? KNEE ARTHROPATHY.. ? OA .. NEED'S.. ANALGESICS ANTIINFLAMMATORY DRUGS.. AS PER REQUIREMENT.. ORALLY AND TOPICALLY.. MULTIVITAMINS.. CALCIUM SUPPLEMENTS..
Analgesic orally to reduce pain. NSAID orally to reduce inflammation. Multivitamin and antioxidant orally. Avoid oily spicy and fast food. Physiotherapy. Inj corticosteroid locally can reduce pain and inflammation increasing movement of the joint. Surgical intervention required as a last option to restore.
Please post xray images. As per report OA Rule out inflammatory arthritis CBC esr RA factor Uric acid Crp Analgesics Chymoral Calcium vitD Diacerein will help Physiotherapy Quadriceps strengthening Avoid squatting
Wt reduction Ca & Vit D 3 supplement Glucosamine orally Nsaid orally Volini gel locally Physiotherapy Consult Orthopaedic surgeon
radiology report shows degenerative changes in knee joint. OA of knee joint with hyperlipids levels. in examination knee any warmth,effusion,decreased range of movement.. crepitus,popping sounds,elevated esr would help to understand knee joint. start on calcium supplements with vit D in view of osteopenia. hypolipid agent with NSAID.topical gels. exercises and lifestyle modifications. glycosamine and chondritin sulfate or diacerin results arent encouraging. Now this conservative management would be temporary. TO get complete relief make ortho reference do arthroscopy which would help her to arrest further degenerative changes happeneing..
SUGGESTIVE. OF OSTEO-ARTHRITIC CJANGES NICELY DISCUSSED. IN DETAILS... .. ALSO ADVISE.... T FT s...
Osteoarthritis Rejoint bd Physiotherapy
OA. Analgesics antiinflamatory. Orally and locally.
Post the x-ray pics
Cases that would interest you
- Login to View the image
What is Janu Vasti (Jaanu Basti)? The term has 2 terms – Janu – means Knee joint Basti – means to hold (compartment which holds) Thus Janu Vasti means a treatment in which medicated oils are poured and pooled for a fixed duration of time in a compartment or a cabin constructed around the knee joint / joints using wet flour of black gram. In simple words, Janu Vasti is pain relieving oil-pooling treatment conducted for knee pain caused due to many causes Vasti or Basti is a term used to describe the urinary bladder in Ayurveda. Urinary bladder is a bag which holds urine for a certain amount of period till it is voided. Similarly in Janu Vasti a compartment (cabin or compound like structure) is constructed around the knee joint (front or back, depending on where the site of degeneration or inflammation or injury is present) by using flour of black gram and the pain relieving medicated (herbal) oils are pooled and left in place (retained) in this compartment for a fixed duration of time. Therefore the procedure is called Janu Vasti. In which conditions is Janu Vasti beneficial? Jaanu Vasti is highly beneficial in the below said conditions – Most common causes (reasons) for knee pain – Osteoarthritis of knee joint – It is the most common form of arthritis in the knee joint. It is a degenerative wear and tear type of arthritis. It occurs most often in people 50 years of age and older. It may occur in younger people also. In this disease, the cartilage in the knee joint gradually wears away. This leads to pain, stiffness, swelling and disturbance of movements along with click sounds when the joint is mobilised. Iliotibial band syndrome – The ilio-tibial band is a band of rough tissue that runs from your hip down to the outer part of your knee. If it is irritated by overuse or other problems, it becomes inflamed and cause pain on the outer side of the knee. Osgood-Schlatter Disease – This disease causes a painful bump below the knee, where a tendon from the knee-cap connects to the shin. It is usually caused by overuse and irritation at the tendon insertion known as the tibial tubercle. The pain may come and go over time. It is common in teenage boys and girls (ages 13 and 14) Patello-femoral pain syndrome (Chondromalacia patellae) – This often results from issues associated with muscle imbalance, tightness and alignment of the legs, rather than an injury. Pain is present between the patella and the underlying thighbone (femur). It is common in athletes, young adults especially those who have a slight misalignment of kneecap. In older adults develop this condition due to arthritis of kneecap. Loose bodies in the knee joint – Sometimes a knee injury can break loose cartilage. These pieces can get stuck in the joint, causing it to freeze and producing pain and swelling. Runner’s knee – It refers to a number of overuse injuries involving pain around the kneecap (patella), such as Patello-femoral pain syndrome. Knee injuries: ACL (Anterior cruciate ligament) injury – An ACL injury is the tearing of the anterior cruciate ligament – one of the 4 ligaments that connect your shinbone to your thigh bone. An ACL injury is common in people playing basketball, soccer or other sports that require sudden changes in directioDr. Tapan Kumar Sau8 Likes22 Answers
- Login to View the image
A 32 year old young active adult suffered from mild dull ache in knee joint.He had mild pain on day 1 while cleaning his cupboard and he continued cleaning on day 2 and the mild pain was bit increased on day 2.On both days he stood on chair and then bent on knees while cleaning his cupboard and he gave history of prolonged standing on both days.Also since past 15 days he has been climbing stairs frequently as his house on first and second floor is under construction.He applied volini and knee cap for 3 days.The pain has subsided in both knees and left knee is fine.The right knee however gives a click sound whenever he tries to stand once out of bed but no pain.There is no pain,tenderness,colour changes,bruise,dislocation and he can walk and climb stairs comfortably but just when he squats or tries to stand upright,his right knee clicks.Is there something to worry if his right knee clicks without pain?What is the cause?How can he be treated?What advice should be given for his treatment?Dr. Rachit Bhushan3 Likes4 Answers
- Login to View the image
67/Female with Severe pain in Knee Joint Treated with Analgesics but not Resolved Kindly Give ur suggestionsDr. Delvin Blesso3 Likes48 Answers
- Login to View the image
25/f/chronic knee pain....clicks.no effusion or instability...Work up? management?Dr. Mb Nitheesh6 Likes28 Answers
- Login to View the image
Health Benefits of Alfalfa Grass ............................................................... Alfalfa grass is a flowering plant that is very common and the alfalfa grass health benefits are plentiful. The following will uncover 5 surprising health benefits of alfalfa grass… It is a perennial plant, which means that it grows and blooms over the spring and summer. During the fall and winter, the plants die back. In the spring, they return from the rootstock. The basic benefit of alfalfa is that it is very nutritious when it is consumed. This plant is high in chlorophyll, micronutrients, and vitamins A, B1, B6, C, E, and K. It also contains calcium, iron, zinc, and potassium. Finally, it contains more protein than most plants. What Are the Health Benefits of Alfalfa Grass? Other than the nutritional value, alfalfa has several health benefits. These include: Anti-Inflammatory Properties: An alfalfa study was published in the July 2009 issue of Journal of Biomedical Science. The study was performed on animals that were injected with compounds that contained inflammation. The animals that were not fed alfalfa sprouts had increased inflammation compared to those who were fed alfalfa sprouts. Bolsters Immune System: A study was performed and published in the March 2009 issue of “Lupus”. During this study, animals were injected with alfalfa sprout ethyl acetate extract. The scientists doing this study wanted to see if alfalfa sprouts could be beneficial for people who suffer from autoimmune diseases, such as lupus. The animals that were given alfalfa had lower T-cell counts at the end of the study. Antioxidant Effects and Radiation Protection: A study was conducted in Turkey, and the results were published in the February 2008 issue of Photocheistry and Photobiology. According to the study, alfalfa can protect the cells from damage from x-rays, due to its antioxidant properties. The animals that were given alfalfa before having an x-ray had less free radicals and cell damage than those who were not given alfalfa. Lower Cholesterol: High cholesterol can lead to stroke and heart disease. A study was performed and published in the May 1087 issue of Atherosclerosis. According to the study, patients with high cholesterol were given alfalfa for 8 weeks. At the end of the study, their LDL, also known as bad cholesterol, dropped by 30 percent. After the study, the patients stopped eating alfalfa, and their cholesterol returned to the previous levels before the study was conducted. The study indicated that regular consumption of alfalfa could successfully reduce cholesterol. Improves Certain Medical Conditions: Alfalfa has been used to treat a variety of medical conditions, including kidney, bladder, and prostate conditions. It can also increase urine flow. Patients with osteoarthritis, rheumatoid arthritis, upset stomach, and asthma can benefit from alfalfa. Side Effects of Alfalfa Grass Alfalfa is relatively safe for adults. However, if you take large amounts of alfalfa for a long period of time, the seeds can cause a reaction that is similar to lupus. Also, alfalfa can make the skin more sensitive to the sun. It is important for light skinned people to wear sunblock when going outdoors. Patients who are pregnant should avoid alfalfa. There is evidence that alfalfa can act like estrogen, which can have a negative effect on the pregnancy. Its estrogen effect can also be harmful for patients who suffer from breast cancer, uterine cancer, and ovarian cancer. If you have diabetes, you should check your blood sugar levels often, as alfalfa can lower your blood sugar. You may think that you are eating right, and your blood sugar levels are fine, but the alfalfa can have an effect on it. Patients who have had a kidney transplant should avoid consuming anything with alfalfa. There has been one reported case of a patient who had a transplant and rejected it due to their consumption of alfalfa. Because alfalfa boosts the immune system, it can make the anti-drugs that are given after the surgery, less effective. How to Take Alfalfa Grass The most common way to ingest alfalfa is to add alfalfa sprouts to a salad. You can also purchase alfalfa supplements and take them with your daily multivitamin. Alfalfa Grass in Green Powder Drinks If salad is not your favorite thing to eat, and you would rather not take a daily supplement, you can purchase green powder drinks that contain the right amount of alfalfa that is healthy for your diet. Green powder drinks such as Total Living Drink Greens contain numerous ingredients, including alfalfa grass, which are rich in vitamins and nutrients. Just having a drink or two a day can greatly improve your health. Alfalfa grass grows all over the world, and is very plentiful. For years, many people did not know the many health benefits of alfalfa grass. As studies were conducted on this grass, more and more people began putting alfalfa sprouts in their salad, and even eating them on their own. As the health food industry began seeing the importance of this grass, many companies began using alfalfa in their green drink powders.Dr. Sanjay Kumar Mallick6 Likes23 Answers