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59 Year Old Wife Facing Knee Replacement - Can Physiotherapy and Medicines Help?

Dr Shakeeb Ahmed Khan |157 Answers |Ask -Follow

Physiotherapist - Answered on Jun 09, 2024

Dr Shakeeb Ahmed Khan is a senior consultant physiotherapist with over 12 years of experience specialising in orthopaedic and paediatric physiotherapy.
He has served as a technical consultant for the World Health Organisation, the United Nations, the Tata Institute of Social Sciences and several national and international NGOs.
Besides physiotherapy, he is keenly interested in disability management, early intervention, geriatric care and assisting children with disabilities.
Dr Khan has a bachelor's degree in physiotherapy from the Ravi Nair Physiotherapy College in Wardha, Maharashtra, a master's degree in disability rehabilitation administration from the National Institute for the Mentally Handicapped, Secunderabad, and a PhD in disability management from Bangalore University.... more

Question by Kamal on May 25, 2024Hindi

Health

Good morning doctor, my wife 59 year old . Drr has said looking at x-ray that the knee joint gap is almost negligible and has recommended knee replacement is there any possibility that physiitherapy and medicines can help

Ans: Good morning. Given your wife's condition, where the knee joint gap is almost negligible, I would first recommend opting for conservative management through physiotherapy and medication before considering knee replacement surgery.

Focus on strengthening the muscles around the knee, such as the quadriceps, hamstrings, and calf muscles, with exercises like leg lifts, hamstring curls, and calf raises. Perform exercises to maintain and improve the knee's range of motion, including knee bends and stretches. Engage in low-impact activities like swimming, cycling, or using an elliptical machine to reduce stress on the knee while maintaining cardiovascular fitness.

Include exercises that improve balance and stability to help prevent falls and further injury. Starting with physiotherapy and conservative management can often provide significant relief and improve quality of life, potentially delaying or even avoiding the need for surgery.

DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.

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Question by Ankit - Feb 23, 2024Hindi

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Hi, I am 40Y M 80.5kg 5'11''. Have developed knee pain in one leg since last 1.5years, feel mild knocking on bending knee also since around the same time. Find it difficult to climb stairs as the affected knee doesnt seem to take proper load. i also suffer from knee locking while walking in the same leg. MRI Scan reveal mild erosion of cartilage. I am able to stay active and play mild sports with knee supports, no pain experienced once body warms up so able to run as well. Doctor also suggested knee injections if the pain further aggravates. Is it advisable to go for such treatments. Please advise what exercises should be done. Are there any supplements or multi vitamins that i shall take.

Ans: Hello Ankit,
How recent was the MRI done? There were no other findings like in the menisci or knee ligaments?
Have you done your blood test recently? Accordingly you need to take Vit D3 and Vit B12 supplements. Magnesium can also help. You need to show your blood reports to a Dr and accordingly take the vitamins.
Have you shown your knee to a physiotherapist? If not please do so. They will do a proper evaluation and accordingly do techniques like Ultrasound, taping, dry needling and give you exercises.
I would suggest first go in for nutrition care and physiotherapy. If still pain persists then you can think of knee injections as the more natural the treatment is the better.
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DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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