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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 35787
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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I'm experiencing stiffness in my knees for a while now and

Customer Question

I'm experiencing stiffness in my knees for a while now and my primary is out of the country. Can you help me
JA: What seems to make the symptoms worse or better? Have you noticed any swelling?
Customer: no swelling but extreme stiffness I did forget to mention I have a heart issue as well.
JA: Anything else in your medical history you think the doctor should know?
Customer: gout and high blood pressure
Submitted: 1 month ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 1 month ago.

Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

Expert:  Dr. Arun Phophalia replied 1 month ago.

What is your age and gender?

Were any investigations done for the knee stiffness?

Customer: replied 1 month ago.
41, no surgery or damage but I do have an Heart issue called Cardiomyopathy
Expert:  Dr. Arun Phophalia replied 1 month ago.

Thanks for the additional information. I am writing the answer for you and will get back to you in 4-5 minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank y

Expert:  Dr. Arun Phophalia replied 1 month ago.

Your stiffness can be due to osteoarthritis. You need to get following;

1) X-rays of knee with full weight bearing.

2) MRI knee.

Following treatment is advised:

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.

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) Warm shower in morning would open up the joints.

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

9) 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 stiffness;

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.