Chronic knee pain

59 year-old female patient with pain in her left knee since last 8 years. Over the past few months, she notes that the pain has worsened. She denies experiencing recent injury or having any precipitating event. On physical examination, she has moderate effusion, full range of motion, and no crepitus with repetitive knee flexion. She has been refereed for knee replacement surgery, Please suggest if surgery be avoided in this case?



Treatment Treatments will vary, depending upon what exactly is causing knee pain. Medications may prescribe medications to help relieve pain and to treat underlying conditions, such as rheumatoid arthritis or gout. Therapy Strengthening the muscles around knee will make it more stable. May recommend physical therapy or different types of strengthening exercises based on the specific condition that is causing pain. If are physically active or practice a sport, may need exercises to correct movement patterns that may be affecting knees and to establish good technique during sport or activity. Exercises to improve flexibility and balance also are important. Arch supports, sometimes with wedges on one side of the heel, can help to shift pressure away from the side of the knee most affected by osteoarthritis. In certain conditions, different types of braces may be used to help protect and support the knee joint. Injections In some cases, may suggest injecting medications or other substances directly into joint. Examples include: Corticosteroids. Injections of a corticosteroid drug into knee joint may help reduce the symptoms of an arthritis flare and provide pain relief that may last a few months. These injections aren't effective in all cases. Hyaluronic acid. A thick fluid, similar to the fluid that naturally lubricates joints, hyaluronic acid can be injected into knee to improve mobility and ease pain. Although study results have been mixed about the effectiveness of this treatment, relief from one or a series of shots may last as long as six months. Platelet-rich plasma (PRP). PRP contains a concentration of many different growth factors that appear to reduce inflammation and promote healing. These types of injections tend to work better in people whose knee pain is caused by tendon tears, sprains or injury.


रोगी वात व्याधि से ग्रस्त है। चिकित्सा संबंधी योग,,,,, महानारायण महामासादि तेल को मिलाकर घुटने की मालिश करें और फिर उस पर एरंड का पत्ता रख कर उपनाह बांध दें। बृहत वात चिंतामणि रस स्वर्ण युक्त 1 रत्ती एकांग वीर रस 2 रत्ती वातकुलान्तक रस 1 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। महारास्नादि क्वाथ 25 ग्राम सुबह-शाम खाने से पहले दें। निश्चित रूप से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Leaky brinjals tomatoes. Flaxseed oil for pain, cold pressed coconut oil massage and in naval lime juice citrus fruit ginger,rest.drumstick sugar no nonveg diet no eggs no mushrooms no fried foods no processed or fermented foods no fridge water.alkaline diet


Rheumatoid arthritis or gout 4strep cap one tds Joint fresh one pouch daily For 3 to 6 months I got success so many patients

Dear Dr. Amrit Tanwar, Advice for the case. Advice for Kanu Basti. Cap. Flexy Muv S G 2 BD.

Rx Bryonia 30 tds for 15 days M.P.6x/tds for 15 days

Ledum pal 1 M monthly × 3 dose Calcaria Phos 200 weekly × 8 dose

Rx Bryonia Alba , Rhus tox , Arnica

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