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Dr. Andrew Rynne

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Exp 50 years

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What Causes Ankylosing Spondulitis?

when my leg goes past a 45 degree angle and i move it back it makes a loud click and then it starts to grate. not very painful but getting worse. i have had a lamonectomy L4 L5 S1 and also have suspected ankylosing spondulitis. my doctor just thinks i am moaning. i have asked for a scan and gone through physio but it seems because i can still walk i am fine... no scan
Wed, 29 Apr 2020
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Orthopaedic Surgeon,  's  Response
Hello,

It looks from your details that most probably you may have chondromalacia patallae. In this there is degradation of cartilage of knee cap.In early stages this can be cured with:
- Strengthening exercises of vastus medialis obliqus.
- Wear a patella opening knee cap.
- Avoid squatting positions.
- Take a mild analgesic and supportive cartilage therapy with glucosamine, chondroitin or collagen supplements.

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

Regards,
Dr. Mukesh Tiwari, Orthopedic Surgeon
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What Causes Ankylosing Spondulitis?

Hello, It looks from your details that most probably you may have chondromalacia patallae. In this there is degradation of cartilage of knee cap.In early stages this can be cured with: - Strengthening exercises of vastus medialis obliqus. - Wear a patella opening knee cap. - Avoid squatting positions. - Take a mild analgesic and supportive cartilage therapy with glucosamine, chondroitin or collagen supplements. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon