Suggest Remedy For Persistent Inflammation And Pain In Knee
EXAM: MRI EXAMINATION OF THE RIGHT KNEE
CLINICAL INFORMATION: Right knee pain and swelling. Catching and locking. Chronic, recurrent and worsening symptoms.
TECHNICAL INFORMATION: Multiple proton density images were obtained in the axial, sagittal and coronal planes, followed by proton density fat suppression images in the axial and sagittal planes. Coronal T2 fat suppression images were also obtained. There are no prior studies available for comparison.
INTERPRETATION:
Bones: Localized mild subchondral cystic change at the patella. There is no evidence of acute fracture. No other abnormal bone marrow edema pattern is identified.
Ligaments and tendons: The medial collateral ligament is intact, without acute sprain or tear. The iliotibial band, fibular collateral ligament, biceps femoris tendon and popliteus tendon all are intact. The anterior cruciate ligament is intact without acute sprain or tear. The posterior cruciate ligament is intact.
Extensor Mechanism: The patellar and quadriceps tendons are intact. The medial and lateral retinacula are intact.
Knee Joint: There is a small knee joint effusion. No discrete popliteal cyst. Synovitis, without a focal loose body.
I have a long standing history of AS and am on biologics and cannot take antiinflammatories anymore I recked my stomachs from years of use. I am unable to do steroid injections due to being hospitalized twice with angina from my microvascular heart disease after a clerical injection and a foot injection. I was told to go to PT but if I can't bear weight what are they going to do. I had recent tarsal tunnel surgery and gastric muscle release on the right foot and calf in January of this year. Should I get a second opinion?
Non weight bearing exercises can help.
Detailed Answer:
Hello,
Thanks for posting your query.
As per MRI report, you have mild inflammatory changes in the knee joint. It can be relieved to some extent with hot compress, TENS therapy and physiotherapy exercises. Local analgesic gels can also help you for a short term. Even if you are not able to bear any weight on the joint non weight bearing exercises can help in regaining the muscle strength to some extent. It will help in decreasing the pain. The weight bearing can then be started gradually.
You can take a second opinion also but there are not many choices for you.
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.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal