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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Knee. Over Weight, Check Up Done,Uric Acid 7.7, TSH 12.32, Lower HDL. Eltroxin 100mg, Antiuric, Calcium Taken. Healing Time?

I am 108KG 42 year old Male . 6 months back i started feeling at back of my knee when i get out of my car or my chair. I had undergone body check and found the following negatives, Uric Acid - 7.7 , TSH 12.32 and lower HDL.

I was treated with 100 mg eltroxin for about 3 months now and antiuric tab for about 1 month with some calcium supplements. The pain remains although frequency has reduced from almost daily to once in week. Can you suggest me what is causing these pain and how long i have to take calcium suppliments
Tue, 24 Sep 2013
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Orthopaedic Surgeon 's  Response
Hello,
Thanks for writing to us,
There can be start of early degenerative process in your knee ,I will advise you some cartilage protecting medication like glucosamine sulphate .
You may need to take calcium for couple of months.
Start some physiotherapy and exercises.
I hope that I have answered your query. Let me know if I can help you further. Take care.
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Hi, thanks for writing to HCM.

Based on your description, I suspect that you might have developed osteoarthritic changes in your knee joint. These changes might have occured early in your case as a result of overweight.

So, the first priority is to be given to reduce your body weight as obesity affects the weight bearing joints leading to early arthritic changes.

Calcium supplements are needed only if your BMD(bone mineral density) reports as osteopenic or osteoporotic.

It is always advisable to keep the uric acid levels at less than 6.

The conservative management of osteoarthritic knees is as follows -
*PHYSICAL THERAPY : The mainstay of treatment in the early case is physical therapy, which should be directed at maintaining joint mobility and improving muscle strength.
* LOAD REDUCTION : Protecting the joint from excessive load may slow down the rate of cartilage loss. It is also effective in relieving pain. The heavier you are, the more stress you put on your joints. Weight reduction for obese patients, wearing shock-absorbing shoes, avoiding activities like climbing stairs and using a walking stick are worthwhile.
* ANALGESIC MEDICATION : Simple over the counter medications like acetaminophen is sufficient in most cases. If this fails to control pain, a non-steroidal anti-inflammatory drug may be better.
* USE OF HEAT & COLD : Both heat and cold can relieve pain in your joint. Heat also relieves stiffness, and cold can relieve muscle spasms and pain.
* GLUCOSAMINE & CHONDROITIN SULFATE : Daily intake of Glucosamine & chondroitin supplements over a period of 3-4 months will help in reducing the arthritic pains and thereby decreases the necessity to take daily analgesic medications. Research suggests that vitamins C and D may help protect you against the progression of osteoarthritis.

Hope this information is helpful. Good day
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Pain In Knee. Over Weight, Check Up Done,Uric Acid 7.7, TSH 12.32, Lower HDL. Eltroxin 100mg, Antiuric, Calcium Taken. Healing Time?

Hello, Thanks for writing to us, There can be start of early degenerative process in your knee ,I will advise you some cartilage protecting medication like glucosamine sulphate . You may need to take calcium for couple of months. Start some physiotherapy and exercises. I hope that I have answered your query. Let me know if I can help you further. Take care.