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Osteoarthritis Diet Questions

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Hello Dr. Thanks for giving us the opportunity to share our health issue with you, please let me state the problem from the very beginning until now, i'd try to be detailed yet concise as much as possible. It all started about one year ago, when my mother started exhibiting symptoms of osteoarthritis: pain at both knees, inability to go upstairs, feeling tired when exerting effort, and crackling sound from both knees. Therefore, we visited a local orthopedist (let it be doctor a), that diagnosed my mom with osteoarthritis and prescribed her (diacerein) and some other anti-inflammatory drugs alongside with a topical cream. My mom followed the instructions and took her medications as prescribed and then, without the doctor's advice, she stopped all medications. And this how things went, sometimes taking medications and sometimes suddenly discontinue using them, until she felt the same pain the felt a year ago (but way, more severe) in august 2021 (this year), we visited the same doctor (doctor a, firstly he rebuked us for discontinuing the medications, and then he suggested performing an x-ray on both knees, and we did (attached here) url Google.com/file/d/105v-jjdzwve0l0tcbaznpdvae8aawqx_/view? Usp=sharing after checking the x-ray, he stated that my mother is suffering from a 4th degree osteoarthritis with left knee being more affected, he prescribed us some medications, but more or less, nothing improved. Until that day that was about two months ago, my mother was walking when suddenly, without any introduction, she felt that her right leg is (twisted) and she felt like (the bones of her leg aren't intact and her leg isn't interconnected) that's as stated by mother exactly after this sudden (twist), so, we visited another doctor (doctor b, and after telling him the whole thing, he stated that there might be a tear in the radial meniscus in the right knee, so he proposed making mri to check further (and the injury was strange for me, as the x-ray shows that the left leg is more damaged than the right one, so how come the right one is twisted ?). We did, we performed mri (attached): left knee: url Google.com/file/d/1_z0hpdb7tdpxpbxdwf2s9uqu8lhc5i45/view? Usp=sharing right knee: url Google.com/file/d/11swrypscko5k6ruipqwprphthlves_i_/view? Usp=sharing and after doctor b checked the mri, he stated that there's a tear in the meniscus and we should perform what is known as (arthroscopy) to fix this torn meniscus. Before taking this step, we visited another doctor (doctor c), and we showed him the mri result, he stated that this (twist) and the entailed pain happened as a result of osteoarthritis, and there's no tears in the meniscus. He suggested performing some physical therapy and we may, may need to perform a joint replacement surely, and that's it. Then, we visited another doctor (doctor d) and after doing the exact same steps of telling him the story, showing him the mri, he stated that there's no need for either arthroscopy or joint replacement therapy, also another doctor (doctor e) stated the same as doctor d, and this doctor e suggested injecting a vial inside the knees, and after searching over the internet, I concluded that there is a famous type of injections known as (hyaluronic acid) and another way less famous injection known as (polyacrylamide gel), and unfortunately, we were persuaded to inject the second type, which is the polyacrylamide gel. So Dr. e injected my mother with this infamous drug, its name is (noltrex) by the way, and to be honest I have never seen anyone around me taking the same drug, all people inject this hyaluronic acid vial. He stated that an improvement will be felt and seen after a month, and it have been 5 weeks now, and nothing happened. Mother is still suffering, and we still have nothing to do, we are very very confused, so dear dr, what do you suggest? Do you suggest trying another injection therapy? And what does the mri read? Please guide us to what you see the best. Thanks in advance dear dr.

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MBBS

General Physician•Vadodara
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Hello, in fourth degree injury no injection give any relived.
Truly speaking I am suffering from just similar complaints. Exactly same. So my doctor advice physiotherapy to strength the thigh muscles. Igot lot of relief. But knee to replace is sure shot. Yet we could not make it. N unable to go for physiotherapy.
So don't believe on any inj results high or low price.
Only pain killer till you arrange knee replacement.
98 people found this helpful
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Fellowship in Pain Management, MD, MD - ...read more

Pain Management Specialist•Pune
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Its a common problem of old age , this is because of degeneration of the cartilage
Mild to moderate tupe of osteoarthritis is treatable
1.medication -mild pain pin killers like simple paracetamol/ collagen
2. Physical therapy having good results
If pain is persistent then minimally invasive pain procedures like
Injecting viscoelastic in the joint
PRP platelet rich plasma injection
Cooled radiofrequency ablation
362 people found this helpful
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Orthopedic Doctor•Visakhapatnam
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Hi
You can use medications for sometime only , as long as it helps you temporarily.
You can try other modalities like
Physio, injections to knee . These might help you in long run
If u r arthritis is severe degree- only replacement is only option.
160 people found this helpful
Asked for female, 31 years old from Mumbai
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Erasmus Mundus Master in Adapted Physica...read more

Physiotherapist•Chennai
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Cold compresses can help reduce swelling in the area. Cooling also helps to numb sharp pain. Apply an ice pack for up to 20 minutes, up to five times a day. Use a frozen gel pack, ice cubes in a plastic bag, or a bag of frozen peas. Wrap the cold pack in a soft towel. Do not apply a cold pack directly to skin.
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Asked for male, 41 years old from Shimla
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BHMS

Homeopathy Doctor•Noida
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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 stick 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. Fo...more
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B.P.T, M.P.T(Orthopedics)

Physiotherapist•
Respected Lybrate user. Please consult your orthopaedic doctor and take treatment and suggestions for your you're father's problem. And take physiotherapy treatment and suggestions, precautions, preventive measures, maintenance, ergonomical precautions, postural corrections, nutritional supplements which he needs and lifestyle modifications also. All the best.
137 people found this helpful
Asked for male, 26 years old from Khandwa
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MS - Orthopaedics

Orthopedic Doctor•Indore
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what your mother did by mistake was indeed the right dose of shalcal. hows is her complain now?
she should be taking calcium supplement regularly if she has osteoarthritis. however there are couple of other joint supplements which she should be taking to slow down the progression of the disease. unfortunately due to restrictions i can not write down the drugs name which she should be taking, also get her to do quadriceps exercise and VMO exercises. it should help.
228 people found this helpful
Asked for female, 26 years old from Ahmedabad
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BHMS

Homeopathy Doctor•Noida
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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 stick 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 ca...more
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Bachelor of Naturopathy & Yogic Sciences...read more

Integrated Medicine Specialist•Kochi
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Hi yes osteo arthritis can be prevented through ayurveda aswell through integrative medical approach.
615 people found this helpful
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