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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can Cause Severe Knee Pain?

Hello, 3 months ago i recieved the first injection of rooster comb for knee of what was suppose to be a series of 3 shots, by the second shot i started to experience severe joint pain throughout my entire body, convinced i was having a reaction to the shots i refused the 3rd, Dr. put me on prednizone, 40m a day, after about 3 wks i reduced it to 10m as i was now having s/e to the pred, a little while later the joint pain was so bad i could barely move, my wife had to help dress me. Finally got in to see rheumatologist, after 20 viles of blood work she has diagnosed me with having spondylopathy & put me on methotrexate , do you think the knee injections are responsible or mere coincidence?
Wed, 27 Dec 2017
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Orthopaedic Surgeon 's  Response
Dear patient
Why was the injection of corticosteroids given to your knee? Was it for osteoarthritis or nonspecific pain? If corticosteroids injection is given intraarticular it gives pain for initial 2 to 3 days due to inflammation and subsequently pain decreases.
If pain continues after 3 days there are two reasons 1. Corticosteroids were not effective 2. there is little possibility of infection. I would like to advise local ultrasound to rule out collection. If it's normal infection is less likely. Methotrexate is given for systemic inflammatory arthritis with Good recovery. Intraarticular corticosteroids injection will not lead to systemic inflammatory arthritis.
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What Can Cause Severe Knee Pain?

Dear patient Why was the injection of corticosteroids given to your knee? Was it for osteoarthritis or nonspecific pain? If corticosteroids injection is given intraarticular it gives pain for initial 2 to 3 days due to inflammation and subsequently pain decreases. If pain continues after 3 days there are two reasons 1. Corticosteroids were not effective 2. there is little possibility of infection. I would like to advise local ultrasound to rule out collection. If it s normal infection is less likely. Methotrexate is given for systemic inflammatory arthritis with Good recovery. Intraarticular corticosteroids injection will not lead to systemic inflammatory arthritis.