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How to reduce inflammation in Rheumatoid arthritis
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Rheumatic & Autoimmune Conditions
Question #10457
300 days ago
519

How to reduce inflammation in Rheumatoid arthritis - #10457

S Ranikumar

Is Knee replacement surgery suggested for 76 years women as her knee was totally bend and walking is very painful.She is walking slowly with pain.In additional she is suffering from Rheumatoid arthritis.She is taking medicine for that.

Age: 76
Chronic illnesses: No
Surgery will be painful
300 INR (~3.53 USD)
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Doctors' responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
300 days ago
5

For pain management

1) Zerodol sp 1 tab twice daily and sos 2) pan 40 1 tab before breakfast as needed

For Rheumatoid arthritis treatment of choice is DMARD: This includes methotrexate , hydrochloroquine, Salfasalazine and other supplements like vitamin D3, calcium

Visit specialist.

1958 answered questions
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Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
300 days ago
5

Temporary Alternative for her

Intra articular steroids injection - will cause temporary relief

Custom knee braces

Pain management: Paracetamol, low-dose NSAIDs (if kidney and BP are okay)

Walking aids: Walker, stick to reduce pressure

Physiotherapy: Gentle stretching and strengthening

546 answered questions
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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
297 days ago
5

At 76 with severe knee bending, pain, and rheumatoid arthritis, knee replacement surgery is generally beneficial to improve mobility and reduce pain. However, a thorough evaluation by an orthopedic surgeon and rheumatologist is essential to assess surgical risks and optimize her RA treatment. Post-surgery, physiotherapy and RA medication adjustment will be crucial for recovery and joint health.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
299 days ago
5

Hello sir Please be aware See for rheumatoid arthritis you can take analgesics For confirmation please get dimet test or crp confirmation You can take following medications Tab etorocoxeb twice a day Tab voveron xr 50 mg accordingly In addition please do minor physical excercise and get clinical evaluation with general physician Regards

2752 answered questions
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Knee replacement surgery can be a viable option for individuals who have severe knee joint degeneration causing significant pain and impaired mobility, such as in the case you’ve described. When severe rheumatoid arthritis leads to knee deformities and persistent pain that doesn’t improve with medication or therapy, replacement may be considered to improve quality of life. In the case of your relative, given her age and symptoms, it’s important to weigh the potential benefits against risk factors like surgical complications or pre-existing conditions. Older age itself can be a factor, but it doesn’t automatically preclude surgery if she’s otherwise healthy and able to tolerate an operation. Joint replacement might offer significant relief in pain and improve function, but it’s crucial that she’s evaluated by an orthopedic surgeon specializing in joint replacements. They would consider her overall health, rheumatoid arthritis status, current medication, and extent of joint damage. Pre-surgical evaluation usually includes imaging studies like X-rays or MRIs, as well as consultations to assess cardiac and pulmonary fitness for surgery. Besides considering replacement surgery, it’s also essential to continue optimizing medical management of her rheumatoid arthritis to control inflammation systemically. This includes possibly adjusting current medications or incorporating physical therapy to maintain as much joint function as possible until a surgical decision is made.

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