Suggest Treatment For Pain In Knee Cap

Posted on Sat, 16 Jan 2016

Question: i had my knee replaces 2 yrs ago.I t went fine but I ve always a a pain in the front of the knee cap.

I just got treated for ear nose,and throat phlegm condition and one of the Medes he RX d was methylprednissolone (a steroid). ---amazingly the pain is a lot less in the knee cap.
Is this because it treats arthritis??????

Thanks in advance
XXXX

Answered by Dr. Dr. Matt Wachsman (2 hours later)

Brief Answer:
yup. sure does.

Detailed Answer:
It does absolutely everything that the aspirin like drugs do but additionally it stops the action of cells of the immune system.
Here's a few of the actions:
prostaglandins that cause edema and throbbing and increased pain... not made
cells that eat bone...shut down
cells that put out enzymes the gnaw away cartilage...shut down
cells that activate this whole process shut down and/or killed.

Indeed, you can just get an injection of the same or very similar methylprednisone injected directly INTO the knee and it will sit there for a month. Often the effects last much more than a month because the immune reaction inside the knee was shut down. If nothing happens to reactivate it, it stays shut down.

well... found something that is going to work well for you. cool.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Matt Wachsman (22 minutes later)

Thanks Doc,
I ll get hold of my surgeons office and share your answe ref. Getting a shot

Thanks

XXXX

Answered by Dr. Dr. Matt Wachsman (4 minutes later)

Brief Answer:
It is truly a XXXXXXX to be helpful

Detailed Answer:
thank you for asking a wonderful question!
XXXX

Synvisc is perhaps what they will try to foist off on you. It is not bad. It works. It has close to zero risk. But it just sits there as a lubricant; not an anti-inflammatory.
The first reference was a commercial
this is a more balanced one.
XXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Matt Wachsman (46 hours later)

Surgeon PN said. -"-no to inject in new knee .It could cause infection". So, I ll live with the pain and just get more PREDISOLONE!!

thank
XXXX

Answered by Dr. Dr. Matt Wachsman (3 hours later)

Brief Answer:
well... yes.. technically it is a risk....

Detailed Answer:
I am not an expert injector. A family doctor trained in injections can do knee injections; they are easy. That being said I haven't had any infections in the 5 to 10 I've done. Someone who does them frequently will be LOWER risk/more skilled than me. It's not a big risk; many physicians would do the injection. A rheumatologist does these often.

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