Concluded Case

what's best treatment for this kind of case?

46 year old male patient suffering from severe osteoarthritis... Blood sugar 95 Uric acid 8.90 Esr 51 Calcium 5.8 Chief Complaints Pain and swelling in both joint, crepitus, difficulty in walking, flexibility of joint is poor History Obesity, injury 10 year ago falling from bike and sudden thrust to knee joint Investigations Esr 51 Uric acid 8.90 Calcium 5.8 Diagnosis Osteoarthritis in both knee joint Management Physiotherapy and medication by orthopedic doctor.

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Reduce the weight. Febuxostate 40 mg 1 tab OD.x 3 months. Calcium.+ Vit D- supplement. Tricholchicocide 4 mg.+ Aceclofen 10p mg + Paracetamol 250 mg....BD.x15 days .. Than start Physio therapy exercise.

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Reduce the weight. Febuxostate 40 mg 1 tab OD.x 3 months. Calcium.+ Vit D- supplement. Tricholchicocide 4 mg.+ Aceclofen 10p mg + Paracetamol 250 mg....BD.x15 days .. Than start Physio therapy exercise.

Esr high Uric acid high Calcium low Likely to be inflammatory arthritis with early secondary OA Need evaluation Crp RA factor Phosphorus Alkaline phosphatase levels Hyperuricemia need to be controlled

First Reduce wt. stop physio till pain relive.tab. Febustat40mg, odx30 Naproxen 500,odxsos Actis C2,tab.odx30-or, supplimentry--ca,p, glucosamine,D,mg,zinc,halurnicacd,etc to counteract deficiency. muscle relaxant & hypnotic drug like flupritine will give dramatic result,

In acute osteoarthritis with active inflammation, physiotherapy will more harm than benifit Start with NSAIDS and control inflammation, once subsided pt may taken for physiotherapy.. But in x ray booth knee having loose bodies.. may required orthoscopic and removal of same.. Get orthopedic opinion

Tab. Febutaz 80mg OD for 1 Week, then 40mg OD and repeat after a month SUA levels, For OA Cap Rejulox 50mg BD, Tab. Etorica 60mg OD for 5 days or so &stop Tab. Duloxee 30mg OD Once pain relief and inflammation settles, u can start Diathermy, UST and so on

? ARTHROPATHY.. ? OA .. NEED'S.. ANALGESICS ANTIINFLAMMATORY AS PER REQUIREMENT.. ORALLY AND TOPICALLY..

Arthritis..

Tab actis c2 , bdpc for 3 months ... Tab rutoheal d bdpc for 10 days .. tab pantakind 40 ... Odac for 10 days ... Tab febutaz 40 , odpc for 3 months ...

Febutaz 80 , odpc for 2 months . Tab calcimax k2 , odpc for 3 months ... Tab orcerin GM ... Odpc for 2 months .... Cap gen d3 60 k , one cap twice in a week for 6 weeks .

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