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MRI Showed Subchondral Fracture And Moderate Joint Effusion. Having Pain In Movement. How To Cure It?

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Posted on Tue, 21 May 2013
Question: My MRI showed "nondisplaced subchondral fracture of medial femoral condylar w extensive subchondral edema" and "moderate volume joint effusion"
Pls explain (my doc was little help)
Lots of pain w any movement
Best I can do? Rest ice and ibuprofen
Cortisone shot?
Thanks
doctor
Answered by Dr. Dr. Praveen Tayal (1 hour later)
Hello,
Thanks for posting your query.
The non displaced subchondral fracture is a minor degree of bone crack in the lower end of femur. The swelling and joint effusion that you have are likely to subside with adequate rest. You need to avoid weight bearing on the leg. Using a knee brace will be of help.
In addition to rest, ice and pain killers, you can keep the leg elevated on two pillows while resting.
In case the joint effusion persists after two weeks then surgical drainage or aspiration may have to be considered. It is likely to recover in 3-4 weeks.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Praveen Tayal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Praveen Tayal (24 minutes later)
Thanks
Cortisone?
Crutch vs. cane?
Ibuprofen vs Advil?
doctor
Answered by Dr. Dr. Praveen Tayal (44 minutes later)
Hello.
Thanks for writing again.
Cortisone is more useful in mild effusion with inflammatory changes. In traumatic effusion, aspiration may be needed.
Using a crutch is better than cane. But it is best to wear a knee brace and avopid weight bearing for at least two weeks.
Both advil or ibuprofen will help. It depends on the degree of pain you are having. You can try ibuprofen first.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12315 Questions

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MRI Showed Subchondral Fracture And Moderate Joint Effusion. Having Pain In Movement. How To Cure It?

Hello,
Thanks for posting your query.
The non displaced subchondral fracture is a minor degree of bone crack in the lower end of femur. The swelling and joint effusion that you have are likely to subside with adequate rest. You need to avoid weight bearing on the leg. Using a knee brace will be of help.
In addition to rest, ice and pain killers, you can keep the leg elevated on two pillows while resting.
In case the joint effusion persists after two weeks then surgical drainage or aspiration may have to be considered. It is likely to recover in 3-4 weeks.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Praveen Tayal.