Concluded Case

Very good answer doctor thanks for the help

Age: 37 Case of symptom: Sound in the ankel joint from past 1 month in both legs left and right Treatment: Shelcal BD from 1 month no improvement Tab: Acelco SP BD

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Concluded answer

Cracking sounds in joints are suggestive of deprived interarticular lubrication Here the age of pt is young man You should get his xrays of ankles and should evaluate further Like cbc esr sr uric acid Aso titre crp RA factor anticcp Sr vit d and calcium Than only decide the line of treatment NSAIDs Vitmin and calcium supplements Physiotherapy

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Cracking sounds in joints are suggestive of deprived interarticular lubrication Here the age of pt is young man You should get his xrays of ankles and should evaluate further Like cbc esr sr uric acid Aso titre crp RA factor anticcp Sr vit d and calcium Than only decide the line of treatment NSAIDs Vitmin and calcium supplements Physiotherapy

Thanx Nihar Ranjan Mohanty
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Cause may be due to * poor fitting shoes wearing * over weight * ligament laxity * synovial/cartilaginous abnormalities

But what are the symptoms, you present a case with bandaged ankle. Pathetic,how can one advise.

Ask for CBC ESR Blood SUGAR URIC ACID, RA FACTOR, CRP X-RAY Ankle AP and Lateral view

Thank you doctor
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One possibility is osteochondritis dessicans with loose body Xray evaluation

Thank you doctor
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