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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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Have Swollen Ankles, Knee Caps, Pain, Told Have Arthritis. Given Tylenol, Cellibrex, Cortisone Denied

I have been told that I have arthritis in both of my ankles . For the past year I have seen 3 doctors and all I get are pills. No one knows what type of arthritis I have.Both of my ankles are swollen and the past few days my right knee cap has swollen seen a doc. Today who gave me a prescription for Tylenol 3 to take with the cellibrex 200mg. Tried to get cortisone shot in knee no one will give it to me. Had a cortisone shot 10 months ago and I was fine. Tired of living with pain. Hope you can give me something more substantial for an answer. Thanks. Chris Shier
Thu, 25 Apr 2013
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Orthopaedic Surgeon,  's  Response
Hello Chris,
Welcome at HCM.

I have read your question.It looks from your details that you are having swelling at your ankles & at knee.It looks that this swelling is not associated with redness & other inflammatory changes.This shows that this should not be inflammatory type of arthritis.Actually arthritis is of two type one is inflammatory & other is non inflammatory .In non inflammatory pattern the degenerative type of arthritis is included which includes osteoarthritis while in inflammatory type there are psoriatic ,reiter's,septic & gout type of arthritis.

If there is no other systemic disordr then you should ask from your rheumatologist to advise some investigations which includes CBC,ESR,CRP,ANTINUCLEAR ANTIBODIES,etc.

At present you should continue to have a good analgesic like combination of tramadol with paracetamol on prescription of your doctor.

Also take joint supplements like glucosamne & chondroitin sulfate.

Take the help of a physiotherapist .

Wear shoes with good insole .

Hope this all will help you.

With best wishes.
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Rheumatologist,  Dr. Divya Agarwal's  Response
you need to see a rheumatologist, who should be able to run a few tests and probably do a joint aspiration with synovial fluid analysis, and that should definitely give an answer so as what type of arthritis you have.
because taking pain killers is not the solution to the problem,
also arthritis if not properly treated,can keep getting worse even when you are taking pain killers .
they only suppress pain but dont treat the underlying pathology.
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Have Swollen Ankles, Knee Caps, Pain, Told Have Arthritis. Given Tylenol, Cellibrex, Cortisone Denied

Hello Chris, Welcome at HCM. I have read your question.It looks from your details that you are having swelling at your ankles & at knee.It looks that this swelling is not associated with redness & other inflammatory changes.This shows that this should not be inflammatory type of arthritis.Actually arthritis is of two type one is inflammatory & other is non inflammatory .In non inflammatory pattern the degenerative type of arthritis is included which includes osteoarthritis while in inflammatory type there are psoriatic ,reiter s,septic & gout type of arthritis. If there is no other systemic disordr then you should ask from your rheumatologist to advise some investigations which includes CBC,ESR,CRP,ANTINUCLEAR ANTIBODIES,etc. At present you should continue to have a good analgesic like combination of tramadol with paracetamol on prescription of your doctor. Also take joint supplements like glucosamne & chondroitin sulfate. Take the help of a physiotherapist . Wear shoes with good insole . Hope this all will help you. With best wishes.