Doctor, I have a sharp poking pain in my right knee. My xray report states reduction in joint space osteophytes seen. I also have continuous pain in the neck and my head too hurts sometimes. I have consulted and an orthopedic and he has stated that I should take vissco supplementation. Please help.

Dr. Prabjeet SinghPhysiotherapist7yrs exp

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Dear patient as you've mentioned that you've got reduction in the joint space and also there are osteophytes seen, this states why you're suffering from pain and discomfort. First of all you have to convince yourself that the treatment is lengthy and mostly active. I would suggest you to do some active self stretching followed by active rom exercises for each joint individually. Though you haven't mentioned anything about the type of work that you do because lifestyle plays a major role in deciding the prognosis of the disease. For quick pain relief you can always trust hot fomentation at home or you can visit nearest physiotherapy clinic. Try sitting in leg suspended position more and more. Though this will induce swelling in the knee but it'll subside once you do limb elevation and ice massage. Wearing the knee caps will also be a great help. Any problems you can always consult me on mail or this website. Hope this helps. 

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