Dr. Sharoff Lokesh Mohan
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
Hello doctor,
I am a 31-year-old. I have pain in my knees, especially in the left one. I have not been able to walk for quite a long, and sometimes it feels that some fluid is traveling towards the feet and some cold sensations as well. My job profile needs lots of walking. Can the pain be due to the wearing of improper shoes?
Hello,
Welcome to icliniq.com.
Kindly give me the following information.
1. Since how long you had the pain?
2. Have you had any injury in the knee joint?
3. What aggravated the pain?
4. Is pain more in the knee or foot?
5. Do you have any back pain radiating down to the left leg?
6. Do you have any other medical problems for which you take medications?
Patient's Query
Hi doctor,
I had more pain in the past three to four days, and before that it was mild. I had no injury, and I am not sure what aggravated the pain as we had an occasion where we walked on our toes without sandals. My job profile needs a lot of walking, and I thought it might be due to my shoes, which do not have much sole would have caused the pain. We had a tight schedule of travel last week. Pain is more in the knees and not in the feet or legs. I do not have back pain leading to the feet. Slight pain in the lower back sometimes but not very often. I took medications last month, but it caused some breathing issues. Currently, I am on vitamin E and Folic acid.
Hello,
Welcome back to icliniq.com.
Have you had any X-rays of the knee joint?
Patient's Query
Hi doctor,
No I have not taken any X-rays.
Hello,
Welcome back to icliniq.com.
This seems to be a soft tissue problem in the knee joint which can be synovitis (inflammation in the knee joint), or ligamentous sprain or meniscal injury. The best thing to diagnose this will be to get an MRI scan of the knee joint to precisely diagnose the cause of the pain. Painkiller medications will only work temporarily but getting to the diagnoses will help long term.
Patient's Query
Hi doctor,
I wanted to check what can be the cause of this and what precautions I can take till I get the MRI done? Or if it is one of the cases above what will be the treatment?
Hello,
Welcome back to icliniq.com.
It is difficult to point out a diagnosis without clinical examination. But usually, synovitis requires medications. Either physiotherapy or surgery can treat ligament and meniscal injury depending on the location and grade of rupture.
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Orthopedician and Traumatology
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