How can I reduce my knee pain without medication?

Many people like you don’t like taking medication, not do they want injection or an operation. Options for non-medical treatments include 1. Physiotherapy 2. A gait analysis +\- Orthoses 3. Acupuncture 4. TENS As Dr Henry mentions, the important first step is assessment and deduction of what is going on. This can be done from a surgical perspective or by a physiotherapist, sports/MSK physician or podiatrist.

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Answered By

Dr Dinesh Sirisena

Sport Medicine

Will surgery for torn ACL and meniscus damage still be effective if it happened many years ago?

Regarding whether your knee will be amenable to treatment some years after the initial injury, the answer is generally yes, but a repeat assessment will be required to determine what is necessary. For many patients with an ACL or meniscal injury, surgical intervention is not immediately required and rehabilitation can certainly help. If you are having ongoing swelling, instability or locking, or your work/sport is significantly impacted, then seeking help would be advisable. Hope this helps.

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Answered By

Dr Dinesh Sirisena

Sport Medicine

Can Turmeron replace my pain medications that don't seem to work?

No. Unless approved by a doctor, an over-the-counter supplement cannot replace medication prescribed by a doctor. If your medication is not working then you will need to see your doctor to replace or find something to assist your medication. That said, there is no harm in bringing up Turmeron and what it claims to do to your doctor. If there are no potential complications, there are no interactions with your medication, and your doctor clears you to take it, then you can take Turmeron.

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Answered By

Dr Henry Chan

Orthopaedic Surgeon

Is taking glucosamine helpful for arthritis sufferers?

The benefits of glucosamine for arthritis are controversial. While many studies conclude that glucosamine has no benefits for osteoarthritis, others indicate that it may relieve joint pain and other symptoms over time. It is however still worth a try to see if it helps you.

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Human

How can one resolve knee pain even after a knee replacement surgery?

Thank you for your question. This is certainly one where consultation from an Orthopaedic surgeon with experience in arthroplasty is necessary - in terms of the knee itself. Perhaps you could share why a repeat operation was required and how long ago it was undertaken? From a pain perspective, is she taking regular analgesia for the symptoms and did she undergo rehabilitation post-operatively? This might improve her strength and ability to mobilise. From a weight perspective, has she consulted a dietician to look at her intake?

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Answered By

Dr Dinesh Sirisena

Sport Medicine

How can a frequent runner with knee pain heal his knee?

Thanks for getting in touch! I think my colleagues have given you excellent answers, and there is plenty to work off at present. When I read about your dad’s case, there are some things that come to mind. Firstly, how long ago did he injure (if indeed he did) his knee? If it’s not in the too distant past, then most polyclinic doctors should be able to access the scan report (via the national electronic health database) and advise you on the nature of the injury. This in turn may prompt you both to take up a particular course of treatment.

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Answered By

Dr Dinesh Sirisena

Sport Medicine

How does PRP injection work for knee pain?

Dr Henry has given you a thorough synopsis of the options in terms of injection treatments, but I thought that I would give some anecdotes from clinical practice. Situations where my patients have tried PRP for knees include 1. OA 2. Chondromalacia Patella 3. Osteochondral defects 4. Patella tendinoapthy/tears For some, it works well. For others - not so. Personally, I think it’s worth trying as there should be minimal side effects and if done under ultrasound guidance, you can be sure that the PRP is placed correctly.

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Answered By

Dr Dinesh Sirisena

Sport Medicine

What can I do about knee pain that occurs during jogging?

Thanks you for your question and although you can bear the pain, I can understand your concern. As Dr Sean has mentioned, there can be many different causes for knee pain and further information is needed to advise you more specifically. Things to consider are: 1. How long the pain has been troubling you? 2. Where in the knee is the pain? 3. How soon after running does it come on? 4. How long does the pain last for? 5.

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Answered By

Dr Dinesh Sirisena

Sport Medicine

What should I do about recurring knee pain and weakness in a 21 year old?

Thanks you for your question and sorry to hear about your knee pain. There are many different causes for knee pain but a common problem in your age is something called patella-femoral pain syndrome. This is usually from a relative muscle imbalance and hence the phenomenon of mal-tracking and pain. In general this can be resolved with rehabilitation - but it would be important for you to seek a formal assessment with investigations if appropriate. I would suggest visiting a Sports/MSK physician or physiotherapist in the first instance. They can evaluate your knee and advise accordingly.

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Answered By

Dr Dinesh Sirisena

Sport Medicine

How can I differentiate runner's knee from other causes of knee pain?

Assuming there’s no previous trauma (ie. fracture), it's highly unlikely to be arthritis. Arthritis is usually from wear and tear, so usually an older patient would get it. Post-traumatic arthritis can happen, but only if there’s a history of trauma. At your age group and from what you’ve written, Runner’s Knee would be one of the more common problems. A lot of times there’s a combination of some tendinitis as well, so the pain may not totally go away even at rest.

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Answered By

Dr Sean Ng

Orthopaedic Surgeon

What are non-surgical treatment options for severe knee pain?

Thank you for the enquiry. First and foremost, it is important that a proper assessment be done, so that we may pinpoint the cause of your knee pain. Causes include degeneration of the cartilage, bone spurs, ligament wear and tear, obesity, deformations etc. Nevertheless, painful conditions such as arthritis of the knee, can be effectively managed with TCM, especially acupuncture. If you have not heard about it, acupuncture has been recognised by World Heath Organization as an effective modality for pain management.

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Human

How will joint replacement surgery (replacement arthroplasty) affect my lifestyle?

I assume that you are referring specifically to the replacement of the 1st carpometacarpal joint. After such a replacement is done, you can expect a better quality of life. Pain should be eliminated almost immediately, and joint motion will improve with the presence of the new joint. Certainly, the pinch strength of the thumb after replacement will not match that of a completely normal thumb, although it will be stronger than what it is before surgery. The ability to play musical instruments, using the computer and mobile devices will post-surgery.

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Answered By

Dr Aaron Gan

Hand Surgeon

How effective is Hyalofast at repairing knee cartilage?

Hyaluronic acid will not repair cartilage injuries but it may help with your pain symptoms. Manufacturers report that this is due to the substance reducing friction, but we know that while its effect lasts about 8-12 months, it really only lasts in the joint for about 3 months. So we aren’t really 100% sure how it has a lasting effect. More important is why you have developed the injury and looking at how to overcome this and limit further issues.

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Answered By

Dr Dinesh Sirisena

Sport Medicine

How does Japanese turmeric differ from other turmerics for joint pain?

In general, Turmeric contains curcumin, a natural Polyphenol. Curcumin is currently a hot topic in the research community because it has multiple health benefits, such as having inflammatory properties, helping the kidneys function, and improving metabolism. It is highly likely that Curcumin is the reason why Turmeric has been used as a type of medicine. Japanese turmeric is a bit of a misnomer. On the one hand, there are several types of turmeric found in Japan, including wild turmeric (Kyou-ou), Okinawa Ougon Turmeric (Ukon), Spring Turmeric, and Black Turmeric (Gashutsu).

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Answered By

Dr Henry Chan

Orthopaedic Surgeon

For Osgood-Schlatter’s Disease, what supplements can I take for faster recovery?

Hi For OGS there isn't really a supplement to "speed" the recovery and indeed the most important element is correct and careful loading, adequate rest and working with the coaching and management team to achieve this. Sometimes, shockwave therapy CAN help in more serious cases. Here is more information if you are keen: https://sportsmedinfo.

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Answered By

Dr Dinesh Sirisena

Sport Medicine

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