Please find some of the questions asked regarding the problems affecting the bones and joints [Ortho Problems]
I will share few questions in each blog and i will be pleased to answer any if you have queries.
Disclaimer: This sharing is only to educate the public and not taken as an advice to your or someone else's present problem
Question # 6
Sir
My father is
71 yrs old and met with an accident a year ago. His left knee was injured and
after medication, the wound subsided. Since then he suffers from severe
swelling in the knee till the ankle within very few metres of walking. Swelling
gets reduced if he takes rest or uses creep bandage. Is there any solution for
this without going for surgical procedures, considering his age?
He has mild
Filariasis due to heredity and consumes Eofil Forte 5 times a month.
Regards
Answer:
Your
father needs to see an Ortho Surgeon who will be able to differntiate the pain
due to arthritis from other causes. The swelling may be due to blockage of
veins called deep vein thrombosis or as a result of it. He may need a
compression stocking if it is due to the thrombosis.
Question # 7
Dear Sir,
Around first
week of Jan 2012 I had undergone Arthroscopically treatment on replacement of
the completely teared ligament in my left knee and which was corrected by
replacing a tissue from the knee with 2 biodegradable screws drilled and fixed
to the upper and lower part of the left knee.
Even almost a
year of completion I am presently unable to restore my original
activities like a normal human of 32 years of age having pains around the
surgical area if I stand or sit or walk or climb contionously for a period of
more than 2 hours of time. Please clarify me when I will become a completely
normal human of those at this age.
Thanks and
Regards,
Answer:
Cruciate
Ligament reconstruction surgery of the knee will result in a stable knee and
should not leave you with pain. If pain is the problem, the possibilities are
meniscal tear or early arthritis or chondral damage. It would be best you go
back to the surgeon who operated on you and discuss the reasons for the pain
and the treatment of the same.
Question # 8
Dear Sir,
First of all
thank to you for such a noble initiative, and greetings to Chockalingam Sir. I
have following problem. I am 31 years old. I had some pain in my lower back
since the age of 17 years but it was so mild that I seldom paid attention to
it. 3 years back during some stretching exercise I got stiff neck and shoulder
which got worsened by neck exercise. Later when I visited doctor they diagnosed
me with Spinabifida Oculta and sacrolisatic L1. (uneven growth at lower
joint and improper formation of backbone) My pain alleviated with the help of
some medicine and warm water application.
Also, Doctor
told me that it is not very uncommon deformity and gave an injection in my sole
for the pain. Also he told that if pain increases he will do surgery for the
same. Now, at present my lower back pain is negligible but I still I have
some stiffness in my neck and sometimes there is tingling sensation in my left
hand. Please suggest.
Answer:
I
am unable to understand the problem you have. Spina Bifida Occulta will not
result in pain. Sacralisation of L5 and not L1 is probably what you mean.
Sacralisation will not result in pain if the adjacent discs and facet joints
are normal. Injection in my sole for the pain, you have mentioned, sole means
the foot, but you have not mentioned any symptoms in your sole or a diagnosis
to go with it.
Question # 9
Sir.
My mother was
suffering from chronic arthritis. Her legs were not upright they were tilted.
As per advice of GSVM medical college Kanpur doctor, we went for her surgery
and a pin was inserted in her legs, in 2002.After that her pain still
continued. Doctors continued to say that everything will become normal. Seeing
her worsening condition and pain we went for her total knee replacement in 2009
after having 1.5 years of research and suggestions of doctors. But her woes
still continues. Let me put in points
1.
She is having stiffness and pain in
portion below the knee and above knee in both the legs.
2.
The doctors have advice not to use any
ointments or creams in the stiching scars of both her legs.
3.
Scars are creating itching and she is
helpless
4.
We have one physiotherapist regularly
coming for exercises.
5.
Eating so many pain killer medicines,
some pain killers advised by doctor created reaction ,
now she is not taking any medicine
unless, pain makes her restless.
Suggestions
required for.
1.
Can she use any pain relief ointment,
for below knees pain?
2.
Which ointment she can use for getting
relief from itching feeling from scars.
3.
Which exercises you suggest for her
side pains
4.
Can she use any pain killers any safe
medicine you can advise?
5.
The knee, sometimes swells if she
walks to much any advice for this.
I have tried to
put some points which comes to me during my discussions with my mother ,
request you to please suggest what else shall I ask her. (Which may be
important for medical requirement?)
She is now 67
years of age.
Regards,
Answer:
Total knee replacement
surgery will result in painless joint which would enable your mother to be able
to walk distances without pain. If she is experiencing pain in the knee then
you need to consult the surgeon who operated on her to ensure that everything
is fine with her new joint. Itching of the skin is not uncommon in the first
year but rarely after three years. She should not be on any painkillers nor
should she need a physiotherapist after this long. Swelling is not uncommon.
Kindly have her leg and knee checked by the surgeon.
Kindly read
through my blog to know what to expect.
Question # 10
Dear
Dr. M.K
This is a very
good initiative which has been introduced in Ashok Leyland. Dear Dr S.
Chockalingam,
I am 38 years
female with intermittent low back pain and left knee pain since 1 year. All my
reports, viz., CRP, Uric Acid, ASO titer, RAF, CBC, TSH, are within normal
limits. I had shown orthopedic doctor here and for knee he said I had
chondromalasia patella. I took calcium, calcibest sachet, Vit D injection which
gave relief to my back pain. I got relief from knee pain after taking
Diacerin-GM. I have been told I can take Diacerin intermittently and that I may
be suffering from nonspecific arthritis.
I have noticed
that my knee pain is aggravated on prolonged sitting for more than 2 hours. If
I am standing I am pain free, but I cannot sit in one place for long time. At
present I am taking Diacerin intermittently with calcium tablets.
I have this
weird phenomena which has been going on since 6-7 months where in once in every
1-1 Ω months I will have low grade fever 99 F associated with severe low back
ache with left or right knee pain which is unbearable as well as upset stomach
semisolid stool. It will last for 2 days and then it goes away on its own.
After which I am absolutely fine. No pains, no weakness, malaise or fever or lose
stool etc.
At present I am
pain free and waiting for my next bout of above mentioned phenomena. Kindly
guide what I should do or whom I should show or any other tests if you
recommend. I have already seen a Internal medicine physician, two orthopedics.
Thanks &
Regards,
Ans: An opinion from a Rheumatologist may complete your assessment.
Back pain is very common in general population and you may be one of the
patients who have mechanical back pain and knee pain secondary to Chondromalacia
patella or early patellofemoral arthritis. At your age, you should have routine
exercises to your back and knee to strengthen your muscles. Please refer to the
following sites.
