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Suggest Treatment For Frozen Shoulder And Pain In Knees
Question: I am, aged 54, female, postmystrctomy ( 7 years back) having frozen left shoulder and pain in both knees. I am having bony outgrowth under the left shoulder.My doctor says I am having OSP, OA(L) Shoulder and Arthralga B/L knees. I am having serum uric acid 6.20, blood urea 42.50 serum creatine 0.81 and GFR 71. Already took Vitamin A injection 6lacs unit on 18.05.2016. IOL pressure is 16/16.
Vitamin D3 value is 38.20. BMD Test results are AP Spine 1.103, Left Femur 0.947, Left Fumer Total 1.020 and total T score is 0.10. My doctor has advised me Rokfos injection Zoledronic acid 5 mg. I am afraid because of its side affects. Please advise me whether this injection is required if not then what should be my treatment,
Vitamin D3 value is 38.20. BMD Test results are AP Spine 1.103, Left Femur 0.947, Left Fumer Total 1.020 and total T score is 0.10. My doctor has advised me Rokfos injection Zoledronic acid 5 mg. I am afraid because of its side affects. Please advise me whether this injection is required if not then what should be my treatment,
Brief Answer:
osteoarthritis
Detailed Answer:
Welcome to Healthcaremagic.
Hi, I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.
You seem to be suffering from Osteoarthritis, that is age related wear and tear of joints.
Th treatment suggested by your doctor is aimed at treating osteoporosis, and it is not going to help you much, but yes, if you ignore the side effects, these injections would help you in strengthening your bones.
My recommendations for you would be:
1. To take Vitamin D supplement
2. To go for quadriceps muscle strengthening exercises to help with knee pain. You can take help of a physiotherapist
3. You may discuss with your doctor for Calcitonin nasal spray for osteoporosis
4. To take supplements like Chondroitin sulphate that may help you in osteoarthritis.
This is my personal opinion based on details available here. If you still have any other query, you may please ask me.
Stay Healthy.
Dr Anshul Varshney , MD
osteoarthritis
Detailed Answer:
Welcome to Healthcaremagic.
Hi, I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.
You seem to be suffering from Osteoarthritis, that is age related wear and tear of joints.
Th treatment suggested by your doctor is aimed at treating osteoporosis, and it is not going to help you much, but yes, if you ignore the side effects, these injections would help you in strengthening your bones.
My recommendations for you would be:
1. To take Vitamin D supplement
2. To go for quadriceps muscle strengthening exercises to help with knee pain. You can take help of a physiotherapist
3. You may discuss with your doctor for Calcitonin nasal spray for osteoporosis
4. To take supplements like Chondroitin sulphate that may help you in osteoarthritis.
This is my personal opinion based on details available here. If you still have any other query, you may please ask me.
Stay Healthy.
Dr Anshul Varshney , MD
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir,
I am uploading two reports, relating to kidney tests. My physician says that there is mild decrease in GFR and if you proceed with Rokfos Injection , (which is not required in his opinion on account of BMD Test report) then kidney problem may arise, resulting in moderate decrease in GFR. My Orhos doctor says this is necessary , before treating primary osteoarthritis of left shoulder. another doctor has even recommended surgery,which I cannot afford at this stage due to personal reasons.
I am in a fix. Kindly specifically advise me whether I should go for Rokfos or not.
I am uploading two reports, relating to kidney tests. My physician says that there is mild decrease in GFR and if you proceed with Rokfos Injection , (which is not required in his opinion on account of BMD Test report) then kidney problem may arise, resulting in moderate decrease in GFR. My Orhos doctor says this is necessary , before treating primary osteoarthritis of left shoulder. another doctor has even recommended surgery,which I cannot afford at this stage due to personal reasons.
I am in a fix. Kindly specifically advise me whether I should go for Rokfos or not.
Brief Answer:
I would not recommend.
Detailed Answer:
Hi. Saving your Kidney is more important then going for Rokfos injection which may or may even not benefit you.
You may discuss with your doctor to prescribe your Ibandronate acid tablets for the purpose of Osteoporosis. However if your BMD is normal, then Rokfos is not going to help much.
So, my recommendations would be to avoid it.
Please share my opinion with your doctor before you act upon it.
I would not recommend.
Detailed Answer:
Hi. Saving your Kidney is more important then going for Rokfos injection which may or may even not benefit you.
You may discuss with your doctor to prescribe your Ibandronate acid tablets for the purpose of Osteoporosis. However if your BMD is normal, then Rokfos is not going to help much.
So, my recommendations would be to avoid it.
Please share my opinion with your doctor before you act upon it.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Sonia Raina
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