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Treatment For Knee Cartilage Damage

I am 30 years old. I had problem in my left leg from past 10 years and have consulted different orthopaedic surgeons but was not diagnosed properly. This year I have done my knee mri. Mri shows lateral subluxation of patella and grade ii chondromalacia and faint short grade ii tear is seen in posterior horn of medial meniscus in my left knee. Also there is rubbing voice of bones coming from my left knee. Also my xray reveals early osteoarthritis changes are seen on both sides in form of minimal tibial spiking with mild reduction of joint spaces along medial compartment. My question to you is (1) what is the treatment for my patella subluxation and grade ii tear (2) what is the the treatment for my osteoarthritis (3) can I reverse my arthritis thing (4) how did this patella subluxation happen to me.

Dr. Julie Mercy J David 92% (31347 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am 30 years old. I had problem in my left leg from past 10 years and have consulted different orthopaedic surgeons ...
If you have leg pain then you have to rule out the causes for having leg pain. First of all check your weight and your haemoglobin levels, as anaemia always leads to the symptoms of being tired and also having leg pain though there are no issues with the knee joint or back pain. If not if the pain radiates down the back of thigh and legs then it might be due to sciatica. Kindly consult the nearby physiotherapist. Hope you recover soon from the leg pain. 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. Stiffness have developed due to weakness of the ligaments & inflammed cartilage. Specific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knee.
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My right knee is inflammation and pain. I did my blood test then wbc is 15800 esr is 25, neutrophil is 84 and lymphocyte is 11. Doctor has advice me to take linox 600 twice a day along with febuset, ultramed and retoz. Also s uric acid is 3.37 and r.a factor 0.89 sir please tell me what is problem with me.

Dr. Akash J Parmar 87% (26 ratings)
MS- Orthopaedics, Mch- Ortho, Fellowship in Joint Replacement
Orthopedist, Vadodara
My right knee is inflammation and pain. I did my blood test then wbc is 15800
esr is 25, neutrophil is 84 and lymphoc...
Your reports for s.u seems normal, ra factor is also normal, your need furthermore reports like, crp urin reports and x ray.
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Hi dear doctors my mother suffering from knees pain due to arthritis and both knees are wear out so I want to know the best treatment will you help me.

Dr. Bhavesh Jani 89% (193 ratings)
BPTh/BPT
Physiotherapist, Vadodara
Hi dear doctors my mother suffering from knees pain due to arthritis and both knees are wear out so I want to know th...
Pain in knee due to arthritis is because of degenerative changes in cartilage of knee. Signs are increase in pain while stair climbing, cross leg sitting, squatting, cracks in knee while bending or extension. All degenerative changes increases with age so I you have to prevent it for further damage of cartilage. I would suggest you following 1. Avoid squatting, cross leg sitting, stair climbing 2. Hot water fomentation three time daily for knee 3. Massage with olive oil twice daily on affected knee 4. Simple oa knee exercise basic (search on you tube) note: don't do any exercise which increases pain. Here are some exercises from my side a) exercises to improve your balance: 1. Balance on each leg in turn, barefoot, trying to hold your balance for as long as possible; 2-3 times a day; 2. Standing on one leg, go up and down on your toes slowly 3-5 times. Do more sets on the right leg. 3. Stand on one leg, and lift the other sideways 3-5 times, with full control. Repeat about 5 times on each side. You probably need to use a chair-back to steady yourself at first, but try not to hold on. B) exercises to improve your knee mobility: try to do the patellar mobilizing (pressing the kneecap to each side with the knee straight and relaxed) before you do these: 1. Lie on your stomach and bend one knee; press it gently further back, using the other leg. Hold the bent position for a count of 3, then relax. (do not force this movement at all, as the muscles won't hold the stretch if you do) repeat 3-5 times, as often as possible each day, doing more reps for the right leg. If lying on your stomach cause knee pain, place a folded towel under your thigh to lift the knee clear. 2. Sitting on an upright chair, with your knees bent to a right angle: keep you heel on the floor and turn your foot inwards and outwards gently, 3-5 times, as often as possible. Mainly for the right leg, but also the left. 3. In the bath or in a swimming pool, gently bend and straighten your knee as much as possible, without forcing the movement. C) exercises to improve your hip range and strength: 1. Lie on one side and lift the uppermost leg vertically, keeping the knee locked straight. Repeat 10 times on each side. 2. If you can, do the side-raise exercise: lie on one side and rest on your elbow so that your shoulder is lifted off the floor/bed. Lift your hips up vertically to balance on your elbow and outer side of your foot, keeping your body and legs straight. Repeat 3 times each side. 3. Lying on your back, lift one leg and describe circles in the air, keeping your knee locked straight. Repeat three times on each leg. 4. Sitting on the floor, put the soles of your feet together and try to press your knees downwards gently with your forearms. You may well have done this exercise in yoga. Repeat 3 times. If pain still persists please contact nearest physical therapy clinic. Have patience and stay positive is key for getting relief.
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I have arthritis with pain on back of knee while sitting. As per blood test report ra factor is negative but anti ccp is high. I am taking saaz tablet as prescribed by doctor, but getting no relief from joint pain specially on back of knee. I want homeopathy treatment for this.

Dr. Julie Mercy J David 92% (31347 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I have arthritis with pain on back of knee while sitting. As per blood test report ra factor is negative but anti ccp...
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. Stiffness might have developed due to weakness of the ligaments & inflammed cartilage. Specific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knee.
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I am 42 years old male suffering from knee pain, dr.diagnosed as osteoarthritis iii grade. please suggest me the treatments. Thanks.

Dr. Julie Mercy J David 92% (31347 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am 42 years old male suffering from knee pain, dr.diagnosed as osteoarthritis iii grade. please suggest me the trea...
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. Stiffness might have developed due to weakness of the ligaments & inflammed cartilage. Specific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knee.
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Chronic migraine. Overweight.84. Ch.low back pain with degenerative changes in spine and early o.a.both knees. Restless legs. Kindly guide what to do now for life ease.

Dr. Julie Mercy J David 92% (31347 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Chronic migraine. Overweight.84. Ch.low back pain with degenerative changes in spine and early o.a.both knees. Restle...
Migraine may be due to over stress and the other changes in the body will be due to the overweight. Try to have more activities to your body. Go for walking and lifestyle modification. Follow some diet plan. Go for physiotherapy or any fitness management. Do some stretches as below •standing hamstring stretch: place the heel of your injured leg on a stool about 15 inches high. Keep your knee straight. Lean forward, bending at the hips until you feel a mild stretch in the back of your thigh. Make sure you do not roll your shoulders and bend at the waist when doing this or you will stretch your lower back instead of your leg. Hold the stretch for 15 to 30 seconds. Repeat 3 times. •cat and camel: get down on your hands and knees. Let your stomach sag, allowing your back to curve downward. Hold this position for 5 seconds. Then arch your back and hold for 5 seconds. Do 3 sets of 10. •quadruped arm/leg raise: get down on your hands and knees. Tighten your abdominal muscles to stiffen your spine. While keeping your abdominals tight, raise one arm and the opposite leg away from you. Hold this position for 5 seconds. Lower your arm and leg slowly and alternate sides. Do this 10 times on each side pelvic tilt: lie on your back with your knees bent and your feet flat on the floor. Tighten your abdominal muscles and push your lower back into the floor. Hold this position for 5 seconds, then relax. Do 3 sets of 10. •partial curl: lie on your back with your knees bent and your feet flat on the floor. Tighten your stomach muscles. Tuck your chin to your chest. With your hands stretched out in front of you, curl your upper body forward until your shoulders clear the floor. Hold this position for 3 seconds. Don't hold your breath. It helps to breathe out as you lift your shoulders up. Relax. Repeat 10 times. Build to 3 sets of 10. To challenge yourself, clasp your hands behind your head and keep your elbows out to the side. •gluteal stretch: lying on your back with both knees bent, rest the ankle of one leg over the knee of your other leg. Grasp the thigh of the bottom leg and pull that knee toward your chest. You will feel a stretch along the buttocks and possibly along the outside of your hip on the top leg. Hold this for 15 to 30 seconds. Repeat 3 times. •extension exercise: lie face down on the floor for 5 minutes. If this hurts too much, lie face down with a pillow under your stomach. This should relieve your leg or back pain. When you can lie on your stomach for 5 minutes without a pillow, then you can continue with the rest of this exercise. As arthritis is very common that you get generally bilaterally. 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. You can take ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages alon g with shortwave diathermy which would help to improve the blood circulation. 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. It looks like you are anaemic. That's the reason the knee goes for genu recurvatum which is nothing but backward bowing of legs. This can be prevented by wearing knee brace to support the knee from going backwards while you walk or climb stairs. Check with your haemoglobin levels and also with your calcium & vitamin levels in your body by consulting a general physician. 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. Stiffness might have developed due to weakness of the ligaments & inflammed cartilage. Specific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knee.
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Hello Doctor, I am suffering from OA (Osteoarthritis) in left knee. My Age is 61 years. Is it curable? Give solution for the same.

Dr. Karuna Chawla 97% (72370 ratings)
BHMS
Homeopath, Noida
No, it is not curable. You can do the following exercises for knee pain. Php follow these dos and don’ts to help your knees feel their best. 1. Don’t rest too much. Too much rest can weaken your muscles, which can worsen joint pain. Find an exercise program that is safe for your knees and sticks with it. If you're not sure which motions are safe or how much you can do, talk with your doctor or a physical therapist. 2. Do exercise. Cardio exercises strengthen the muscles that support your knee and increase flexibility. Weight training and stretching do, too. For cardio, some good choices include walking, swimming, water aerobics, stationary cycling, and elliptical machines. 3. Don’t risk a fall. A painful or unstable knee can make a fall more likely, which can cause more knee damage. 4. Rest, ice, compression, and elevation (rice) is good for knee pain caused by a minor injury or an arthritis flare. Give your knee some rest, apply ice to reduce swelling, wear a compressive bandage, and keep your knee elevated. 5. Don't overlook your weight. If you're overweight, losing weight reduces the stress on your knee. You don’t even need to get to your "ideal" weight. Smaller changes still make a difference. 6. Don't be shy about using a walking aid. A crutch or cane can take the stress off of your knee. Knee splints and braces can also help you stay stable. 7. Don't let your shoes make matters worse. Cushioned insoles can reduce stress on your knees. 8. Do play with temperature. For the first 48 to 72 hours after a knee injury, use a cold pack to ease swelling and numb the pain. A plastic bag of ice or frozen peas work well. Use it for 15 to 20 minutes three or four times a day. Wrap your ice pack in a towel to be kind to your skin. After that, you can heat things up with a warm bath, heating pad, or warm towel for 15 to 20 minutes, three or four times a day. 9. Don’t jar your joint (s). High-impact exercises can further injure painful knees. Avoid jarring exercises such as running, jumping, and kickboxing. Also, avoid doing exercises such as lunges and deep squats that put a lot of stress on your knees. These can worsen pain and, if not done correctly, cause injury. You can contact me for a detailed consultation.
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I am a patient of rheumatoid arthritis should I marry or not does it affect my married life?

Dr. Julie Mercy J David 92% (31347 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am a patient of rheumatoid arthritis should I marry or not does it affect my married life?
You can marry but you have to treat a rheumatoid arthritis for further management. Do some physiotherapy treatment if your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is rheumatic arthritis. Wear elbow brace and wrist brace which will make her to feel warm and that will make the joints become firm. Hot water fermentation will help knee cap will also help to prevent the damaged cartilages.
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Sir my mother is 35 year old .all the joint of body are paining .she feel weakness all time .so, I requested you plss tell me about it.

Dr. Julie Mercy J David 92% (31347 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Sir my mother is 35 year old .all the joint of body are paining .she feel weakness all time .so, I requested you plss...
It is called as rheumatic arthritis. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is rheumatic arthritis. Wear elbow brace and wrist brace which will make her to feel warm and that will make the joints become firm. Hot water fermentation will help knee cap will also help to prevent the damaged cartilages. If your pain is more in the distal joints, ie. In the upper limbs if the pain is present in the fingers/wrist and in the lower limbs it the pain is present in the toes/ ankle, then we shall definitely say it is rheumatic arthritis. Which joints you have pain? If your proximal joints (ie. Shoulder, hip & knee has pain) then you can pour hot (warm) water in that area to reduce the inflammation. If you have pain in the distal joints ie. Wrist, fingers, ankle, toes then you can wear either elbow brace or wrist brace which will help you to feel warm and very protective. And also immerse the distal joints in the hot water tub which will help you to reduce the pain. Consult the near by physiotherapy clinic and also consult a general physician to check with your esr levels to check whether you have inflammation.
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I am 63 years old. I have knee joint pain while walk. Please give suitable advise/ treatment.

Dr. Julie Mercy J David 92% (31347 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am 63 years old. I have knee joint pain while walk. Please give suitable advise/ treatment.
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. Stiffness might have developed due to weakness of the ligaments & inflammed cartilage. Specific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knee.
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