Dr. Saseendar. S
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.
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Patient's Query
Hi doctor,
I have knee problems with lots of shooting pains, swelling that feels dislocated, and little white pieces coming out of the skin. I feel it hard to walk due to leg cramps. The doctor said I had 80-year-old knees 25 years ago. I do not have any cartilage. I am obese and am trying to lose weight. What can I do to get by for a while? I cannot afford a doctor, yet I ice it, elevate it, take Motrin, and have been on crutches, but it hurts the other leg. Please help.
Hi,
Welcome to icliniq.com.
I understand that you are in a lot of pain and have degenerated joints because of obesity. What do you mean by white pieces coming out of the skin? Do you have an ulcer or sinus in your knee discharging fluid? Also, kindly answer the following questions:
1. What is your age?
2. Do you suffer from diabetes mellitus or other medical illnesses?
3. Have you ever undergone surgery on your knee?
4. Do you suffer from any back problems?
Let me know so I can help you.
Kind regards.
Patient's Query
Hi doctor,
They are tiny, splitter-looking; I do not know what they are, but my pants will grab them and pull them out, and the whole area of the knee hurts when this happens. So I use peroxide with a Q-tip on the knee to help it along. I do not think any liquid comes out. Also, I am 53 years old, and I am not aware of my medical illnesses. About 25 years ago, the doctor went in and scrapped it, and yes, I suffer from back problems. I also have started cramping, I move my foot, and it locks up; you know, when your toes move behind the others and hurt, it stops after a little bit. I also have right below the knee a 2-inch round bump, this time, that is where the piece is coming out. I have had many problems with my knees for years, but it has gotten so much worse; my knees will give out while I walk or lock up. I have a tough time standing in one place.
Hi,
Welcome back to icliniq.com.
From your information, I understand that you do not have fluid discharge from your knee or sinus. You have a badly hurting knee that locks up often and gives out too. Around 28 years of age, your knee was cleaned up; your cartilage was quite bad. I can imply that you have very bad cartilage and bent toes, which bothers you. Replacing the knees is the best option for you. However, that comes after assessment of your general condition, including diabetes, and basic endocrine assessment, including thyroid. However, I understand that you cannot afford a consultation now. In that case, continuing your painkiller will help you. In addition, use alternate cold and hot compresses for your knee. Finally, avoid sitting on the floor and climbing up and down stairs. Making use of crutches on both sides if the other side hurts. With these steps, you can reduce the pain. But if the pain and your function have to improve dramatically, I suggest surgery to replace your worn cartilage is the best option for you.
I hope you find it helpful.
Thank you.
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Orthopedician and Traumatology
Orthopedician and Traumatology
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