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Female | 30

I am 30 years old. My knee is paining since 3 months. I did MRI...... Discoid lateral meniscus showing grade 2 signal intensity. -mild intra substance hypertensity in the distal fibres of anterior cruciate ligament with no obvious tear -likely sprain. Mild joints space narrowing, subchondral marrow edema and tiny bony spur in anterior aspect of lateral tibial plateau. Mild joint effusion extending along the supra patellar recess. Jyadader khade hone Mein pain jyada ho rha hai.washer jahan hota hai Vahan jyada pain hota hai. Ye treat ment se tik ho jaega kya?

1 Answer
Dr. Sayalee Karve

Clinical Pharmacologist

Answered on 23rd May '24

Sacroiliac joint dysfunction is frequently assumed to be a source of lower back and/or leg discomfort, however it is sometimes difficult to diagnose. The sacroiliac joint, which connects the triangle bone at the bottom of the spine (the sacrum) to the pelvis, can cause discomfort if its natural mobility is disrupted. More precisely, sacroiliac joint discomfort can be caused by excessive or insufficient movement.

• Leg pain produced by sacroiliac joint dysfunction can be difficult to distinguish from radiating leg pain caused by lumbar disc herniation (sciatica) since they can feel quite similar.

• The major reasons of SI joint dysfunction include - Too much or lack of movement.

• Too much movement in the sacroiliac joint (hypermobility or instability) can cause the pelvis to feel unstable and produce discomfort. Excessive mobility causes pain in the lower back and/or hip, which can extend into the groin, whereas lack of movement (hypomobility or fixation) can result in muscular tension, discomfort, and a reduction in mobility.

• Sacroiliac joint inflammation (sacroiliitis) can also cause pelvic discomfort and stiffness. Inflammation may arise as a result of sacroiliac joint dysfunction or as a result of an infection, rheumatoid disease, or other cause.

• There is no one-size-fits-all solution for controlling SI joint discomfort. For successful pain management, a combination of non-surgical therapies is frequently required.

• Treatment includes – resting for 1 to 2 days, applying ice or heat (applying it to lower back reduces inflammation and alleviates pain and discomfort; applying around the joint provides relief from pain), pain relievers like paracetamol and inflammation treating agents such as NSAID’s are recommended in case of mild or moderate pain relief. Muscle relaxants or high-end pain killers can be prescribed in case of episodes of severe and acute pain, Manual manipulation can be effective if sacroiliac joint pain is caused due to too little movement, Support or braces can be used to stabilize the pelvic area and sacroiliac joint injections such as anaesthetics such as lidocaine along with anti-inflammatory medicine like corticosteroids are given to reduce inflammation and pain.

Consult an Orthopedics for further investigations and customised treatment.

49 people found this helpful

Questions & Answers on "Orthopedic" (1141)

Can I use stationary cycle for rehabilitation of fractured patella after 80 days of surgery

Male | 44

Your knee­ feels stiff after surge­ry. Your bone heals slowly. Using a cycle he­lps strengthen your knee­. You can ride slowly without pain. Yet be care­ful not to hurt yourself again. Follow your doctor's advice at all times. Cycling improve­s your movement while ke­eping safe. 

Answered on 17th Aug '24

Dr. Deep Chakraborty

Dr. Deep Chakraborty

Here is one of the patient actually I did ACL surgery last 8 month ago and now my knee start paining and swelling. Here is my MRI report please once check and tell me is here serious issue.

Male | 21

Pain and swelling after ACL surgery are there for initial few months only. If it’s is persistent after 8 months of ACL reconstruction surgery, it’s always better for consult knee specialist orthopedic surgeon. 

Tips: use ice compression and regular Rehabilitation 
Not to do: Heat or gel application on ACL operated knee

Answered on 24th Aug '24

Dr. Rajat Jangir

Dr. Rajat Jangir

When to stop febuxostat

Male | 50

Febuxostat is a medicine for gouty arthritis and loke drugs for hypertension, Diabetes and thyroid the medicine for gout also should not be stopped. Yes it's dose can be manipulated.

Answered on 23rd May '24

Dr. Jyoti Prakash

Dr. Jyoti Prakash

I am 27 years old with osteoarthritis in my hips and worn down cartilage due to sport and would like to know if your still open for stem cell treatment?

Male | 27

To decide on it, I need xray and MRI scans and then u can be advised accordingly. Can connect at 8639947097. Thanks. Dr Shivanshu Mittal

Answered on 23rd May '24

Dr. Shivanshu Mittal

Dr. Shivanshu Mittal

I m a 61 yr old female.i had a lower back nerve surgery in August but from September I m experiencing pain in lower back.what should I do??

Female | 61

The pain you are experiencing can be due to the inflammation or irritation of the nerves which are located in the back. It is vital that your doctor is aware of the pain so they can assess it and choose the most appropriate action. Treatment alternatives may contain physical therapy, medication, or further assessment in order to treat the primary issue of the pain. 

Answered on 14th Oct '24

Dr. Pramod Bhor

Dr. Pramod Bhor

What is the difference between polymyalgia rheumatica and rheumatoid arthritis?

Male | 78

The main difference between polymyalgia rheumatica and rheumatoid arthritis is that polymyalgia rheumatica is an inflammatory disorder that causes muscle pain and stiffness, while rheumatoid arthritis is an autoimmune disorder that causes joint pain and inflammation.

Answered on 23rd May '24

Dr. Dilip Mehta

Dr. Dilip Mehta

How do i strengthen my back after a compression fracture

First step would be pain management , the target points and local points, electro stimulation therapy would help to increase blood flow in the body and help quick repair of the disc fracture, moxibustion ( passing heat in the body) through specific points, diet tips to strengthen back would be recommended, Some exercises will also be given to patient. Everything mentioned above is tried and tested with excellent response in patients.

Answered on 23rd May '24

Dr. Hanisha Ramchandani

Dr. Hanisha Ramchandani

What to expect 5 months after knee replacement?

Regarding what to expect 5 months after knee replacement - If there are no complications then you can work freely as per your wish.

 

But after knee replacement, some patients do not recover as quickly as others. Consider the following:

  • Patients who conducted knee-strengthening activities before surgery have a better chance of recovering faster.
  • It may take longer recovery time for those patients who are older, smoke, or have other medical concerns.

Note: Although deviations from the "normal" recovery timeframe is not always expected, but such fluctuations are usually acceptable as long as the patient, doctor, and physical therapist continue to collaborate in the pursuit of a complete recovery.

Answered on 23rd May '24

Dr. Dilip Mehta

Dr. Dilip Mehta

Scapula me sikai kar sakte he

Female | 17

it is not recommended to treat yourself a shoulder injury like a scapula on your own. It is advised that you see an orthopedic doctor for proper diagnosis and treatment of your case. Self-treatment may cause additional problems and contribute to prevention of the timely recovery. Please talk to an orthopedic specialist for future suggestions and treatment.

Answered on 23rd May '24

Dr. Pramod Bhor

Dr. Pramod Bhor

Sir my mother is 70 year old . she cant walk. i want knee replacement of my mother. please give me best sugessaion for me.

Female | 70

Need to first see your mom clinically and take Standing Xrays to assess the stage of arthritis

Depending on the stage of arthritis, management will be planned

Dr Rufus Vasanth Raj

Answered on 23rd May '24

Dr. Rufus Vasanth Raj

Dr. Rufus Vasanth Raj

Hi..I am a 39 year old female and slipped and fell on a wet floor at a function that I attended. However my foot started swelling up and my knee and the side of my knee is painful and swollen although I can walk with a limp so I don't think anything is broken...could it be Muscle injury or tendons etc...

Female | 39

According to the symptoms you are going through, it is likely that you bruised your knee or your muscles or tendons around it got injured. This might present as a combination of swelling, pain, and immobility of the leg Lie down while putting your feet up, apply a cold compress to the area, stretch your leg, and wrap it with a long elastic bandage to reduce swelling. If the pain persists, replays, or intensifies, or you find it hard to bear its weight, go to the orthopaedist.

Answered on 23rd May '24

Dr. Pramod Bhor

Dr. Pramod Bhor

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