A 50 years male patient came with symptoms of pain around knee joint.pain increased in activity.patient has vitD3 deficiency.patient is hypertensive and diabetic.please diagnose and suggest treatment...

(Edited)

2 Likes

LikeAnswersShare

More than 80% population have low 25 hydroxy vitamin d level, more than 3o% have diabetes. More useful history may be obesity if it has pain on downhill walking (pf arthritis), if yes then weight reduction is first priority. Investigations like uric acid , history of hyperuricemia/trauma in past. Specially in younger patients- posteroanterior x-ray of knee in 45 degree of flexion For tunnel view to rule out osteochondrititis dessicans(unlikely here as no theatre sign), osteonecrosis. First d/d here is osteoarthritic as PT age- more than 40. For Younger pt if pain increses on activity d/d also includes bursitis, tendinitis.

Thanks Dr
1

View 1 other reply

Grade 2 arthritis knee, Give OA reaction brace donjoy Quadriceps exercises Analgesic gel Vit d and calcium

Thanks sir
0

OA of knee w reducing joint space in medial compartment; Adv for PFO

Thanks sir
0

Well she has osteoarthritis. If there sis clear signs for meniscal injury get an mri done or else muscle strengthening exercises and VIT D supplements should be fine

Oa vit d deficiency septic arthritis ra gout

Patelofemoral osteophytes present. OA.

Thanks sir
0

Orthoboon sachets daily one chemoflam tablet daily two shelcal 500mg Tab Rab d capsule ARK SPRAY dolonex dt tab daily one

First of all medial joint space is reduced,there is osteophytes present .. Physiotherapy management is... 1.hot fomentation 2.TENS 3.non wt. Bearning strengthening exercises for quadriceps,hip adductor and abductors muscles..

OA knee,, Manual therapy, ITb release (manually at its isertion or dry needling), theraband loop exercises for knee; mosterwalk for proximal stability,, wil improve functions drastically in a wk.

Thanks Dr
0

OA knee with medial side jt space reduced .adv physiotherapy knee jt. Investigate properly.needs PFO.

Load more answers