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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swollen And Painful Knee

my question is if there is fluid that comes and builds up on either the right or left knee has been drained to the tune of anywhere from 6-12 tubes at each occurrence when drained, no arthritis, no loss of cartilage, no bone rubbing against bone, no pain. MRI doesn t show anything yet this fluid when drains will come back again after a period of two to three weeks. It is either the right or left knee and has been occurring for approximately three months now.
Wed, 27 Nov 2019
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General Surgeon 's  Response
Hi.

You have got a rare symptom of recurring knee effusion that is not responding to repeated aspiration, MRI of knees being normal, going on for last 3 months.
The most probable cause I can think about is a specific infection like tuberculosis or so that can cause such recurring knee effusion.
Hence I would advise you the following:
Consult your Orthopedic Surgeon to discuss about the possible causes, get the blood tests for Tuberculosis.
Aspiration of knee fluid and send for detailed chemical analysis, to find Tuberculosis or other diseases that cause recurrent effusion.
Arthroscopy and biopsy of the Synovial membrane ives best diagnosis and chance for proper management as per the cause found.
Oral or topical steroids may helps if there is no specific cause that can be found.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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Suggest Treatment For Swollen And Painful Knee

Hi. You have got a rare symptom of recurring knee effusion that is not responding to repeated aspiration, MRI of knees being normal, going on for last 3 months. The most probable cause I can think about is a specific infection like tuberculosis or so that can cause such recurring knee effusion. Hence I would advise you the following: Consult your Orthopedic Surgeon to discuss about the possible causes, get the blood tests for Tuberculosis. Aspiration of knee fluid and send for detailed chemical analysis, to find Tuberculosis or other diseases that cause recurrent effusion. Arthroscopy and biopsy of the Synovial membrane ives best diagnosis and chance for proper management as per the cause found. Oral or topical steroids may helps if there is no specific cause that can be found. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon