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Pain above the knee in left leg
My Mother who has paralysis on right hand and leg from last 28 years, has developed pain above left leg knee, she was lying in her comfort position on the bed watching tv and after a while when she was trying to get up she experienced pain which is causing lot of difficulty in movement. 2-3 months back she had pain in the same leg below her knee area and doctor had suggested vitamin, calcium tests which were found in sufficient and started heron medications for 1 month. What should be the next course of action, please advise? Thank you.
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This treatment is being suggested on bases of the information provided. However I would like to examine & investigate your mother 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. --. Keep 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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Opposite side Paralysis puts lot of load on the normal side. She might have developed Meniscal tear. If the pain is significant or there is swelling or locking the consider doing MRI
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I would like to know, whether they bear weight over the paralyzed limb. Treatment plan will change totally with proper history. So I suggest to consult me and discuss details.
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Get an weight bearing x-ray of both knees done. She must be suffering from osteoarthritis. Take some anti-inflammatory Hot packs Knee cap Local voveron gel Avoid sitting cross legged.
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if no relief consult on video call.
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Take paracetamol for pain for now Gentle massage with oil can be done Volini spray/ gel Knee cap if suited Get x rays if possible Consult if no relief
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This can be due to multiple things. Need a few more details.
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Is she able to bear weight on the affected leg? Is she able to bend/ straighten the knee? Any swelling associated with pain? Any fever? Please repost with these details.
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If there is not obvious history of trauma, any fractures or acute tears can be ruled out. More history regarding the pain are required to get to know the nature of the pain. Sometimes prolonged immobilisation lead to contractures and reduced mobility. Forcing a joint beyond the new range of motion can lead to pain. If the pain is not too severe and short lasting, there's nothing to worry about and it might resolve spontaneously with or without medication.
Next Steps
Ice application tab. Dolo 650 (SOS)- Only when the pain is more
Health Tips
Do not Massage the area
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Give rest to knee. Tab Paracetamol BD
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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.