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Suggest Treatment For Severe Knee Pain And Fever

Posted on Tue, 11 Oct 2016

Question: My knees are extremely painful. It is hard for me to walk. They are hot to the touch. I am sweating and chilling but don't have a fever. The more I walk, the worse the knees get. Sitting seems to ease the pain but getting up causes the instability and severe pain. I have had the acl replaced in the left knee and come cleaning done on the right.

Answered by Dr. Dr. Naveen Kumar Sharma (39 minutes later)

Brief Answer:
You are having knee arthritis

Detailed Answer:
Hello,
I have studied your case. Pain in knee joint can be due to arthritis. As you have already gone through arthroscopy surgery for knee pain on one side I think arthritis is cause of knee pain.I have following questions for you before I advised you anything.
1.Do you have any fresh X rays of your knee if yes then you can share with me.
2.Do you have diabetes or Thyroid or smoking?
3.Do you taking any medications for knee pain?
Please send me answers of these questions. I will try my best to help you.
thanks

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

Follow up: Dr. Dr. Naveen Kumar Sharma (1 hour later)

Unfortunately, I do not have any current x-rays. I do not have diabetes. I do have thyroid issues (hyperthyroid). I have only tried to take some Ibuprofen for the pain. It does not help.
Would arthritis cause instability? Why suddenly and in both knees? Why the sweating and chilling? My left knee is swollen to the size of a baseball and is red and hot to the touch. The pain is worse than I have ever had before.

Answered by Dr. Dr. Naveen Kumar Sharma (23 hours later)

Brief Answer:
It is due to arthritis with synovitis

Detailed Answer:
Hello,
Your painful swollen knee is due to collection of fluid in the knee joint. This is knee synovitis. This is common with knee arthritis. I have following suggestions for you.
1.You need to apply ice and take Advil.
2.Get some blood work in form of CRP, WBC count and ESR. If there is any high in these tests then it means that you are having knee synovitis. In that case you need to apply steroid Injection in knee joint and take Antibiotics also.
3.Instablity is due to fluid collection and meniscus tears in arthritis.
4,You also need to make sure that your thyroid hormone level is normal.
I hope these steps will be helpful for you.Let me know if there is any other followup questions.
thanks

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