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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Ways To Manage Severe Osteoarthritis Pain

I am 52 years old active person - continued to play doubles racquetball 3 times a week. I have severe osteo arthritis in both knees. Ine knee was injured 30 years ago playing soccer and never repaired so has gotten worse. I took the gel shots and they are helping with pain when i am stationary but if i have to walk a block then its painful. I am advised to have both knees replaced (one first and then second one a few months down the road). I want to get an opinion if i am rushing this age is probably considered too early for replacement. I also would like to know which brand of knee would be the best for my case and any doctors in the Atl area that one would recommend
Wed, 21 Jan 2015
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hello,
Thanks for your query.

For osteoarthritis, weight reduction is the main treatment along with medicines to decrease pain like NSAID's - paracetamol, aceclofenac etc., Life style modifications like avoiding sitting cross legged, squatting, using indian type toilets will decrease the rate of progression of osteoarthritis. Exercises like quadriceps strengthening, swimming, straight leg raising will help in improving the muscle strength around the knee and will help in decreasing pain.
Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years. You can take them after consulting an orthopaedic surgeon.

Many of my patients do get relief by yoga - pranayama and sudarshan kriya. You can start with these under the guidance of an expert.

In early stages exercises, medicines ,joint supplements & intra articular injections are helpful & may revert the changes but in late cases joint replacement is only option.
I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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Suggest Ways To Manage Severe Osteoarthritis Pain

Hello, Thanks for your query. For osteoarthritis, weight reduction is the main treatment along with medicines to decrease pain like NSAID s - paracetamol, aceclofenac etc., Life style modifications like avoiding sitting cross legged, squatting, using indian type toilets will decrease the rate of progression of osteoarthritis. Exercises like quadriceps strengthening, swimming, straight leg raising will help in improving the muscle strength around the knee and will help in decreasing pain. Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years. You can take them after consulting an orthopaedic surgeon. Many of my patients do get relief by yoga - pranayama and sudarshan kriya. You can start with these under the guidance of an expert. In early stages exercises, medicines ,joint supplements & intra articular injections are helpful & may revert the changes but in late cases joint replacement is only option. I do hope that you have found something helpful and I will be glad to answer any further query. Take care