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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain And Stiffness In The Knees?

I have had my two knees repaired with partial knee replacements, one in February, 2016 and the second in February, 2017.........I had the prescribed rehab. in both cases and all seemed well until recently, beginning in late April, around April 25. All of a sudden, both knees started to stiffen and became very painful during walking or any other activity, especially when I attempt to get out of any chair at normal height. I have no trouble sleeping, since the Trazadone was prescribed by my physician to act as a non-symptom sleeping pill . I have researched the medication and realize that it was not intended to be a sleeping aid, but it is giving me fine results for that. I am considering visiting my doctor for Sync-Visc shots, but will first try Acetaminaphen and/or Ibroprofin . Your comments and recommendations would be appreciated.
Fri, 28 Sep 2018
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General Surgeon 's  Response
Hi,

You may see an orthopedist for checkup, if MRI is necessary, it would be advised. In meantime do hot fomentation and take OTC Advil tablets thrice a day after meals and apply anti-inflammatory gel or muscle relaxant gel after fomentation.

Pain and stiffness in knee is common with osteoarthritis, a degenerative disease wherein the cartilage and ends of bones forming the joint gradually loose connective tissue and loss of trabecular pattern of bone leading to lysis of bone ends and gradual destruction of bone.

This leads to cartilage pressure on weight bearing excessively and further degeneration occurs into the joint.there may be effussion, narrowing of joint space leading to stiffness. The surrounding muscles go into protective spasm and therefore stiffness.

Some doctors prefer to add muscle relaxant tabs orally, while few advise injection hydrocortisone into the joint. Hyaluronidase is another good injection to relieve pain. In intractable cases, when joint is grossly destroyed, knee replacement is advised.

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

Regards,
Dr. Ivan R. Rommstein,
General Surgeon
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What Causes Pain And Stiffness In The Knees?

Hi, You may see an orthopedist for checkup, if MRI is necessary, it would be advised. In meantime do hot fomentation and take OTC Advil tablets thrice a day after meals and apply anti-inflammatory gel or muscle relaxant gel after fomentation. Pain and stiffness in knee is common with osteoarthritis, a degenerative disease wherein the cartilage and ends of bones forming the joint gradually loose connective tissue and loss of trabecular pattern of bone leading to lysis of bone ends and gradual destruction of bone. This leads to cartilage pressure on weight bearing excessively and further degeneration occurs into the joint.there may be effussion, narrowing of joint space leading to stiffness. The surrounding muscles go into protective spasm and therefore stiffness. Some doctors prefer to add muscle relaxant tabs orally, while few advise injection hydrocortisone into the joint. Hyaluronidase is another good injection to relieve pain. In intractable cases, when joint is grossly destroyed, knee replacement is advised. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon