Hi Dr. My father suffiring from knee pain and swelling his age is 56yr. He has not any problem in walking. He has done x-ray and all report but all are normal and consult with Dr. He says every thing fine suggest some excercise. Bus before two month consult with another Dr. He says his knees not working properly and he has to go for sugery. While his x-ray reprot is normal and no problem in walking. Please give me adwise.

Dr. Deepa VermaPhysiotherapist13yrs exp

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Hello if there is not much problem in walking and as you say x-ray report are normal, I suggest you to start physiotherapy treatment. Meanwhile. Suggestions for the application of ice and heat ice is an effective and natural pain killer and anti-inflammatory. Whenever you experience swelling, redness or sharp / stabbing pain it is generally considered best to apply ice. Repeat until symptoms ease? usually for 24? 48 hours. Following this you should alternate with ice and heat. If in doubt, contact your physiotherapist. Application place ice cubes in a plastic bag or use a professionally prepared ice pack. Place a damp face washer or tea towel over the problem area then place the ice pack on the material covering. The first application should be as follows:- 10 minutes on 10 minutes off 10 minutes on 10 minutes off 10 minutes on then during waking hours, apply the ice pack every 2 hours, or as indicated by your physiotherapist. As the inflammation reduces, it is often beneficial to apply heat between ice. 10 minutes on ice 10 minutes on heat 10 minutes on ice 10 minutes on heat 10 minutes on ice 10 minutes on heat heat is an effective therapy for reducing muscular tension and pain and is best used after the initial inflammation has subsided. N. B. If you do not have ice immediately available, then use a pack of frozen peas or similar item. Do reply for private consultation and detailed treatment plan. Best wishes. 

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