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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Fluid Retention In The Knees Be Treated?

Diagnosed with Reiter's syndrome (Reactive Arthritis) in 1970. Been doing pretty well except for some foot problems about 5 years after initial onset. In 1970 had bad fever about 5 days, went home and woke up one day with conjunctivitis, urethritis and large fluid on left knee. Tested for all STDs all negative. Knee aspirated 3 times and given cortisone each time over a period of about 2 weeks. Went away as strangely as it came. about 3 weeks ago I had diarrhea and a few days later left knee filled up. Had it aspitated and shot of steroids almost 2 weeks ago. Felt better but now fliud is coming back. Also having night sweats.
posted on Wed, 1 Nov 2017
Twitter Wed, 15 Nov 2017 Answered on
Twitter Thu, 16 Nov 2017 Last reviewed on
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Ayurveda Specialist 's  Response
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Thanks for contacting with your health concern

1. As water retention [knee effusion] is present, kindly see an Orthopedic surgeon for knee aspiration, which can be analyzed for the presence of bacteria, uric acid crystals or blood. [exclude most common causes: injury, overuse or chronic health conditions like osteoarthritis, OA] and going by your history, it seems that OA could be the likely cause.

PS. although water on the knee is not usually dangerous, prolonged swelling can cause the leg muscles to weaken resulting in more chances of fall in older people.

2. As repeated shots of steroid are there, so they might have accelerated the process of articular destruction, and they might well exclude another potential complication [Baker's cyst].

3. As facing problem of night sweats simultaneously, so one has to think of diseases which although have origin somewhere else in the body but can cause knee problems, like
- any autoimmune condition [like RA]
- Infections: brucellosis, Lyme disease, tuberculosis, and gonorrhea
- Gout, bursitis, tumor [benign/malignant]

PS. The main aim of treatment will be to reduce swelling, improving function/mobility, and treating any underlying illness.
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How Can Fluid Retention In The Knees Be Treated?

** Thanks for contacting with your health concern 1. As water retention [knee effusion] is present, kindly see an Orthopedic surgeon for knee aspiration, which can be analyzed for the presence of bacteria, uric acid crystals or blood. [exclude most common causes: injury, overuse or chronic health conditions like osteoarthritis, OA] and going by your history, it seems that OA could be the likely cause. PS. although water on the knee is not usually dangerous, prolonged swelling can cause the leg muscles to weaken resulting in more chances of fall in older people. 2. As repeated shots of steroid are there, so they might have accelerated the process of articular destruction, and they might well exclude another potential complication [Baker s cyst]. 3. As facing problem of night sweats simultaneously, so one has to think of diseases which although have origin somewhere else in the body but can cause knee problems, like - any autoimmune condition [like RA] - Infections: brucellosis, Lyme disease, tuberculosis, and gonorrhea - Gout, bursitis, tumor [benign/malignant] PS. The main aim of treatment will be to reduce swelling, improving function/mobility, and treating any underlying illness.