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I am a 27 year old male weight 88 kgs height 173 cms. I feel severe knee pain, joint pain in hand, fingers and legs, sometimes it is even worse I can? t tolerate the pain at night. I used to drink beer twice in a week. Some of my friends told me it is gout. Please suggest.
It's been nine days now since I started having terrible insomnia. I feel my life has been ripped out from under me and I don't know where to turn. It started with one bad nights sleep nearly two weeks ago and now I'm not sleeping for one second during the night. The doctor has prescribed me citalopram for the horrible anxiety I'm experiencing all night. I also have sleeping tablets and Diazepam in the cupboard but I really don't want to take them. My big fear is ill never sleep again. Every one keeps telling me that I'll eventually fall asleep but after another night of absolutely no sleep I've convinced myself that something has happened to me and I WILL never sleep again. I've never used a forum before but I guess I'm kindling kind of reaching out to anyone who has had a similar problem or thought pattern. I have very thing going for me in life with great kids and a good job but it all seems over now as I'm convinced my total lack of sleep will ruin everything. Is it possible to never sleep again? Someone please help!
I am a 40 yrs old female and have knee pain for last 3 months and kidney stone problem. My weight is 64 kg. My height 5. 3. What should I do?
I am 43 years old and have problem of epilepsy since long take valparin chrono 300 MG twice a day but since long I have problem of insomnia and take many medicine so suggest me medicine at present I take clonazepam 2 mg at night.
I am 50 yrs female having knee pain since 2 yrs and orthroscopy done last yr. Due to severe pain took inj synvisc one today what tobe done next.
Hi, Dr. I am having pain in my knee area. While walking or keeping legs in same position. After 10 or 20 min. It start paining. Please help. I am also having problem in digestion, having acidity always, especially after lunch. I have to take medicine on daily basis.
My mother have a problem in right leg. She is 51 years old. Her right leg is swelling from the bottom up to knee. There is no pain but while standing for some time and during walk there is some pain. What could be the problem.
Sir I hav done X-RAY n the report was reduction of MEDIAL TIBIA FIMOUR JOINT SPACE. What should I do? I am suffering from knee pain since 2 months? M totally tensed.
I have a meniscus tear in the left knee I am 19 year old what should I do I feel pain in my knee only when I sit down rather than I can run jog do exercises only except it pains only while sitting down what should I do.
I am 20 yrs old and I have knee injury. And have knee pain even during walking after treatment. What should I do ?
My age is 18 and my knee is paining and it is making a sound of" tuk tuk" tell some medicine or spray to finish that sound of tuk tuk and pain.
KNEE PAIN- HOW TO TAKE CARE
Wear and tear of body is inevitable. And joints are
the worst affected as we age, out of which the knees rule.
A popping sound with pain in the knee, swelling and inability to
put weight on the leg indicate a knee sprain or a tear. Fractures,
dislocations, cartilage injuries,arthritic changes or bursitis are
painful enough. But how to avoid knee injuries and pain? Knee pain
can improve with some good body mechanics like change in movement,
ergonomics, exercise and care.
1. Never ignore pain. Pain is one of the first warning signs that
something is amiss. After a few days of home treatment if the knee
pain worsens or does not improve it is time to call the doctor!
2. Get rest. Rest is a must if you are a very physically active
person. And all the more so if you are above 30.
3. Weight control is mandatory if your knees hurt. Being overweight
increases your chances of knee pain especially the arthritic one as
the excess load causes the degeneration of the cartilage. You can
try walking or a stationary bike for exercise without traumatising
4. Too much of physical activity including strenuous exercises can
cost you your knees. Straining the body on the pretext of
weight loss, a sudden increase in the duration of the activity or a
rapid increase in the intensity are unwise. Always warm up with
stretches and cool down adequately.
5. If you have duck feet (walking with feet turned out) you are
more susceptible to knee pain.
6. Be careful while lifting weights as they are only bad for your
back but also for your knees. Bend carefully putting the knees back
and heels down. Put the weight on your muscles and off your knees.
7. Discard hard shoes but use soft breathing flexible shoes
recommended for the desired activity.
8. Know that some cholesterol lowering drugs, antacids and the like
may cause knee pain.
Knee injuries need not remain forever. Time and rest can heal most
of them and not often do they call for surgeries.
Wishing you good health,
I am Dr Rakesh Nair. I am an exclusive knee replacement surgeon. Today I am basically going to talk about how to prevent damage to the knees by doing the right type of exercises. So, the topic today is going to be Osteoarthritis and Osteoporosis. How are they interconnected? How are both important in terms of treatment?
Let us start initially with Osteoarthritis. What do I mean by Osteoarthritis?
Osteoarthritis means a worn out joint. The same knee which has souls start wearing out as you get older. Therefore, it is called a Primary. So, whether you have a problem at some age or not, this pain is going to happen to you, whether it happens at 25, 35, 40, 45 years. It might also happen at the age of 75 years. Most of my patients are going for surgery between the age group of 75-85 years. So here I am going to show you the right forms of exercises where your knee can last for the lifetime. So, we are looking at an average of 8 spans of 80-85.
So, will your knee last long?
The chances are very less because the present data says that the 80% of the general population has artificial knees because we are out living our knees. We are living much more than our knees can last.
What is Osteoarthritis? means what exactly happens to the joint?
The knees are made up of bones which are a thigh bone which is on the upper side and it is covered with the fine layer of the cartilage which is hardly 1 cm. The same thing is with the bone which is the Shin bone which is the lower part, again which is covered with the cartilage. Between these layers, we have a lubricant fluid connecting both the legs on the side we have strong ligaments which hold the joint together.
What exactly happen in Osteoarthritis?
In Osteoarthritis, the same cartilage which you see starts wearing out. There are small pieces which start wearing out. The joint which straight started getting bent which either like a bow like a deformity or a knock knee deformity depending on how strong or how weak your muscles are. When a straight knee finally become bent then we have to look for some surgical options.
What are the symptoms of pain in the knee?
The first and the foremost symptoms are when a patient feels pain while climbing and getting down from stairs. So this is the first sign of Arthritis when you get to know that your knee is wearing out. Then they complain of pain, swelling. In the advanced stages, we will see the patients with bent knees, either bent inwards or outwards.
Today, I am going to tell you that can we prevent this damage?
For this, I am going to stress on exercise protocols for strengthening. Now, you need to understand that there is a difference between cardiac training and muscle strengthening. Most patients believe in walking as an exercise. But I would say that walking is the main form of exercise if not balanced properly with strengthening is going to cause wear and tear on the knees.
First, you need to strengthen the muscles which are there in the front and the back of the knees. So we are talking about strengthening the cardio steps and about strengthening the hamstrings. I would be giving you the practical demonstration of how we can do the same.
These are the normal exercises which I ask 70 years old individuals to do.
- Initially, the patient is lying down and push the knees downwards. Neeche dabaav daalo or thoda dheela karo. Push down and relax and do it till the count of 50. So, this is the basic first exercise you should do when you start any other exercise.
- The second exercise is leg race. This should also be from 5-50 counts. When you can comfortably do 50 counts at a time then we start the same in sitting posture.
- Lie down with the face down and start bending the alternate knees upwards and then release. This is what you would do for a hamstring strength
So these are the exercises which you can do from the age of 20 years to 80 years. Depending on the muscle strength, you can gradually increase the intensity of an exercise and take it to the next level.
If you are able to strengthen your knees simultaneously as you increase your cardio activity, that would be the best form without any damage to your knees. Another thing is that if you can balance your cardio in terms of saying that if you could do cycling, swimming, walking or running and balance all 25% of your work out when you are working out in the gym. So when you are going to the gym, the first thing should be doing is not going to the tread mill, you should start with the cycling as it is non-weight bearing exercise. Do it for 10 minutes, gradually as you warmed up you can do cross stepper and lastly, you can go to the tread mill. That is the commonest mistake when we talk about cardio. Tread mill should not be the primary exercise when you go to the gym.
Maximum work can get by the trainers in the gym because most of the times you end up doing squats and crunches. Basically, your lower body is not that strong to take the whole grant of the weight. So, I would suggest that if you are 35, 40, 45 years and if you are little heavy in the upper body then please do not start with free hand squats.
First, do the machines. On machines, you can do leg extensions, hamstrings and press rings. And when you start feeling that your lower body is capable of taking weight then start doing squats and lunges. And if you are going to avoid it, it will not make much difference, you can increase your muscle strength in terms of your leg extension and hamstrings.
Running can cause irreversible damage to the knees after the age of 40-45. The 25-year-old individual can run because at the young age, the cartilage has the tendency for the recovery. But after the age of 35 years, there is degeneration. If you want your knees to stay healthy between the age of 35-80, then you need to take care good care of it.
Let me give you some tips on running.
It is important that you wear good running shoes while running and walk on a good walking track. Avoid walking on the roads. Please try to walk on the grass or a mud track. Because walking on the road may cause nerve stress.
Before you start indulging into exercise, I would suggest you to have blood tests of Calcium, Vit- D3 and Vit- B12. You will be surprised, when you are deficient in either of these and you are going to take the exercise to the next level, then you will face some damage. Only if the reports of these blood tests are normal then only take your exercise to the next level. Otherwise, there will always the chance of injury.
I always ask females to do basic bone density along with the blood tests which I told you previously. Maximum damage to the female body is done during menopause. But if your basic density of Vit- D3, Vit- B12 and calcium is normal then you will suffer from least damage even after the menopause.
All the above mention tips will definitely help you.
For further information, you can contact me through Lybrate.