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Other than painkiller, can you suggest some option for knee pain?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My mother has been suffering from knee OA. It is more on the left than the right. Her age is 54. She feels pain while walking and as a result of that she is unable to reduce weight. Currently, she is taking a joint ace tablet, but there is no relief. Can you suggest some alternate options other than painkillers? She is also on Ecosprin, Rosuvas and Telma.

Answered by Dr. Akshay Kumar Saxena

Education:

MBBS

Professional Bio:

Dr. Akshay Kumar Saxena is an Orthopedic surgeon, Traumatologist, and Spine Surgeon who examines patients to diagnose bone, joint, ligament, or other musculoskeletal problems, including diseases or injuries and is also trained to treat brain and spine conditions. He completed his MBBS from Hemwati Nandan Bahuguna Garhwal University in 2005. He studied DNB Orthopedics at the National Board of Examinations in 2010. He provides support and advice to patients receiving long-term care, and he researches defects, diseases, and disorders affecting the musculoskeletal system. He is currently practicing in Uttar Pradesh with 17 years of clinical experience.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I have gone through your mother's X-rays (attachment removed to protect patient identity) and there is definite degeneration in both her knee joints, which is also expected to happen at this age. As far as management, it will be better if I can know a few more details from you regarding her. How much distance she can walk on a daily basis? What is the requirement for analgesics? Also, let me know her knee range of movements. Your mother needs to do intensive physical therapy, including strengthening her quadriceps and her hamstring group of muscles. Lifestyle modifications like the use of western toilets, avoiding sitting cross-legged, etc. Daily brisk walks in the morning for about 2 to 3 km in 30 to 40 minutes. She should avoid high-impact activities like jogging, doing the treadmill, etc. Apart from these factors, I suggest using knee viscosupplementation injections along with a steroid like Triamcinolone, which gives good lubrication to the joint and allows a streamlined physical therapy program to be done on the patient. Also, I suggest a medication called as Co-Rosiflex (Collagen hydrolysate), which comes in the form of a sachet. It needs to be taken once a day and has evidence that it helps in cartilage protection and some regeneration also. Lastly, regular calcium and vitamin D intake is required, so that bone metabolism remains healthy. Consult your specialist doctor, discuss with him or her, and take the medicine with consent.

Thank you.

The Probable causes

Degeneration of knee.

Treatment plan

1. Calcium and vitamin D supplementation. 2. Co-Rosiflex sachet one per day for three months. 3. Viscosupplementation injections.
Medically reviewed by iCliniq medical review team
Published At September 8, 2016
Reviewed At December 20, 2023

Education:

MBBS

Professional Bio:

Dr. Akshay Kumar Saxena is an Orthopedic surgeon, Traumatologist, and Spine Surgeon who examines patients to diagnose bone, joint, ligament, or other musculoskeletal problems, including diseases or injuries and is also trained to treat brain and spine conditions. He completed his MBBS from Hemwati Nandan Bahuguna Garhwal University in 2005. He studied DNB Orthopedics at the National Board of Examinations in 2010. He provides support and advice to patients receiving long-term care, and he researches defects, diseases, and disorders affecting the musculoskeletal system. He is currently practicing in Uttar Pradesh with 17 years of clinical experience.

This doctor is not available for online consultations on the platform anymore.

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Companion

Knee Osteoarthritis Management Companion

How it works

Knee osteoarthritis (OA) involves the breakdown of cartilage in your knee joint, leading to pain and stiffness. While it's a common condition, especially with age, there are many ways to manage it effectively. Here's what you need to know about managing knee OA.

1

Knee
Degeneration

2

Physical
Therapy

3

Lifestyle
Changes

4

Daily
Walks

5

Joint
Injections

6

Bone
Health

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.

Education:

MBBS

Professional Bio:

Dr. Akshay Kumar Saxena is an Orthopedic surgeon, Traumatologist, and Spine Surgeon who examines patients to diagnose bone, joint, ligament, or other musculoskeletal problems, including diseases or injuries and is also trained to treat brain and spine conditions. He completed his MBBS from Hemwati Nandan Bahuguna Garhwal University in 2005. He studied DNB Orthopedics at the National Board of Examinations in 2010. He provides support and advice to patients receiving long-term care, and he researches defects, diseases, and disorders affecting the musculoskeletal system. He is currently practicing in Uttar Pradesh with 17 years of clinical experience.

This doctor is not available for online consultations on the platform anymore.

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