Medical

Have Medical Questions? Ask a Doctor Online!

Ask a Doctor,
Get an Answer ASAP!

Medical
This answer was rated:

I had my patellas removed in the seventies. I am 62 years

old and I have incredible...
I had my patellas removed in the seventies. I am 62 years old and I have incredible .pain. I could no longer walk. I am on pain medication. Am I a candidate for knee replacement?
JA: What medications do you take daily? Are you allergic to any medications?
Customer: I am on a butrans patch and I take dilaudid.
JA: Anything else in your medical history you think the doctor should know?
Customer: I have also had numerous arthroscopic surgeries
Show More
Show Less
Ask Your Own Medical Question
Answered in 1 minute by:
7/17/2017
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 36,159
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Verified

Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with the reply momentarily.

Ask Your Own Medical Question

Severe, pain, pain at rest or night time, failure of physical therapy are the indication of the total knee replacement. So you may contact an orthopedic surgeon about the replacement. Meanwhile following can be tried for the pain relief;

1) Physical therapy; this is the mainstay of the management of the osteoarthritis. Stretching exercises, strengthening exercises, mild weight bearing exercises, swimming on the week-ends etc would be helpful.

2) Deep electrotherapy; this entails going to physical therapy center and take care of specific issues which are more painful.

3) Glucosamine and chondroitin supplements

4) Diacerin too can be tried which suppose to regenerate the cartilage.

5) Local analgesic sprays

6) Mild massage

7) Consideration of hyaluronic acid injection in the joints which are more painful. Some physician may inject steroid too for the pain relief.

8) Warm shower in morning would open up the joints.

9) Capsaicin (Zostrix, ArthriCare) is an irritant derived from chili peppers that provide relief by depleting a chemical that transmits pain from nerve endings. Various strengths are available without prescription. (It causes a burning sensation thus one has to be careful while applying and should wear a disposable plastic glove).

10) Acupuncture; most popular forms of alternative or complementary medicine, particularly for pain relief.

11) Analgesic patches too are available for the pain relief.

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

If overweight is an issue; long term is achieved by weight reduction. High impact exercises should be avoided; like kneeling and bending. 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 herbs are suppose to be good;

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

To summarize: Following measures would be helpful in the knee arthritis;

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.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Ask Your Own Medical Question
Customer reply replied 4 months ago
my question was Am I a candidate for knee replacement since I don't have patellas? 10 Years ago I was told I was not a candidate. Have the procedures improved? I dont want to contact a surgeon if I am not a candidate. Thanks

Yes, you are a candidate, even you do not have patella.

Technique have changed significantly and tremendously in last 30 years.

It is privilege assisting you.

Ask Your Own Medical Question
Customer reply replied 4 months ago
Thanks

You are most welcome.

It is privilege assisting you.Please let me know if you have further queries or unanswered questions.Please consider a positive 5 star rating if this interaction has been satisfactory, as this is the only way we experts are credited and compensated for the time and work. You are not charged again for giving a rating.The rating button is on the left upper side of this thread.Thank you.Wishing you all the very best in life.
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 36,159
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Verified
Dr. Arun Phophalia and 87 other Medical Specialists are ready to help you
Ask your own question now
Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 36,159
36,159 Satisfied Customers
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist

Dr. Arun Phophalia is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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 feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

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 MollPretoria, 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!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, 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.

ElanorTracy, 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.

JulieLockesburg, 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 StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,160 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr Basu

Dr Basu

Experienced Specialist

20,734 satisfied customers

MD

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,064 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

13,486 satisfied customers

20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.

< Previous | Next >

Related Medical Questions
I've been going to physical therapy for a few weeks once or
I've been going to physical therapy for a few weeks once or twice a week for 40 minutes for my hips. Can that cause slight weight loss? I have arthritis in SI joints and ileum joint.… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,622 satisfied customers
I have bad knees they are bone against bone. I have dealt
I have bad knees they are bone against bone. I have dealt with the pain for years as I was diagnosed when I was 28 years old with degenerate disease of the bones due to Lyme disease. Since last Saturd… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor
36,159 satisfied customers
How to treat arthritis of ankle? Seen podiatrist, taking
how to treat arthritis of ankle? JA: Have you seen a doctor about this yet? What medications are you taking? Customer: seen podiatrist, taking occasional Aleve JA: Anything else in your medical histor… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor
36,159 satisfied customers
My knee started to hurt me after I ran half-marathon (~2
My knee started to hurt me after I ran half-marathon (~2 weeks ago). Especially when I sit for a while and not moving (like going 10 hours somewhere by bus) or the pain also starts when I walk for a l… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor
36,159 satisfied customers
I have been getting physical therapy for about 6 mos. now
I have been getting physical therapy for about 6 mos. now per my pain management Clinician's suggestion. Like once before, today, they will give me a tablet where I will have to answer questions about… read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
13,486 satisfied customers
Have painful knee. Some swelling. This was not from a bad
this was not from a bad step. Maybe sleeping habit of pillow between my knees… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor
36,159 satisfied customers
I'm experiencing stiffness in my knees for a while now and
I'm experiencing stiffness in my knees for a while now and my primary is out of the country. Can you help me … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor
36,159 satisfied customers
I had been in physical therapy for two months. After one of
I had been in physical therapy for two months. After one of the manual traction pulls I felt pain in the back of my thigh. It has been a couple months since I stopped therapy and that pain is still th… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,622 satisfied customers
I have a problem with my left knee, feels like a tendon
i have a problem with my left knee, feels like a tendon keeps tightening up and now its affecting my ankle … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor
36,159 satisfied customers
What causes skipped heartbeats, Curcumin turmeric, losartan,
What causes skipped heartbeats JA: Have you seen a doctor about this yet? What medications are you taking? Customer: Curcumin turmeric, losartan, synthroid, coq10, JA: Anything else in your medical hi… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor
36,159 satisfied customers
I've been taking physical therapy for my shoulder for what
I've been taking physical therapy for my shoulder for what the doctos thought was rotator cuff syndrome. It turns out it might be a tear. I have slight pain and discomfort in the front of the shoulder… read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
13,486 satisfied customers
Is turmeric compatible or will it cause side effects with
Is turmeric compatible or will it cause side effects with blood thinners … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
13,486 satisfied customers
Should turmeric be taken with blood thin, I have a stroke
should turmeric be taken with blood thin JA: In general, how has your health been lately? Customer: I have a stroke and a diabetic 11 JA: Anything else in your medical history you think the doctor sho… read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
13,486 satisfied customers
I have an appointment today for physical therapy for
I have an appointment today for physical therapy for arthritus and back pain. I woke this morn with pain in right ankle,do not know what may have caused it. Clinic told me that would have to be my dec… read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,660 satisfied customers
I have an appointment for Physical therapy today,but i woke
I have an appointment for Physical therapy today,but i woke up this morning with pain in my right ankle. Trying to decide if I should reschedule?… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor
36,159 satisfied customers
Can I take turmeric with my Zoloft 50 mg tablets, no don't
no don't like to take codiene but I take 25 Zoloft in morning with 80 mg diovan the 25 mg Zoloft a night and a 81 aspirn … read more
Dr Josh
Dr Josh
Doctor
B.A.M.S.
5,921 satisfied customers
I have degree in physical therapy so understand the basic
I have degree in physical therapy so understand the basic about the nervous system. My questions is that for the past 3 months I have had my muscle belly between my index finger and thumb twitch in bo… read more
wieyedoc
wieyedoc
Ophthalmologist & Retina Specialist
Doctoral Degree
520 satisfied customers
I was at physical therapy today and the PT noticed that I
I was at physical therapy today and the PT noticed that I had a lump on my shoulder blade - it was soft and moved around a bit. When she pressed on it - I felt a slight sensation moving downward. She … read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,880 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x