Dr. Atul Prakash
Orthopedician and Traumatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
My three issues are:
1. My spine BMD has normalized after six years of trying various treatments. BMD has gone up by 5 % in 6 months. Femur still as before, and hip and wrist are not measured.
2. I have bone pain extending six inches below my right knee. I cannot entirely agree with local orthopaedists that it is early osteoarthritis.
3. The pain in the shoulder for which you asked for an X-ray has been connected to a hit that caused clotting. Now, much relief is there with ice pack application and ointment.
Please advise about the pain in the bone below the right knee.
Hello,
Welcome to icliniq.com.
Pain below the knee can be caused by the knee cap, and this is usually not easy to prove unless there are clear examination findings. I can only say that if you are being bothered by the lack of clarity of causation, then better to get a scan, either an MRI (magnetic resonance imaging) or a bone scan, or both. BMD (bone mineral density) going up is a good thing. Are you still on Deca-Durabolin (Nandrolone decanoate)?
Patient's Query
Hello doctor,
What is a bone scan? Which would be more appropriate, a bone scan or MRI? Tell me what specific types of scans you want. I took only one injection of Deca-Durabolin 25 mg.
Hello,
Welcome back to icliniq.com.
If the location of the cause of symptoms is not clear from the examination, we do a bone scan which helps to pinpoint the location of pain, especially if the source is in the joint or bone. MRI (magnetic resonance imaging) is a directed examination of the area we are sure is the cause of symptoms.
In your case, you are not sure if the cause of pain is the knee, so a bone scan will help, and if it comes as a hot spot on the knee, then sure, the problem is the knee. MRI will help assess the problem better if something other than arthritis is suspected.
Patient's Query
Hello doctor,
In the last three days, my shoulders have been showing the same signs as my right knee. A doctor here thought osteoarthritis in the knee was pain radiating down the bone. Please tell me if that is a possibility. Is a bone scan used to examine if there is cancer? Over the last two months, I have been on collagen, Glucosamine, Chondroitin, undenatured type II collagen, and Hyaluronic acid. Can you suggest additional treatment?
Hello,
Welcome back to icliniq.com.
The pain in the shoulder, similar to the knee, suggests polyarthralgia, and you need to get some blood tests like:
1) ESR (erythrocyte sedimentation rate).
2) CRP (C-reactive protein).
3) Complete blood count.
4) Urine routine test.
This is to see if there is an inflammation in the body that is leading to joint pain. I will not recommend taking so many medications as their role is always doubtful, and one cannot back these scientifically though individuals still take them with the hope that they will do what they are claimed to do.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Orthopedician and Traumatology
Related Questions
Can Knee Pain Occur Years After Knee Replacement Surgery? - Diagnosis and Complications
What is the treatment for knee swelling?
My father was diagnosed with prostatic adenocarcinoma. What should we do?
Ayurvedic Approach to Osteoporosis
Knee Pain in Old Age - Osteoarthritis
My dad has adenocarcinoma of prostate with no bone metastasis. How to treat him?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
