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Dr. Muneeb Ali
Dr. Muneeb Ali, Intensivist
Category: Medical
Satisfied Customers: 3131
Experience:  MBBS, MD, MCCM.Currently working in Critical Care Medicine with 10 year experience in Medicine
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Ive had bad knee pain for 10 days xray shows

Customer Question

ive had bad knee pain for 10 days xray shows demineralization I'm on steroids now what next
Submitted: 3 months ago.
Category: Medical
Expert:  Dr. Muneeb Ali replied 3 months ago.

Hi,

Can i ask how long have you been on steroids? Were the steroid started for another condition? Apart from demineralization what else does the xray show?

Expert:  Dr. Muneeb Ali replied 3 months ago.

Since you seem to be offline, ill leave a response here which we can discuss later

Im sorry to hear about your symptoms. Now the demineralization of the knee joint is most likely to be due to the steroids which you are on. infact it is a known fact that using steroid will lead to the development of osteoporosis in many individuals and that is why ALL patients on chronic steroid use have to be started on calcium and vitamin D supplements in order to prevent this from occurring. Now since it has already occurred in your case the next best step would be starting the calcium and vitamin D supplements ASAP as that can help in arrest the progression of the disease. Secondly, the steroids which you are on may have to be tapered down to a minimum dose where they can be effective for the disease for which you are being treated. This will alllow the bones to heal. In addition one thing which can help is an injection of hyaluronic acid directly into the knee joint which can help the movement ofthe joint as well.

Now if teh steroids were given to decrease inflammation in the knee joint, then another thing which can be tried is direct injections of steroids into the knee joint. This can help with decreasing the inflammation. Other things which can be tried are OTC voltaren gel which can help a lot as well. In addition, local lidocaine application can help as well.

Lastly, if the demineralization is the cause for the pain then you would have to be started on drugs like bisphosphonates which can help in strengthening the bones. these drugs can include zolindronate or pamidronate. These can also help in reducing the pain.

I would suggest that you discuss these possibilities with your doctor and also consider getting a MRI fo the knee joint done as well as a bone scan if needed.

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