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What Do These MRI Reports And X-ray Report Regarding Joints Pain Indicate?

Posted on Fri, 10 Apr 2015

Question: My sister, age, 56years suffering with suffering hip joints and knees joints,from,one year, she consulted orthopedic, Dr. given medicines for bone TB, after studied MRI reports, for eight months.

TODAY MY SISTER again had gone for MRI tests for spine and hip tests and also for x-ray for knees Joints

I am uploading reports MRI x-ray reports.

Pl.. Advice and give suggestions.
Whether it is surgery disease.

Answered by Dr. Dr. Sudhir Kumar (3 hours later)

Brief Answer:
She is not suitable for surgery.

Detailed Answer:

Hi
Thanks for your query

I'm Dr Sudhir Kumar

I have gone through your query , various reports and understand your concern. Your sister is having old tuberculosis( treated) of right hip, degenerative changes(age related) of both knees and disc prolapse at L4,L5 level with moderate root compression .I don't think it is suitable case for surgery .Diacerine and glucosamine are useful in degenerative arthritis. For disc prolapse she requires rest and analgesic such as ibuprofen for pain relief. Mecobalamin is helpful. She can get her vitamin D level and if found she can take vitamin D3. Rest of treatment depends upon her symptoms.

You can discuss with your doctor about it.

Hope your query get answered. If you have any clarification then I will be happy to help you.

Wishing you a good health.
Take care.

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

Follow up: Dr. Dr. Sudhir Kumar (2 hours later)

We consulted orthopedic doctor at KIMS , XXXXXXX HE advised only hip surgery, after
Observed the films of MRI& x-ray.
Surgery is necessary if patients are eligible. Pl.

Answered by Dr. Dr. Sudhir Kumar (1 hour later)

Brief Answer:
It depends on her symptoms now

Detailed Answer:
Hi
Welcome back
As you have mentioned that that she has taken 8 months of anti tubercular treatment for tuberculosis of right hip. I want to know

1.whether her pain in right hip reduced after started antitubercular treatment or still she has same pain? Whether she is on antitubercular drugs still?
2.Which surgery is planed, for treatment of tuberculosis or Total hip replacement( THR)for pain relief?
3.Decision of surgery depends upon her symptoms now( pain etc) . What are her symptoms now?
waiting for your response .

Wishing her good health
Take care

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Dr. Sudhir Kumar (16 hours later)

1)pain reduced, now stopped antitubercular. 2)replacement of hip, but today we had visited Dr. Guruva XXXXXXX specialist in replacement of Hip & knees, he asked my sister wait for 3months, he prescribed tablets and Zell. And also recommended some exercises daily. After 3months,if it maybe cure, if not, recommended surgery for hip replacement.
Update status

Answered by Dr. Dr. Sudhir Kumar (30 minutes later)

Brief Answer:
THR can be done but decision depends on pain and difficulty in walking.

Detailed Answer:
Hi
Welcome back
THR can be done but decision depends on pain and difficulty in walking.If she has pain in hip, movements of hip are painful and restricted and having difficulty in walking then THR can be done but there is no harm in waiting for some more months to year. Decision of THR does not depends on MRI and other investigation reports.
Hope I have answered your query.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
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Wishing you good health
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. Vinay Bhardwaj