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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Right Knee Pain

Hi, I am a79 year old lady,who has severe pain in my right knee, which came on quite suddenly,I had a shot in the knee,but it didn,t help, I was prescribed meloxicam ,as I was told it was artheritis,but I also take a blood thinner as well as Digoxin for A-Fib. Will taking these meds cause me to bleed out, as I had to go off my 81mg aspirin from a serious bleeding HELP
Thu, 2 Apr 2015
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General & Family Physician,  's  Response
Dear Ma am,
Thanks for posting your question on HCM.
I have gone through your case history.
Indeed NSAIDs pain killer are not advisable in a patient who is taking blood thinner for Atrial fibrillation because of a risk of bleeding.
To overcome this, you can take Paracetamol tablets up to 1 gm three times daily if your pain still persists then an opioid drug like Tramadol or Codeine can be taken along with Paracetamol.

Even after taking this combination, if the pain does not subside, then Inj Hydrocortisone is given into the joint (intra articular) for a period of 3-4 months in a particular joint.

You may have to visit a skilled orthopedic surgeon with normal clotting tests for the intra articular injection of hydrocortisone.

Knee joint replacement is the last solution if all the above measures failed to relieve the pain.

Hope I have answered your query giving possible treatment options.
If convinced, kindly give a feed back.
Take care.
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Suggest Treatment For Severe Right Knee Pain

Dear Ma am, Thanks for posting your question on HCM. I have gone through your case history. Indeed NSAIDs pain killer are not advisable in a patient who is taking blood thinner for Atrial fibrillation because of a risk of bleeding. To overcome this, you can take Paracetamol tablets up to 1 gm three times daily if your pain still persists then an opioid drug like Tramadol or Codeine can be taken along with Paracetamol. Even after taking this combination, if the pain does not subside, then Inj Hydrocortisone is given into the joint (intra articular) for a period of 3-4 months in a particular joint. You may have to visit a skilled orthopedic surgeon with normal clotting tests for the intra articular injection of hydrocortisone. Knee joint replacement is the last solution if all the above measures failed to relieve the pain. Hope I have answered your query giving possible treatment options. If convinced, kindly give a feed back. Take care.