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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Knee Pain Inspite Of Taking Dolan And Arcalion For Arthritis?

Years ago in 1997, Svere joint pain (left wrist and right ankle) attacked me with inflamation. Some doctors considered it non specific arthriits while others said it TB Arthritis. In the year 2001, it was operated and diagnosed with TB Arthritis. However, till that time some joints of the wrist were wasted. TB medications were started and continued for 14 months (till December 2002) without vita 6. During the usage of medicine, breathing doscomfort, sore tongue and burning face was started. In July 2007, sever burning feet and legs attacked for which numerous medicines were used (Dolan, Epival CR 500, Arcalion, ronirol etc.). NCS and all other blood tests are normal. Medications for heavy metal neuropathy effected adversely. Doctors advised for walk but during walk, all is well but after walk there is a severe increasing pain. Pain decreases on small movement of legs but without motion it is a severe pain. Have some relief by using Alpha Lipoic Acid, but the relief is not constant rather it is varying. mY EMAIL id IS YYYY@YYYY
Tue, 5 May 2020
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Pediatrician 's  Response
Hi,

The diagnosis was confirmed as TB arthritis(I guess it was diagnosed after examining the joint fluid) and you have completed treatment of the same.

In TB of joints, its common for joint surfaces to have some irreversible damage even after completing treatment, leaving some residual pain needing regular physiotherapy and occasional analgesic support.

Anyhow, since the pain is more during rest and decrease with movement, we have to rule out any rheumatological cause(like rheumatoid arthritis) also.

So kindly take opinion of a rheumatologist also. Meanwhile do regular muscle strengthening exercise and physiotherapy.

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

Take care

Regards,
Dr. Muhammed Aslam TK
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What Causes Severe Knee Pain Inspite Of Taking Dolan And Arcalion For Arthritis?

Hi, The diagnosis was confirmed as TB arthritis(I guess it was diagnosed after examining the joint fluid) and you have completed treatment of the same. In TB of joints, its common for joint surfaces to have some irreversible damage even after completing treatment, leaving some residual pain needing regular physiotherapy and occasional analgesic support. Anyhow, since the pain is more during rest and decrease with movement, we have to rule out any rheumatological cause(like rheumatoid arthritis) also. So kindly take opinion of a rheumatologist also. Meanwhile do regular muscle strengthening exercise and physiotherapy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Muhammed Aslam TK