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Suggest Treatment For Knee Pain, Involuntary Spasmodic Shaking At Night

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Posted on Fri, 20 Mar 2015
Question: Symptoms - knee ache, involuntary spasmodic shaking, in bed and at night only. Patient - 77 years old male
doctor
Answered by Dr. Dr. Naveen Kumar Sharma (7 minutes later)
Brief Answer:
It can be due to cerebellum problem

Detailed Answer:
Hello,
I ave studied your case ,Spasmodic shaking or tremors are mostcommonly due to either cerebellum problem ( brain related) or due to metabolic ( lack of salt or vitamins) causes. Before I advised you any thing I want to know little detial about your illness.
1. Since when these tremors are present? Are they also present when you are working /
2. Are you taking any medicines?
3. Regarding Knee pain also, since when it is present? Did you had any fall?
4. Are you able to walk , Squat or Sit ?
Please send me answers of these questions. I will try my best to help you.
thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Naveen Kumar Sharma (7 minutes later)
The tremors and knee pain started very occasionally several years ago, but have become more frequent recently and have been present several nights in a row. They are NOT present when I'm up and about.Medications: diltiazam, lisinopril,certraline, oxycodone. nO FALLS. Can walk and sit, squatting difficult.

Med. history includes spinal fusion (L4-5,S1)-12 years ago and laminectomy 2 years ago (L3)
doctor
Answered by Dr. Dr. Naveen Kumar Sharma (5 hours later)
Brief Answer:
Lisinopril and Diltizam causes tremors

Detailed Answer:
Hello,
I have studied your case . Lisinopril and DIltiazam has tremors as their common side effects. So I would recommend you to discuss with your cardiologist and subsitute these medicines.
Anxiety medications and Certailine can also cause tremors.
You need to visit a Neurologist and discuss these tremors with him. Your tremors are resting tremors. So it can be due to brain related also.
For knee pain I have following suggestions.
1. Avoid squatting and sitting cross leg.
2.Take calcium and vitamin D 3 regularly.
3. Volitran ointment
4. Hot water fomentation
I hope this answer will be helpful for you. Let me know if there is any other followup questions. If possible please send x ray of the knee also.
thanks
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Naveen Kumar Sharma

Orthopaedic Surgeon, Joint Replacement

Practicing since :2002

Answered : 4486 Questions

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Suggest Treatment For Knee Pain, Involuntary Spasmodic Shaking At Night

Brief Answer: It can be due to cerebellum problem Detailed Answer: Hello, I ave studied your case ,Spasmodic shaking or tremors are mostcommonly due to either cerebellum problem ( brain related) or due to metabolic ( lack of salt or vitamins) causes. Before I advised you any thing I want to know little detial about your illness. 1. Since when these tremors are present? Are they also present when you are working / 2. Are you taking any medicines? 3. Regarding Knee pain also, since when it is present? Did you had any fall? 4. Are you able to walk , Squat or Sit ? Please send me answers of these questions. I will try my best to help you. thanks