HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Suggest Treatment For Knee Arthritis When Diagnosed With Vitamin D Deficiency

Posted on Mon, 22 Aug 2016

Question: In December 2014 when I was experiencing my left knee strain/jerk for continuous few weeks, I tested for Vitamin D and found insuffiency level 17.60 ng/mL for 25 Hydroxy (OH) Vit D. I had consulted my family GP and took medicine for Vitamin D and calcium for 3-6 months and thereafter it seemed ok.
Recently for last 1-2 months experiencing my left knee strain/uneasiness and now right knee intermittently.
Please advise.

Answered by Dr. Aashish Raghu (32 minutes later)

Brief Answer:
Could be arthritis of knees

Detailed Answer:
Hi there.

Thanks for the query.

I have read your case, reviewed your report.

It is possible you have early arthritis of the knees. Usually the dominant knee gets affected first and then the other knee follows.

It is best to get an Xray of the knees to look for arthritis.

Avoid squatting, cross leg sitting, climbing stairs, kneeling. Eat healthy and keep well hydrated.

You can take Tablet Ibuprofen 400mg twice a day for 5 days after meals and Tablet Ranitidine 150mg twice a day for 5 days before meals.

Do follow up with your progress.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr. Aashish Raghu

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Aashish Raghu (27 minutes later)

Thanks and appreciate for the quick reply.

Oh its shocking to hear the possibility of early arthritis.
I recently brought no-marking shoes to learn Squash sport and supporter for my left knee.Also have moved to XXXXXXX from XXXXXXX with daily around 2.30 to 3hours of travel from train, auto to office.

What is the exact X-Ray test I need to also should I go for Vitamin-D as well. I was also planning for Annual medical health check up that our company provides.

Please advice and also could you please share your XXXXXXX number for quick discussion.

Answered by Dr. Aashish Raghu (2 hours later)

Brief Answer:
Answers

Detailed Answer:
Thanks for your reply.

Do get an AP and Lateral Xray of your knees.

You can also get Serum Vitamin D3 assessed.

Annual Health checkup is a good idea to rule out any other systemic conditions.

I am sorry. Its against the healthcaremagic compnay policies to share my personal number with you.

I shall help you online to the best of my abilities.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Aashish Raghu (12 hours later)

Thanks.

What is AP ? What is prescription for X-RAY , Vitamin D3. Please share details so that I can visit Pathology Lab for the same

Also do you want me to start immediately on Tablet Ibuprofen 400mg twice a day for 5 days after meals and Tablet Ranitidine 150mg twice a day for 5 days before meals.

Answered by Dr. Aashish Raghu (18 hours later)

Brief Answer:
Antero Posterior.

Detailed Answer:
AP stands for Antero Posterior. This is a position the radiographic machine and plate would be aligned to take the Xray image.

You can get both knee standing Antero posterior and Lateral xrays.

Do take Tablet Shelcal CT once a day for 2 months.

You may start on the advised medication for relief. If you prefer, you can also try with hot wet pack application and lifestyle modification as mentioned as well and take the medicines whenever needed.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Aashish Raghu (5 days later)

Hello Doctor,

As per your advise, went for AP & lateral X-rays of Knee and Vitamin profile test (Vitamin D3, B12, calcium, PTH), all of these reports are uploaded for your inspection.

Please go through the same and let me know your further treatment procedure.

Thanks
xxxxxxxxx

Answered by Dr. Aashish Raghu (9 hours later)

Brief Answer:
Reports assessed and comments provided

Detailed Answer:
Thanks for the reply.

I have gone through your reports.

You do have Calcium and Vitamin D deficiency.

This has caused a secondary rise in PTH but we must rule out other conditions causing rise in PTH like Primary hyperparathyroidism. So kindly do Serum Phosphorus blood test if possible.

It would be more helpful if you could take a photo of the Xray film and upload, instead of the Xray report, because certain findings pertaining to Orthopaedic importance may be better delineated by an Orthopaedician in some situations. But according to the Xray report, you do not have detectable arthritis yet.

It is advisable to continue on the calcium and Vitamin D supplements. Do go for morning walk for 45 minutes or at 3:00PM for better Calcium and Vitamin D metabolism.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Aashish Raghu (3 hours later)

Thank you doctor.

Have uploaded both Knees AP & lateral x-rays for your inspection. Please let me know anything related to arthritis.

Also can you prescribe medicines for calcium and Vitamin D supplements.

Answered by Dr. Aashish Raghu (18 hours later)

Brief Answer:
No confluent arthritis but weak bones bearing body weight is hard

Detailed Answer:
Hi there.

Thanks for uploading the xrays.

You do not have any confluent signs of arthritis. I suspect the knee uneasiness us due to weak bones due to the calcium and Vitamin D deficiency such is causing bone pain due to excessive pressure of the normal body weight.

You can take Tablet Shelcal CT twice a day for 2 months. Also get Injection Arachital 6 lakh units once a week, intramuscular injection for 6 weeks.

Kindly review henceforth on your progress.

Above answer was peer-reviewed by : Dr. Yogesh D