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Shoulder Impingement Health Feed

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I have had pcl reconstruction surgery on 30th jan, followed by knee debridement and lavage on 26th feb due to consistent pain, swelling and mild grade fever. However lab results for pus culture, synovial fluid culture and mtb were negative, ruling out any local infection. Crp and esr are high at 39 and 36 respectively, rest parameters of blood test are normal. After 26 feb, pain was reduced but still it is there. Swelling is there as well. Fever comes and go (99 to 99.5) like 3-4 times in a week. Mri was redone. Result is- marrow edema in distal femur and proximal tibia, moderate joint effusion with synovial thickening and bulky patellar tendonitis. Rest reported normal. Want to know why I still have pain, swelling on knee cap and mild fever thats keeps on coming like 3-4 times a week. What should I do next. I have stopped taking any antibiotics. Not taking physiotherapy sessions also due to pain and swelling. When will pain and swelling around knee cap and fever will go away? Whats wrong with me?

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MS - Orthopaedics

Orthopedic Doctor•Indore
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Dear ,
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description tells me that you might have sub-clinical infection. As you are off antibiotics now, we need to see how your feels after 2-3 wks. Repeat your crp and esr levels. 20 days post surgery there should not be any other cause of fever even though its mild. Swelling will take long time to around 6 months or so. Your doctor may advice culture from knee fluid once your are off antibiotics for about 2 wks. Was the second mri with contrast?
You have more pain in bone...more
Asked for male, 24 years old from Mumbai
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Bachelor in Physiotherapy

Physiotherapist•Pune
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Hi lybrate-user,
firstly, physiotherapy treatment is not just restricted with muscle strengthening, it also corrects the biomechanical changes occurred due to the meniscal tare.
Secondly, its takes eight weeks to develop muscular strength but once the muscle memory is developed, it will take 5-6 months for it be forgotten. Hence, maintenance exercises done ocassionally, can help you to keep up with the strength levels.
11 people found this helpful
Asked for female, 22 years old from Basti
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Erasmus Mundus Master in Adapted Physica...read more

Physiotherapist•Chennai
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1.pendulum stretch do this exercise first. Relax your shoulders. Stand and lean over slightly, allowing the affected arm to hang down. Swing the arm in a small circle — about a foot in diameter. Perform 10 revolutions in each direction, once a day. As your symptoms improve, increase the diameter of your swing, but never force it. When you're ready for more, increase the stretch by holding a light weight (three to five pounds) in the swinging arm.
2. Towel stretch hold one end of a three-foot...more
6 people found this helpful
Asked for male, 37 years old from Chennai
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Bachelor of Ayurveda, Medicine and Surge...read more

Ayurvedic Doctor•Bangalore
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Post surgery, the child needs to take healthy and nutritious foods which are freshly prepared. Include fresh vegetables and fruits in her diet. Follow the protocols adviced post surgery.
417 people found this helpful
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MSPT (Master of Physical Therapy), Bache...read more

Physiotherapist•Gorakhpur
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what kind of injury u hv.
go for x ray or mri for diagnosis.
use knee brace and anlgesic gel.
counslt to orthopedics and physiotherpist.
16 people found this helpful
Asked for male, 57 years old from Thrissur
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BHMS

Homeopathy Doctor•Noida
Are you diabetic. If so is your blood sugar under control. 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 incre...more
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BHMS, O LEVEL

Homeopathy Doctor•Deoria
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Prevention is better than cure. So take care and follow the advice of your doctor. You can take symphytum 200 twice daily for 15 days
dr-sk-tiwari-homoeopathic-clinic. Business.site.
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I never get a temperature, I suffer with chronic pain, I have spinal problems, joint and muscle pain, I have chronic sinusitis, I get infections all the time, often multiple at the same time, I can’t get over illness well at all, iv ended up in hospital several times, I nearly died of pneumonia, the ambulance people were not going to take me to the hospital because I did’t have a fever, until I told them I never get them, when I got to the hospital I was diagnosed with double pneumonia and my oxygen levels were in the 80’s, I had to be put in an induced coma and nearly died, I am still recovering over a year later, they put me on very high dose steroids and that saved my life. When I get infections I have to have several courses of antibiotics and steroids, it can take weeks to months to recover, my pain always feels better on steroids and I always feel so much better in myself in them but I know I can’t stay on them, I have had no luck from drs. I am getting sicker and sicker and i’m more pain all the time and don’t know what else to do, iv had so many tests and nothing significant comes back.

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Erasmus Mundus Master in Adapted Physica...read more

Physiotherapist•Chennai
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As you said rightly you fall sick often you need to improve your immune system. Consume good vitamin c supplements in the form of tablets as if you are deficient supplements taken through food and vegetables and fruits will not be sufficient. Improve your immune system.
17 people found this helpful
Asked for male, 18 years old from Malappuram
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Erasmus Mundus Master in Adapted Physica...read more

Physiotherapist•Chennai
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Resisted terminal knee extension: make a loop with a piece of elastic tubing by tying a knot in both ends. Close the knot in a door at knee height. Step into the loop with your injured leg so the tubing is around the back of your knee. Lift the other foot off the ground and hold onto a chair for balance, if needed. Bend the knee with tubing about 45 degrees. Slowly straighten your leg, keeping your thigh muscle tight as you do this. Repeat 15 times. Do 2 sets of 15. If you need an easier way to ...more
7 people found this helpful
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