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I think best if you may establish with an orthopedic specialist for the knee pain. Ongoing follow up to determine cause if possible is in your best interest. Ortho would probably continue you on pain regimen (Norco or similar)
You may benefit from an anti-inflammatory ( Aleve over the counter 2 tablets twice a day with food for example ) Rx options may be considered ---Lodine / Voltaren/Celebrex
Topical application such as Aspercream may help...
Check your blood for uric acid level should help differentiate if gout is serious consideration of cause...
Osteoarthritis is most common... Status of cartilage in joint would be helpful to guide treatment..possible that measures such as steroid injectioon to knee or Synvisc or similar may be helpful
I hope that this information is helpful for you.Let me know if you have further questions or concerns.I will be happy to get back with you.If my answers have been helpful and to your satisfaction then please remember to leave positive feedback Thank you and best regards,
Anthony Bray MD
You may benefit to seek to consult a pain management specialist for help with the chronic pain. I understand your situation. Many doctors feel under much pressure to avoid prescribing narcotic pain meds for longer than a couple of weeks ( much pressure and scrutiny by DEA on that issue ) This is not to say that you don't NEED pain relief but it is recognized that the climate these days makes the pain control issue more complex. It is more standard of care these days to have specialist such as ortho WORK WITH pain management specialist when opioid meds such as Norco are needed.
A pain management specialist could handle the more potent aspects of pain relief for you but you may see an ortho for other aspects of follow up care of your knee joint....
Other measures that should be helpful >>>
NSAID such as Iodine / Voltaren / Celebrex
Supplement >>chondroitin sulfate and glucosamine 1200/1500mg/day
Topical to knee such as Aspercream
Physical therapy .....
I hope that this is helpful for you. Let me know if you have further questions. I will be happy to get back with you