How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Arun Phophalia Your Own Question

Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29884
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
5625079
Type Your Health Question Here...
Dr. Arun Phophalia is online now
A new question is answered every 9 seconds

Hello Doctor -me again. I have some problem in m knee and took

Customer Question

Hello Doctor -me again. I have some problem in m knee and took an x-ray. Can I mal you my x-ray so you can tell me what the matter is?
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 1 year ago.
Hello,

You can attach the x-ray by clicking the paper clip icon or you can post the picture at file sharing sites like mediafire.com or rapidshare.com.

Dr. Arun
Customer: replied 1 year ago.

Attachment: 2013-07-24_054053_afreen_xray.zip


 


Dear Dr. Arun- I have attached it.

Expert:  Dr. Arun Phophalia replied 1 year ago.
Amween,

It is not opening. Can you please attach it to file sharing sites.
Customer: replied 1 year ago.


Dear Doctor -can i mail it to you - those sites need registration. Can i have your e-mail address?

Expert:  Dr. Arun Phophalia replied 1 year ago.
We cannot have a direct communication. You may send it to customercare@justanswer.com, who would send it to me. This may take almost 12 hours or more.
Customer: replied 1 year ago.


Dear Doctor i've mailed it. Hope to get response tomorrow.

Expert:  Dr. Arun Phophalia replied 1 year ago.
Sure, will respond as soon as possible I receive it.
Customer: replied 1 year ago.


Doctor -don't you hve another e-mai address? I am getting a delivery notie failure for this.

Expert:  Dr. Arun Phophalia replied 1 year ago.
Please go to this page where you would get assistance in less than 4 hours;

http://ww2.justanswer.com/customer-support
Customer: replied 1 year ago.


I just uploaded a file on rapid share - any idea how to share the link?

Expert:  Dr. Arun Phophalia replied 1 year ago.
It will give the access link which you can paste there so I can access it.
Customer: replied 1 year ago.

Dear Doctor -can you see ifthsi is the link?


 


http://rapidshare.com/files/2186745967/Afreen%20Xray.zip

Expert:  Dr. Arun Phophalia replied 1 year ago.
No, I can't. It is same configuration as you uploaded here. Can you attach it here unzipped?
Customer: replied 1 year ago.

Customer: replied 1 year ago.


there are 5 attachments let me send them one by one.

Customer: replied 1 year ago.

Expert:  Dr. Arun Phophalia replied 1 year ago.
Hello Afreen,

You have osteoarthritis. Right knee is more affected than the left. These supplements help in rebuild the cartilage;

1) Omega-3 fatty acids, such as fish oil,
2) SAMe (s-adenosyl-L-methionine), 600 mg daily.
3) Glucosamine/chondroitin, 1,500 mg daily.
4) Bromelain, 250 mg twice a day.

Following homepathic remedies are suppose to help;

1) Bryonia
2) Graphites

Following herbs are suppose to be good;

1) Ginger
2) Cat's claw
3) Willow bark
4) Turmeric
5) Devil's claw

Following measures also would be helpful in the knee osteoarthritis;

1) Knee care in the activities of daily living. Few simple self-care measures can be remarkably effective in ending pain cycle.

a) Avoid prolonged standing or walking or sitting with joint in a single position.

b) whenever you sit, keep the knee stretched and fold them intermittently.

c) Squatting, sitting cross legged should not be done.

d) Avoid climbing stairs.

e) Avoid sitting legs unsupported or hanging. f) Reduce weight if over weight/obese.

2) Rest: Taking a break from your normal activities reduces repetitive strain on your knee, gives the time to heal and helps prevent further damage.

3) Anti-inflammatory medications

4) Physical therapy; the goal of physical therapy is to strengthen the muscles around your knee and help you regain knee stability. Ideal is supervised physical therapy. Stretching exercises are also part of the physical therapy regime.

 

5) Orthotics and bracing.

6) Glucosamine and chondroitin orally for about 1-2 years and a trial of diacerin for three months.

 

7) Hyaluronic acid injections in knee.

8) Local analgesic sprays and ointments to your skin may help relieve the pain and stiffness of osteoarthritis.

9) Deep Electrotherapy by physical therapist.

These are the exercise resources for the knee. You can pick the exercises which suits you;

http://bigkneepain.com/knee-exercises.html

http://www.pamf.org/sports/king/kneerehab.html


It is privilege assisting you.
Customer: replied 1 year ago.


So doctor - what stage of osteoarthritis is it? Yes my right knee hurts more.

Expert:  Dr. Arun Phophalia replied 1 year ago.
It is mild osteoarthritis.
Customer: replied 1 year ago.

Doctor -considering I am just 31 years, isn't it a bit early for this to start? Also, Does cartilage build up completely? How many years, if taken care, can i stay pain free?

Expert:  Dr. Arun Phophalia replied 1 year ago.
Yes, it is a bit early in your age group. This should recover completely in your age group.

Please rate the answer excellent / good, as this is the only way we are paid.. You can ask follow up questions even after rating.
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29884
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
Dr. Arun Phophalia and 5 other Health Specialists are ready to help you
Customer: replied 1 year ago.


Dear Docto - thanks for your input. Sorry to bother you again. But I have always this cracking my knee feeling. Whereby, if i crack my knee i feel relaxed. What do I do about it. I will follow your tips and hope to recover. Thanksfully there is not pain now. but I'm always scared it may start.

Expert:  Dr. Arun Phophalia replied 1 year ago.
Physical therapy will resolve it
Customer: replied 1 year ago.

how often is physio therapy recommended? Also, what age does this problem usually occur?


 

Expert:  Dr. Arun Phophalia replied 1 year ago.
Usually this problem occur around 45-50 years.

Physiotherapy is advised twice a day 4-5 days a week.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 
Chat Now With A Health Professional
Dr. Arun Phophalia
Dr. Arun Phophalia
Health Professional
29884 Satisfied Customers
MBBS, MS (General Surgery), Fellowship in Sports Medicine