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I measured his knees, believe it or not, and they are the same size. He does take neurontin (gabapentin) for an unrelated condition, and he has been taking it for about two years . He has pain only in one knee, and it hurts him a lot to walk because of his knee. There is no popping.
Can you decipher it? That is my question. Can you please rewrite the following in English. That is what I am asking. Please tell me what the words mean. I don't know what an "osseous body" is or what a "suprapatellar bursa" is or what an "intertrochanteric notch " is. I don't know what an "effusion" is. Please enlighten me. Thank you for saying I can send a copy of the xray. Wow! I didn't know that was possible and didn't get a copy of it. I think I will be fine if you can just interpret the language used to describe the xray. Can you do that?"On the lateral view, there is a 15mm oval bony foreign body projecting in the suprapatellar bursa. On the frontal view, there is an 8.1 mm osseous body projecting in the intertrochanteric notch. No joint effusion is seen. No fracture or dislocation is seen. Mild narrowing is seen at the medial femorotibial compartment. Tiny osteophytes are present. IMPRESSION: 1. Findings are consistent with free osseous bodies within the joint. Consider CT scan or MRI for better characterization. 2. Mild degenerative change
Hello, I am Dr. Arun and will be helping you today.Following are word meaning of the terms;Osseous body; bony pieces. These may form due to degenerative arthritis.
Suprapatellar bursa; Suprapatellar is above the knee cap area. The bursa is fluid filled cushion like normal structure around the joint for the smooth movement of the tendons.
Effusion is swelling or fluid usually due to inflammation in the joint. Your report would be thus deciphered as;On the lateral view, there is a 15mm oval bony foreign body projecting in the suprapatellar bursa. = the side view of the x-ray show, a 15 mm bony piece going in to the bursa (fluid filled cushion for the smooth movement of the tendon) above the knee cap.On the frontal view, there is an 8.1 mm osseous body projecting in the intertrochanteric notch. = In the front view of the x-ray there are bony pieces (osseous-which are usually formed due to age related arthritis) projecting in between the depression (notch) of two prominent (inter trochanteric) portion of leg bone. No joint effusion is seen. = No fluid in the joint is seen.No fracture or dislocation is seen. = No fracture or joint dislocation. Mild narrowing is seen at the medial femorotibial compartment. = On the inner side (medial) of knee joint the space is narrowed between the thigh and leg bone which forms the knee joint (femorotibial compartment). This again denotes the age related or degenerative arthritis.Tiny osteophyte are present. = Small pieces of new bone (osteophyte) are present in the joint. Again this is due to age related arthritis (termed osteoarthritis).
Following measures 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.
2) Rest: Taking a break from normal activities reduces repetitive strain on 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 knee and help regain knee stability. Ideal is supervised physical therapy. Stretching exercises are also part of the physical therapy regime.
5) Orthotics and bracing. Knee brace
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 skin may help relieve the pain and stiffness of osteoarthritis.
9) Deep Electrotherapy by physical therapist.
These are the exercise resource for the knee.
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Thank you! You are a big help! I was very worried about my husband's knee. He can't talk to me to explain to me what is going on, and the x-ray language just baffled me further.
We will follow your advice.
You are very welcome,
It is privilege assisting you.