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Suffering from leg pain
My mom suffering from pain, recently she did scanning and doctor given tablets for her for one month. Zerodol P and pantodac 20. I have attached scan image please suggest.
Answers (7)
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She has a medial compartment and patellofemoral bone on bone OA (Rosenberg view will confirm Medial compartment OA). Secondly the anterior subluxation of Tibia suggests she has a non functional ACL as well which can exacerbate the pain by causing instability.
Next Steps
If pain is affecting daily life AND the patient is active, consider surgery (Total knee replacement, patient not eligible for a partial knee)
If not affecting daily life OR patient is not active then just medications, physiotherapy and palliative injection.
Health Tips
Visit a Knee specialist since clinical examination is the ultimate tool, not X rays.
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On x-ray there are signs of significant medial joint space narrowing as well as osteophytosis which represents osteoarthritis of the knee.
Next Steps
lifestyle modification in the form of weight reduction , avoiding squatting and sitting cross legged.
Health Tips
This is an age related degenerative condition which will progress irrespective of medication and lifestyle changes.
should consider Total knee replacement/ resurfacing for pain free mobile joint and ease of living.
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According to the x ray you sent there's reduced joint space in knee , it's osteoarthritis of knee. Age related wear of the joint. You stop the process but you can delay by taking steps like weight loss, quadriceps strengthening exercises, avoid sitting cross legged, squatting and climbing stairs.
For pain take
Tab. Zerodol sp 1-0-1*5 days fter food
Tab pan 40 1-0-0* 5 before breakfast
Powergesic gel twice daily
Can also take
Jointace DN 0-1-0* 15 days after food
Next Steps
use knee cap.
If persistent pain physiotherapy
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Knee arthritis with osteoporosis is there
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Nothing to worry much. She is have osteoarthritis of knee which is very common in that age.
Lifestyle modification like weight reduction and physio to strengthen the muscles around knee will ease the pain
Next Steps
Analgesics to use only if there’s more pain
Health Tips
If she wants pain free mobility then knee replacement is very helpful
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Dr. Naresh Kethagani
Orthopedist
7 yrs exp
Hyderabad
Continue tablets for 7 days
And start knee strengthening exercises
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Dr. Vilas P Chavan
Orthopedic surgeon
9 yrs exp
Pune
It Osteoarthritis Knee
Next Steps
Need Lifestyle changes, Use Comode for washroom, Avoid Squating Position and Crossed leg Sitting
Health Tips
After perticular time she may Need Surgery if she's fine With medicine
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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.