers, physiotherapy, weight loss, lifestyle modifications. If this line of treatment does not help, then we progress to more invasive procedures.
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Xray of both knees.
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