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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Diagnose Recurrent Intense Pain In Knees, Feet And Right Hip Joint?

I am 67 years old. This past spring I was jogging 30 minutes a day, four days a week, on my treadmill. Toward the end of the spring, my right foot began to ache. It was diagnosed, via MRI, as a compression bruise on the heel (the mid-foot inside area). My foot was placed in a cast for two months this summer, followed by a month in a walking boot. The orthopedic doctor stated the walking boot was no longer needed. He did say that the only exercise I should engage in for the following three months is some type of bicycle. Initially the foot was red and swollen. Now the swelling and redness are gone. The foot seems to now be healed. However, here is the hitch in my situation. About a month ago (two months out of the walking boot?), both of my feet, both of my knees, and my right hip joint began to ache whenever I was on my feet for a couple of hours. Also, if I rode my bicycle for more than around 15 minutes, my hip joint would ache. I am a college professor by trade, and I have a Monday night class. By the end of the class, the pain from walking is so intense I can barely make it down the stairs. The earliest I could schedule a rheumatologist is nearly two months off. I am open to any advice or opinions at this point. I did read that if this is a type of arthritis condition, it is essential to begin treatment immediately. Please advise.
Thu, 16 Apr 2020
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General Surgeon 's  Response
Hello,

* The age related osteoarthritis do not present with these type of symptoms.
* There can be various possible issues as

- compromise in blood supply as avscular necrosis of hip bones and intense pain involving knee, feet
- lower spinal cord disorders with compression of nerves
- chronic use of steroids or other drugs
- uncontrolled diabetes
- immunocompromise status

However, a detailed case analysis with review of reports are mandatory in this regard to find relevant information on clinical grounds. Kindly provide me all of your reports during follow up discussion.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Bhagyesh V. Patel
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How To Diagnose Recurrent Intense Pain In Knees, Feet And Right Hip Joint?

Hello, * The age related osteoarthritis do not present with these type of symptoms. * There can be various possible issues as - compromise in blood supply as avscular necrosis of hip bones and intense pain involving knee, feet - lower spinal cord disorders with compression of nerves - chronic use of steroids or other drugs - uncontrolled diabetes - immunocompromise status However, a detailed case analysis with review of reports are mandatory in this regard to find relevant information on clinical grounds. Kindly provide me all of your reports during follow up discussion. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel