Recently Answered Questions
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What do my knee's magnetic resonance imaging findings mean?
Query: Hello doctor, I am a 51-year-old male weighing 200 pounds. Recently, I injured my knee (three weeks ago) due to a fall. I have knee pain that worsens going up and down stairs. MRI showed a local cartilage defect involving the lateral trochlea with subjacent bone marrow edema. I am in good shape and ... Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I understand your concern. Your MRI (magnetic resonance imaging) findings indicate patellofemoral arthritis. The treatment options for the condition vary from conservative treatment to joint replacement (partial or complete) depending on the X... Read Full »
Kindly advise about increasing the Methotrexate dosage.
Query: Hello doctor, My 68-year-old mother was diagnosed with rheumatoid arthritis nine years ago and has been on Methotrexate since then. She has difficulty moving limbs, and her left knee joint aches a lot. Currently, the dosage of Methotrexate is 7.5 mg per week, Folic acid 5 mg daily, Calcium 500 mg da... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your query. As such, the medicines need modification for her if the joint pain is increasing. The reports show a very high ESR (erythrocyte sedimentation rate) of 71 mm/hour, which may indicate inflammation inside. As for the medicines: 1. Methotrex... Read Full »
My husband has knee pain after taking flu medicines. Why?
Query: Hi doctor, My husband, aged 53, is 6 feet tall and weighs 200 lbs was prescribed Ciprofloxacin 500 mg and Prednisone 5 mg for flu for ten days. Upon completion of the treatment, he started experiencing knee pain with swelling. It has now moved to the hands and shoulders. He complains that he almost ... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hi, Welcome to icliniq.com. I understand your concern. From what you mentioned, your husband has migratory arthritis, which could be due to the following: 1. Lymes disease (caused by a tick bite). 2. Gonococcal infection. 3. Reactive arthritis. 4. Gout (high uric acid level). It is less like... Read Full »
My mother has pain due to arthritis. How to relieve her pain?
Query: Hi doctor, My mother is 87 years old and is completely bedridden. She has arthritis with excruciating pain in her knees, hips, shoulders, and neck. She is unable to sleep at night. The physician prescribed a pain reliever, but it did not improve the symptoms. So kindly suggest a painkiller for her t... Read Full »
Answer: Hi, Welcome to icliniq.com. I want to evaluate the condition before starting a treatment. Since oral analgesics did not improve the symptoms, admit your mother to a hospital, and ask the medical professional to provide intravenous analgesics. Then, treat her osteoporosis with Teriparatide (parathyr... Read Full »
Query: Hello doctor, I am a 34 years old female, 5'4 "in height and weighing 121 Ibs. I have pain in the right elbow joint, and knuckle joints of my right hand. There is also constant pain in both knees, and it is difficult and painful to sit and get up. Squatting down and getting up is quite painful. ESR ... Read Full »
Answer: Hello, Welcome to iclniq.com I read your query and understand your concern. You are having inflammatory polyarthritis. You will need some more investigation in order to confirm the exact type like rheumatoid arthritis or reactive arthritis or idiopathic polyarthritis. Did you have any urinary or int... Read Full »
I have pain in both feet. Please check X-ray and suggest diagnosis and treatment.
Query: Hello doctor, I am a 40-year-old male having pain in both feet for four to five months. The pain is in the bottom of the feet going from the heel to balls of feet and toes. Enclosed X-ray of feet and foot images. Please suggest diagnosis and treatment. I am not diabetic and my uric acid is normal. R... Read Full »
Answer: Hello, Welcome to icliniq.com. Mostly this appears to be plantar fasciitis but I could not see your X-rays as it is not attached. This is a condition in which the fascia or the tissue at the heel is inflamed, and pain is there especially in the morning after getting up from sleep. I suggest the f... Read Full »
Please suggest treatment for excruciating joint pain.
Query: Hi doctor, I am experiencing joint pain in my hands, elbows, ankles, and toes. It has progressed rapidly over the past few weeks. It causes excruciating pain at night and I sleep very little. I am waking up with swollen joints and I have to sit for an hour or two before getting up from the bed. Is ... Read Full »
Answer: Hi, Welcome to icliniq.com. There are two types of arthritis. The first one is osteoarthritis and the other one is rheumatoid arthritis. There is one more disease called gout's disease. Sometimes it looks hard to diagnose them. But we can differentiate them without doing testing. Usually, os... Read Full »
My grandfather suffers from shoulder pain and wrist pain. How to help him?
Query: Hi doctor,My grandfather is 75 years old. He has severe pain in his right shoulder joint and bilateral wrist joints, especially more at night for the past two months. Just before a month, he was diagnosed as diabetic. His C-reactive protein level is 64 mg/dL (reference value 0 to 6). Is it possible ... Read Full »
Answer: Hi, Welcome to icliniq.com.It could be either due to arthritis or as a consequence of viral infection in the recent past. I recommend him to get the following tests done and revert back with reports. CRP (C-reactive protein), ESR (erythrocyte sedimentation rate), serum uric acid, serum RA factor (rh... Read Full »
How to treat back pain present due to continuous sitting?
Query: Hello doctor, I am having back pain near the spine on the right side, especially when I go downstairs or go for a walk. My back gets locked when I am standing still. There is too much pain on the right side while sitting on a hard surface. There is also nerve pain after having food sitting on the gr... Read Full »
Answer: Hi,Welcome to icliniq.com.I have gone through your reports (attachments removed to protect patient identity). I would like to know a few more details regarding the characteristics of pain and previous history such as, what is the type of pain that you are having? Is it an electric shock like pain or... Read Full »
What is the reason for edema of both feet and ankles?
Query: Hello doctor, I am regularly taking 6 oz of warm water with half a slice of a medium-sized lemon and one medium spoon of honey right in the morning for the last 15 days. Whatever be the benefits, I find my arthritic knee pains have slightly increased along with edema of both feet and ankles and pa... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your post. You have mentioned that you are suffering from ankylosing spondylitis (AS) with osteoarthritis. But, you have not mentioned which DMARD (disease-modifying antirheumatic drug) you are taking.Anyways, I would suggest the following. NSAIDS (non-s... Read Full »