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I am 19 I have basic meal all three time but I am doing work out my knees joint badly ,give some suggestions.
I am 45 years female, I am suffering from pain in the side of left knee, so find it difficult to bend knee. Sometimes it recovers by itself. My uric acid level is 9. What to do?
One month ago I had got an injury in my knee while playing cricket. At that time I had not felt any hard pain. But after 15days of that incident my knee got sored. Also I am feeling pain while playing. Please suggest me proper medications.
Since last 3 days, I am suffering from a joint pain in my knee, I used certain medicines but it didn't help me. What should I do?
Myself Shankar 54 years old. Have loss of sensation on lateral aspect at right knee joint since past 6 months. I consulted doc he says that I am alright. He had prescribed me vit b12. What was the diagnosis.
Since from 4 years I am facing knee pain, while bending the knee somewhat sound was coming(krr)like that.
I am suffering from high blood pressure & knee pain for the last 15 years, and erection problems for more than 3 years.
I am 60 year old lad. I have knee pain since last two months during use of staircase. X-ray shows start of osteo arthritis. Is it possible to improve my condition by doing exercises?
My Father is 82 years old. Suffering from knee pain for 6 month, unable to Walk freely, he has to depend upon Walker as local orthopaedic suggested. The doctor told that it's all about osteoarthritis. In this atmosphere I am feeling helpless, please advise what to do.
Hi i Am 42+. Suffering from right knee pain for past one week to such an extent that am limping. There is also a small swelling on the right side of my knee. Am taking homeopathic medicine and pain killers also applying joint pain relief oil. But still pain is persisting with some amount of stiffness in this knee. Please suggest what should I do. Me, a teacher of a reputed school in kolkata and have to move a lot within the sprawling and vast school campus.
I am 34 years old man I have back pain and knees pain I tried many medicines but nothing works for me as still I have the same conditions. So please guide me.
Sir I'm a twenty years boy. 2months ago I was injured in my right knee while playing cricket. Im still feeling pain in that part while cycling. Please suggest me proper medications.
I am suffering from knee problem at last 2 month and can't do any work e.g running, walking give a any solution.
I am 26 male. I was hit by a motorbike in the right leg knee area. I escaped bone fracture but My upper and right outer side is swollen and stiff. I cannot bend my leg. Also there is sudden sharp pain when I stand or twist my leg. There is click sound in knee sometimes. Please tell me treatments and rest periods. I am working professional.
Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.
Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.
Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:
Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.
Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.
Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.
Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.
Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.
Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.
The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery. If you wish to discuss about any specific problem, you can consult an orthopedist.