Why do I still have pain in my knees after a fall from the staircase that happened a year ago?

Hello,

Welcome to icliniq.com.

After carefully reviewing your history and x-ray (attachments removed to protect the patient’s identity), your orthopedic condition is not related to your past accident (falling from the stairs). It seems that you are at the beginning of arthrosis on the spine and both of your knees. This is the reason for your pain and decrease in the range of motion.

If possible, I suggest you use type II collagen and undergo physiotherapy. If you are still experiencing pain, perhaps you should use a stick and take analgesic medicine. If none of these measures improves your health condition, surgery must be considered (knee arthroplasty).

Take care.

Hello,

Welcome back to icliniq.com.

I believe that the best option for you is to keep following with an orthopedic surgeon. I do not think that your orthopedician will indicate any surgery right now, but it may be required in the future.

You should avoid the exercises until you have no pain; after that, if you desire, you can return to do them.

The gel injection you asked for is a good option to relieve your pain, but this will not last forever; it is hard to promise you a precise healing time.

Unfortunately, there is no cure for your problem. I mean, to consider yourself cured, your body should replace the sick cartilage, but this is not possible.

Regards.

Hello,

Welcome back to icliniq.com.

Gel injection will be the better option, as it will improve synovial fluid production and improves cartilage cell nutrition. However, the cost is higher than Cortisone infiltration. The Cortisone will only reduce the inflammatory condition inside the articular cavity.

Unfortunately, there are no medicine without side effects. The gel may produce skin rash, rubor, or even fever in general. On the other side, the frequent use of Cortisone will cause skin depigmentation, muscle and tendon atrophy, or a tendon rupture.

About the use of type 2 collagen and Glucosamine sulfate, combining both is a good option for treatment. However, if there are no combined options, I would prefer using type 2 collagen to avoid serum glucose elevation, which is observed in the patient using Glucosamine sulfate.

Regards.

Hello,

Welcome back to icliniq.com.

I saw your x-ray report (attachments removed to protect the patient’s identity). It would help if you could send the x-ray images instead of the results. From your reports, I could observe that you already have arthrosis on three knee compartments (femur, tibia, and patella). Unfortunately, according to this description, I have to point out that you are a serious candidate for arthroplasty surgery (joint replacement). The other suggested treatment options are only palliative, but it will not heal the cartilage or the joint as this is an irreversible condition. The injections (steroid or gel) and physiotherapy are good options for pain relief, but the results might not last for too long. Physiotherapy is a good option for pain control and increasing muscle strength, but joint stabilization is more critical. All of these conditions (arthrosis) will get worse in the future. So, it is up to you to take the injection now or later; that condition will not influence the pathology prognosis. Another essential aspect to consider is that according to the exam description, you have two loose bodies inside the joint, which may cause pain and increase the velocity of the degeneration.

Regards.