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Suggest Treatment For Severe Pain In Left Knee And Right Thumb

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Posted on Sat, 25 Apr 2015
Question: My wife is having severe pain in her left knee and her right thumb. She went to a walk in clinic they said it was gout they gave her a 10 day prescription of a strong anti inflammatory but it never seemed to get any better. This has been going on for about 6-7 weeks
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Answered by Dr. Dr. Praveen Tayal (13 minutes later)
Brief Answer:
Gout or osteoarthritis likely.

Detailed Answer:
Hello,
Thanks for posting your query.
The pain in the knee and thumb can be due to gout or due to osteoarthritis. A blood test for uric acid will help in confirmation.
A strong anti inflammatory alone is not sufficient. Sometimes we have to use a combination of medications to relieve the inflammation and help the body clear the uric acid. These medications include allopurinol, prednisone, indomethacin or colchicine. In patients who have persistent pain I often use prednisone for 3 to 5 days and patients do well. I would advise you inquire from her physician if that may be an option.
The pain increases with consumption of alcohol, seafood and meat.
Taking a diet rich in vitamin C, dairy products and coffee is likely to help in improvement of symptoms.
Drink plenty of water daily to help the kidneys clear the uric acid.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Note: For further queries related to kidney problems Click here.

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

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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Suggest Treatment For Severe Pain In Left Knee And Right Thumb

Brief Answer: Gout or osteoarthritis likely. Detailed Answer: Hello, Thanks for posting your query. The pain in the knee and thumb can be due to gout or due to osteoarthritis. A blood test for uric acid will help in confirmation. A strong anti inflammatory alone is not sufficient. Sometimes we have to use a combination of medications to relieve the inflammation and help the body clear the uric acid. These medications include allopurinol, prednisone, indomethacin or colchicine. In patients who have persistent pain I often use prednisone for 3 to 5 days and patients do well. I would advise you inquire from her physician if that may be an option. The pain increases with consumption of alcohol, seafood and meat. Taking a diet rich in vitamin C, dairy products and coffee is likely to help in improvement of symptoms. Drink plenty of water daily to help the kidneys clear the uric acid. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal