I'm female, 45 years old I was setting on the ground and sweeping, when I turned around I felt like my left knee twisted and I felt pain I live in turkey and I went to the doctor they did x-ray after that my doctor prescribed the following medicines: laser mikropellet capsule 15 mg bi-profenid emulid plus-jel etotio 400 mg when I used the above medicines I could feel relieve on pain, when the medicines are finished the pain is back. I got those medications several times now it's 4 month and the pain is getting worse day by day the pain is mostly at night-time, I feel pain when setting or standing when I set down or stand up I hear noise on my left knee I think going to the same doctor again will not make any change so I need some help on this issue please consult me on this matter what should be done to get rid of it. Thank you in advance.

Dr. Julie Mercy J DavidPhysiotherapist23yrs exp

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Knee ligament laxity if you have problem in your legs then it might be due to ligament laxity where your legs would become very weak due to the old ligament injury and that should be treated immediately. Wear knee cap so that you will feel firm while walking or climbing stairs. This is a general strain and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try! one time you can do hot water fermentation that would help to reduce the muscle strain. You have to do knee strengthening exercises, ie. Knee rehabilitation exercises which will strengthen your knee. Physiotherapy management: you can take ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Ice therapy would definitely help to reduce the inflammation. We also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone.  

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