This question is for my mother. She is 58 years old diabetic. She have knee pain problem since last 10 yrs. We have tried allopathic, homeopathic and herbal medicine treatment also but so far no use. In time of summer she can walk but not more but in summer time she is not even to walk properly because of severe knee pain. Because of pain she can not move her knees. Is there any proper and permanent solution for it.

Dr. Poonam Patel VasaniPain Management Specialist11yrs exp

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Knee pain in elderly is commonly due to osteoarthritis which means degeneration of joint cartilage causing friction between joint surfaces, leading to pain and stiffness. Lifestyle modifications and physical therapy are important treatment aspects to maintain functionality. 1. Knee stretching and strengthening exercises to improve knee strength. 2. Avoid jogging or physical activity that increases knee pain. But absolute rest is not advised. Engage in activity like swimming or walking , but perform activity which is painless 3. Application of analgesic cream over knee and warm fomentation before exercises. Apply cold pack after exercises 4. Weight loss if obese. 5. Simple analgesics like paracetamol when pain is present. 6. When pain or disability is significant, intra articular viscoelastic injection or PRP injection is helpful. PRP therapy is safe and effective therapy for knee OA. It involves blood component derived from patients own blood to be injected in knee joint. This causes regeneration of damaged cartilage. 7. In advanced cases Knee replacement is the only option.  

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