How to reduce inflammation in Rheumatoid arthritis - #10457
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.
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Doctors’ responses
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.
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
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.
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
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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