Suggest Treatment For Severe Pain In The Knees

Posted on Tue, 5 Jul 2016

Question: knee pain
all of a sudden since the last 3 weeks or so, im experiencing pain around both my knees

i am able to walk 4 kms a day and can also do weights but the pain lingers though not disabling ... it reduces when i apply deep heat or volini but that effect doesn't last the next day

one observation was the knee pain increased after a night of drinking

i had donated liver to my mother in XXXXXXX 2015 and hence dont have a gall bladder

the xray and blood reports are attached

i take olmesar 40 and fabuget after breakfast and asomex before sleeping .. also take a multi vitamin by centrum and omega 3 capsule

kindly let me know what this pain could be pertaining to and what remedy i should take

Answered by Dr. Aashish Raghu (1 hour later)

Brief Answer:
Knee Osteoarthritis. Medication, lifestyle modification

Detailed Answer:
Hi there.

I have read your query and reviewed your reports.

You have Osteoarthritis of both the knees which is why you have pain.

These are degenerative changes to the knees cartilage and later the bone, causing rubbing of the sensitive joint surfaces together.

It is advisable to wear knee cap. Avoid squatting, cross leg sitting, climbing stairs, kneeling. Apply hot packs to the painful regions.

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. You can get Injection Steroid in your knees which can help with the pain relief.

Do upload your knee Xray for a better understanding of 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. Naveen Kumar

Follow up: Dr. Aashish Raghu (1 hour later)

does it look very serious ? is it reversible ? post liver surgery i had put on 15 kgs weight because of which i think this has occured .. could there be other reasons ? will weight loss lead to a reversal .. before this episode ive never had such a pain ... should i do some keg exercises with weights to strengthen the joints ?

Answered by Dr. Aashish Raghu (10 hours later)

Brief Answer:
Upload Xray film. Weight loss excellent. Muscle strengthening and stretchin

Detailed Answer:
It would be helpful if you could upload the Xray films because your Radiologist has not graded the severity of the knee arthritis. Depending on the grade, I can comment on its severity and reversibility.

Weight loss will have a profound positive impact on your knee condition. Definitely arthritis we reduce and you will suffer less.

Yes, you can do physiotherapy for Quadriceps muscle strengthening and Hamstring make stretching. Ankle pump also helps. Do speak to your Physiotherapist about this.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Aashish Raghu (2 hours later)

x rays attached

Answered by Dr. Aashish Raghu (19 hours later)

Brief Answer:
Mild arthritis

Detailed Answer:
You are having mild grade arthritis. There is less space between the joint surfaces which could be the cause of the pain.

You will benefit from weight loss, Physiotherapy, pain killers, knee steroid injection.

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

Above answer was peer-reviewed by : Dr. Sonia Raina