Q. What is your opinion about my knee pain after 12 years of surgery?
Hi doctor,
I had arthroscopic knee bilateral chondromalacia patella joint debridement done before 12 years. Now, the pain had started again and I am having some swelling. Please suggest what I should do.
Hello,
Welcome to icliniq.com.
Here are a few suggestions.
- I suggest anti-inflammatory tablet like Voveran 75 mg (Diclofenac) twice a day after meals. Consult your doctor, discuss with him or her and take the medicine with consent.
- For swelling use a compression bandage and ice the area for 20 minutes at a time.
- Avoid squatting, lunges and stairs till the pain subsides.
- Also, you need a good manual therapist to assess you for hamstring tightness, quad weakness, including VMO (vastus medialis oblique - thigh muscle) and gluteal weakness.
- Try the above out for at least 10 days followed by three to four weeks of physiotherapy to get complete relief.
For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist
Thank you doctor,
If this does not work, then what is the other option? Is another arthroscopy the best solution?
Hi,
Welcome back to icliniq.com.
- The reasons for the above measures to fail are as follows.
- Wrong diagnosis.
- Poor understanding of the need for effort on the side of the patient or the physiotherapist in order to sort out the muscle imbalances. This is the most common cause.
- Structural damage to articular cartilage.
- In case of wrong diagnosis, you need an arthroscopic diagnostic procedure after MRI, especially if that too fails to reveal the cause.
- In case of poor understanding of the condition, no arthroscopy is needed.
- If there is any structural damage, then lavage and debridement should be done, but with limited success.
For further information consult an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist
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