FREQUENTLY ASKED QUESTIONS

Post Chikungunya Joint Pains Treatment

Rest
Drink fluids to prevent dehydration
Hot water fomentation
Physiotherapy
Acetaminophen to reduce pain
Paracetamol to reduce fever and pain.
Aspirin to reduce pain
NSAIDS to reduce pain
Diclofenac spray for local application to reduce pain.

What are the causes of Knee Pain?

1. Cartilage Damage:

Early arthritis, osteonecrosis, and injuries may lead to cartilage damage of a limited area leading to pain, stiffness, swelling, and difficulty in performing daily activities such as walking, standing, sitting for long, climbing stairs, and sitting cross-legged.

2. Meniscal Tear:

Results from injury, when one excessively bends the knee as in squatting, or due to twisting. Apart from pain, swelling, stiffness, and difficulty in walking, there may be ‘locking’.

3. Ligament Tears:

Sports injuries or accidents may cause ligaments to tear causing instability and ‘giving way’. The cruciate and collateral ligaments are commonly damaged.

Have you been advised Knee Surgery?

Treatment for knee pain depends on the cause of knee pain.

Knee Preservation

It includes different methods of treatment for knees with mild cartilage damage, meniscal or ligament tears. The key is early diagnosis of the problem and prompt treatment so that it does not worsen and require major surgery in the future!

Knee Preservation includes the following treatment options-

Lifestyle changes
Exercises
Arthroscopy
ACI Autologous Chondrocyte Implantation or Cartigrow (Cultered Cells)

How can changing my lifestyle help preserve my knee joint?

Lifestyle plays an important role in joint health. This is especially true in someone who has been diagnosed with early arthritis, ligament or meniscal injury.

Keeping your knee muscles strong will help in improving the weight distribution on your knee joint.
Maintaining your ideal body weight also reduces the load on your knee and reduces the risk of further deterioration and damage.
A well-balanced diet, adequate in calcium and vitamin D will help keep your bones and cartilage healthy.
Regular exercises (like cycling, walking) help keep your bones and cartilage healthy.
Avoidance of certain activities based on your specific problem may be advisable to prevent further damage.
Certain protein supplements (glucosamine and chondroitin) may help in protecting the cartilage.

What is the role of exercise in joint preservation?

Early knee arthritis, ligament or meniscal injury can lead to functional limitations due to muscular weakness or instability that prevents one from performing daily activities and even participating in physical activities. Specific exercises can help in reducing pain, improving function by strengthening muscles and improving gait.

Static quadriceps exercises
Knee extension excercises
Straight leg raising
Recline cycling

What is Arthroscopy?

Arthroscopic surgery or “key-hole” surgery allows the surgeon to look inside the joint and perform procedures using special tiny instruments. This usually requires a stay of 24 hours or less in the hospital. Meniscal and ligament tears are treated using arthroscopy as also certain cartilage regeneration procedures. Arthroscopy and washout of the joint are not helpful in knees with complete loss of cartilage

What is ACI (Autotogous Chondrocyte Implantation-Biological Treatment))?

This is a minimally invasive procedure that involves transplanting your own cartilage cells to an area of limited cartilage damage. This is done as an open surgical procedure only when a small area of cartilage is involved. It requires overnight stay in the hospital. The transplanted cartilage cells may help to re-grow and form new normal cartilage at the site of damage and is useful for loss of small areas of cartilage.

ASO Titre And Joint Pain Treatment:

Antibiotics,such as pencillin to eliminate any remaining streptococcus bacteria.
Long-term antibiotics to prevent recuurence.
Nsaids to reduce inflammation and pain.
Corticosteroids to reduce severe inflammation.
If heart tissue is also involved strict bed rest for weeks or months may be required.

ASO Arthritis Symptoms:

Fever
Painful and tender joints-ankles, knees, elbows and wrist.
Pain that moves from joint to joint.
Red,hot and swollen joints.
Small,painless nodules under the skin.
Chest pain.
Heart murmur.
Fatigue.
Flat or slightly raised painless rash.
Jerky,uncontrollable body movementsin the hand,feet and face.
Bursts of unusal behavior,such as crying or inappropriate laughing.

How to Reduce ASO Level in Blood Naturally?

High ASO (anti-streptolysin O) titre ( further than 200 IU/ ml) indicates infection with bacteria called Streptococcus pyogenes. Since these origins can negatively affect heart faucets, long acting injectable penicillin ( vended under the brand name of Pencom LA1.2 million units) are given formerly in three weeks. Oral penicillins similar as Pentid-400 aren’t veritably effective, because the active component isn’t duly absorbed and also gets destroyed in the stomach. It isn’t clear as to why injectable long- acting penicillin wasn’t specified. Pencom will have no adverse effect on the liver, piecemeal from being more effective.