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Suggest Treatment For Pain When Having Osteoarthritis

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Posted on Tue, 28 Apr 2015
Question: My doctor has shown me my hip xray which shows osteoarthritis there. It is painful in the thigh (left) muscle. What can you tell me about oteoarthritis? What is recommended treatment?

Medications used at this time: buffered aspirin and gabapentin
doctor
Answered by Dr. Naval Mendiratta (2 hours later)
Brief Answer:
Osteoarthritis

Detailed Answer:
Good evening

Thank you for writing on health care magic

Osteoarthritis is basically a degenerative arthritis, that is the cartilage between the joint starts getting depleted and the joint space starts to narrow. It can lead to significant disability, so much so that the patient can be bed bound. The pain you are having can be a radiation pain from the hip joint.

As for the treatment, unfortunately there is not much treatment to cure the disease except the surgery. But we can take necessary measures to stop the progression of the disease which will help delay or prevent surgery.

1. Weight reduction( if overweight) is the main goal to delay the disease progression

2. Avoiding postures like sitting on the floor or cross legged

3. You can try some joint lubricants like orcerin which can provide mild pain relief

4. Supplement calcium and Vitamin D for bone strength.

5. At your age, i would suggest to avoid excess use of Aspirin as a pain reliever. Take Tyenol or Tramadol for your pain relief. IT wont harm your kidneys nor it would cause GAstric discomfort in the long run

6. Consult a physiotherapist and strengthen your muscles around the joint , so they give the joint better support.

These are the measures which you need to incorporate in your daily routine. It will help improve the pain and delay surgery.

Hope the information was useful

Do let me know for more queries

Regards
Dr Naval


Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Naval Mendiratta (48 hours later)
Thank you. I found your explanation of what is going on in there to be
most helpful.. It explains why some of my exercises may not be too
helpful now. Thank you for your concerns re: my choice of pain control.
I have tried your suggestion but not helpful for me. I will ask about
the orecin. I do take calcium and vitaminD.

What is orcerin? how is it administered?
doctor
Answered by Dr. Naval Mendiratta (2 hours later)
Brief Answer:
Osteoarthritis

Detailed Answer:
Good evening

Well, yeah i know tyenol or ultracet is mild, but for long run it will be a better choice than Aspirin. Especially in your case, where it can harm the stomach and the kidneys. Take it on SOS basis and try optimizing your pain with other medications and physiotherapy.

2. Orcerin is sort of an artificial lubricant for the joint. It also helps to reduce the inflammation a bit. But all proven studies show, it s benefit is not more than 30-40 %. Never the less, you can try it. It s 50 mg tablet to be taken twice daily for at least 3-6 months. I think you will need a prescription for it.

I hope the information was useful. Do let me know for more queries

Regards
Dr NAval
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Naval Mendiratta (4 hours later)
Thank you. I see my physical therapist tomorrow. I will mention this to her.
What is your opinion of an injection. Not sure of what.
doctor
Answered by Dr. Naval Mendiratta (19 hours later)
Brief Answer:
Osteroarthritis

Detailed Answer:
Good evening

Well the injections normally used in Osteoarthritis are usually 2 types:

1. Synvisc: It is basically a jelly which is artificially made up of the material natural cartilage has. It is usually injected into the joint space to provide some lubrication. It is an expensive form but our experience shows it doesnt off much relief. Maybe if your lucky, it will provide you relief for a period of 3-4 months but just a temporary measure. I wont recommend it

2. The other injection we normally use is a low dose of steroid. It is also given intraarticular, that is within the joint. It is more helpful as it reduces the inflammation within the joint and will give you time to start exercising and build up on the muscles.

Rest there is another one: plasma rich injection, which is a new theraphy in osteoarthritis but the role is again controversial

You can check with your doctor which injection he referred you to and i can provide you more information on it.

Feel free to ask me for more queries

REgards
Dr Naval
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Naval Mendiratta

Rheumatologist

Practicing since :2007

Answered : 754 Questions

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Suggest Treatment For Pain When Having Osteoarthritis

Brief Answer: Osteoarthritis Detailed Answer: Good evening Thank you for writing on health care magic Osteoarthritis is basically a degenerative arthritis, that is the cartilage between the joint starts getting depleted and the joint space starts to narrow. It can lead to significant disability, so much so that the patient can be bed bound. The pain you are having can be a radiation pain from the hip joint. As for the treatment, unfortunately there is not much treatment to cure the disease except the surgery. But we can take necessary measures to stop the progression of the disease which will help delay or prevent surgery. 1. Weight reduction( if overweight) is the main goal to delay the disease progression 2. Avoiding postures like sitting on the floor or cross legged 3. You can try some joint lubricants like orcerin which can provide mild pain relief 4. Supplement calcium and Vitamin D for bone strength. 5. At your age, i would suggest to avoid excess use of Aspirin as a pain reliever. Take Tyenol or Tramadol for your pain relief. IT wont harm your kidneys nor it would cause GAstric discomfort in the long run 6. Consult a physiotherapist and strengthen your muscles around the joint , so they give the joint better support. These are the measures which you need to incorporate in your daily routine. It will help improve the pain and delay surgery. Hope the information was useful Do let me know for more queries Regards Dr Naval