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Ask Dr. Arun Phophalia Your Own Question

Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 29648
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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I have a lump on the left side of my left knee just above the

Resolved Question:

I have a lump on the left side of my left knee just above the cap for the past to years at first was rather small and is now 2/3 size of a golf ball I can notget a satisfactory explanation.
Submitted: 5 years ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 5 years ago.

Greetings.

 

Is the lump soft, fluid filled, firm or hard?

 

Can you move it all over?

 

Is it painful or tender?

 

Dr. Arun

Customer: replied 5 years ago.

Thank you for your prompt reply.

 

The lump is hard and is only painfull ocassionally when pressure applied. The ump is fixed and can not be moved

Expert:  Dr. Arun Phophalia replied 5 years ago.

Hello,

 

A prepatellar bursa is the commonest swelling in this area with a long history. Aspiration and injection of the steroid is the treatment. Please read this resource for the prepatellar bursitis (when the inflammation occurs);

 

http://orthoinfo.aaos.org/topic.cfm?topic=A00338

 

An hard and fixed swelling need to be further investigated by the x-ray and MRI. Following are the other considerations;

 

1) Fibrolipoma

2) Soft tissue sarcomas

3) Bone growth or tumors.

 

Please feel free for your follow up questions.

 

Dr. Arun

Customer: replied 5 years ago.
I would like to have it removed, are there any obvious risks, and can I directly influence my GP to recommend me for surgery.
Expert:  Dr. Arun Phophalia replied 5 years ago.

Hello,

 

Your GP can investigate you and refer for the surgery directly and you can specifically request this to him/her.

 

Unless the diagnosis is made, risks cannot be ascertained. It does warrant the medical imaging studies.

 

It is pleasure and privilege assisting you.

 

Dr. Arun

Customer: replied 5 years ago.

Thank you Doctor, I accept and am grateful foryour help I will click the accept button, but before I do I have a futher question regarding my knees do I need to relog on and submit my credit card again?

 

Regards

 

Michael

Expert:  Dr. Arun Phophalia replied 5 years ago.

Hello Michael,

 

You are welcome.

 

You don't have to relog and submit the credit card details again. You just have to click green accept button.

 

Good luck.

 

Dr. Arun

Customer: replied 5 years ago.
I have severe pain in both knees almost all of the time and am woken during the night with this pain I am able to walk up a stair case no problem both have great difficulty in walking down again
Expert:  Dr. Arun Phophalia replied 5 years ago.

Hi Michael,

 

That seems to be osteoarthritis of the knee. It would need a comprehensive care by various measures. The conservative therapy is following:

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.

 

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.

 

http:bigkneepain.com/knee-exercises.html http://www.pamf.org/sports/king/kneerehab.html

 

Please feel free for your follow up questions.

 

Dr. Arun

Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 29648
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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