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Knee Effusion-
I had swelling in my left knee in 1st week Jan2019
4thJan- Fluid was removed from my knee.
Medicine given were DihaseSp , Dicophase.
On 11th Jan : Medicine were changed : Sazo500, Diphase & Dicophase
On my next visit [ MegFreeflex and Sazo500]
Since then I still have little swelling and movement issues with my knee Can't bend it fully and slow walking.Issues with stairs.It still painful.
I visited another doctor and he requested to do the below mentioned test.
Swelling has came down still it's painful.
I wish to get better , I want clarity on my situation and suggestions for my treatment
1.RA Test Sample Type: OBSERVED VALUE 3.6 IU/ML
Quantitative Determination Of Rheumatoid Factor
Method : Immunoturbidimetry
Interpretation : Rheumatoid Factor is found positive
2.
Vitamin B 12 Level OBSERVED VALUE : 190 pg/ml(Low)
Cobalamin
3. VitaminD : 7.58 ng/ml (Low)
4 . Uric Acid : 6.5 (normal)
5. ESR : 21 mm/1hr (High)
6. CBC report is attached
7.MRI Left knee is also attached.
Answers (4)
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This may be reactive arthritis.... You may take antibiotics and see if this helps.
Next Steps
Consult online.
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Don't worry.
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The cartilage lining your joint is inflamed. You also have positive Rheumatoid factor. This is the most likely cause of the swelling and pain. You need to see a Rheumatologist for proper treatment of the Rheumatoid Arthritis, that will improve the swelling.
Next Steps
Do not ignore now, get proper treatment.
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This treatment is being suggested on bases of the information provided. However
I would like to examine & investigate you in detail.
Control Hypertension, Diabetes or any other metabolic disorder, if there is any.
Any way it may be tried,
--. Dolokind Plus (Mankind) [Aceclofenac100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days.
--. Caldikind plus (Mankind) 1 tab OD x 10 days.
(You may need help of your local doctor to get these medicines.)
--. Fomentation with warm water. Let the part not be exposed to cold.
--. Sleep on a hard bed with soft bedding.
--. Use no pillow under the head.
--. Avoid painful acts & activities.
-- .Do mild exercises for knees and ankles.
--.(Take help of a physiotherapist).
--Do not ignore, let it not become beginning of a major problem.
--Do ask for a detailed treatment plan.
Kindly make sure, there is no allergy to any of these medicines.
--For emergency treatment visit nearest hospital.
--Wish you a quick recovery & good health.
--I hope, I have solved your problem to your satisfaction.
Dr N C Gupta MS (ortho)
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.