Suggest Treatment For Painful Knee

Posted on Mon, 8 Sep 2014

Question: Hello doctor, my wife us 34 and from last few days she complains of sevier pain in her left knee. Also attaching the xray of her knee. Kindly suggest the treatment and diet for her.

Answered by Dr. Mukesh Chugh (1 hour later)

Brief Answer:
X-ray looks normal;condition of other joints?

Detailed Answer:
Hello
Thanks for posting
I have gone through your query and understand your concern. To understand better, I have few questions to ask-
1. Is there any injury?
2. Is the knee warm, tender to touch, swelling?
3. Range of movement at left knee as compare to right knee?
For now my suggestions are-Ice fomentation, Rest to knee, Ibuprofen with local pain killer gel application. There is nothing special about diet in the case of knee pain.
Looking forward to your reply.
Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mukesh Chugh (10 minutes later)

1. There is no injury
2 it swells at time
3. The range is fine but it pains a lot while walking

Any how by diet i needed to know things rich in calcium
Also suggest if any exercise could be helpfum

Answered by Dr. Mukesh Chugh (17 minutes later)

Brief Answer:
Early arthritis seems to be the cause;MRI test

Detailed Answer:
Hello
It’s good to see you.
Based on your reply and with normal x-ray appearance the most likely cause seems to be early arthritis. To confirm this best Investigation is MRI of knee.
Take balanced diet rich in calcium (1000mg/day) and vitamin D (1000 i.u. /day) along with vitaminB12, B6.Avoid exercises whenever there is pain in knee.
Hope this answers your query.
Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mukesh Chugh (45 hours later)

Sir, we have hot MRI and some other test done for the same. Attaching the same for your ready refrence. Kindly review the test reports and suggest the further course of action.

Answered by Dr. Mukesh Chugh (2 hours later)

Brief Answer:
As follows

Detailed Answer:
Hi
It’s good to see you
I have gone through the MRI and thyroid reports. Regarding thyroid she must not skip her regular dose of thyroxin to keep TSH under control.
The MRI report is largely normal except for minor tear (grade1) of meniscus (C shape cartilage).This needs to assessed by physical examination to assess the disability caused by it. This tear, if it is significant leads to frequent locking of knee that is patient is not able to either bend it or make it straight, does she has that?
Most of the time it (Grade1) Improve with knee exercises, pain killer and physiotherapy for few weeks. If the symptoms persist she may require surgical intervention in form of arthroscopic surgery.
Hope this answer your query. I shall be glad to help you further.
Take care

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar