Just diagnosed any thoughts or advice? | Arthritis Information

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Have received results of my knee x-rays. Sadly they show some arthritis
in both knees. I'm a very active 46 years old man. “There is mild
degenerative change in the medial compartment of both knees with very
early joint space narrowing. There is some new bone formation around
the lateral femoral condyle and inferior surface of the patella bilaterally. "

I have some trouble walking down stairs or hills. Any thoughts on further
investigation or treatment?

Thanks,

Teddy

 

Hi Teddy,

There is hope if your arthritis came on suddenly. In 2000 I had a hip x-ray that showed some damage, a recent x-ray showed no damage.

If your arthritis came on suddenly, take a boo at my OA page in my sig.

Ron

Hi H, Had a look at your webpage. Interesting. I have had undiagnosed
fevers in the past which could be low grade Lymes? Just a thought. The
mechanism for antibiotics working for arthritis seems to be for blocking
the destruction of cartilage rather than via killing microbes. Any
thoughts? Ted


[QUOTE=Hermsi85]

 


Hi Teddy,


There is hope if your arthritis came on suddenly. In 2000 I had a hip x-
ray that showed some damage, a recent x-ray showed no damage.


If your arthritis came on suddenly, take a boo at my OA page in my
sig.


Ron

[/QUOTE] Interesting thread on OA and nutrition here:

http://www.physiobob.com/forum/patient-corner-questions-
answers/6281-early-oa-any-suggestions.html

 

Hi Ted,

Talk about being caught between a rock and a hard place!

I am sure that you have figured out that there are no hard and fast answers to your questions. You have to do your own research.

I have no idea if you have Lyme, if you look at the menu on the left of my OA page you will find Lyme Symptoms. There is Lyme in Ont. and the UK, both places difficult to find a knowledgeable doctor to get a diagnosis and testing is the pits.

I would study the Roadback site (link on my OA page) where many have successfully treated arthritis with abx. There are also people there who have had good luck with nutrition and arthritis.

Good Luck!

Ron

Exercise is very important -- but nothing that really stresses your joints.  Therefore, jogging or any other joint-jarring exercise, should be stricken from your exercise repertoire.  This may be a good time to start calcium and vitamin D.
Thank you for the reply. I'm researching the nutrition end of things. There is
a very good thread from Physiotherapists at:

http://www.physiobob.com/forum/patient-corner-questions-
answers/6281-early-oa-any-suggestions.html#post17230

I think it would be helpful for people here. You post questions and they give
PT advice.

Best wishes!

Ted

Teddy, I would ask for an MRI to get a much more accurate record of what is going on with your knees.

 

I say this because I have little to no faith in X-rays being a good diagnostic tool for OA. I was diagnosed with very early onset OA while still in my 20s. However, what showed on x-rays and what was actually there were two completely different things. My OS did arthroscopy because he thought I had torn cartliage. I did have but I also had very severe OA in that same knee that he could easily see during surgery. In fact he scrapped alot of it from the bone and told me at that time I needed a total knee replacement. But, because I was so young I just suffered with it for many years. I finally had a total knee replacement last year after having 3 arthroscopies over the years to get rid of the arthritis.

My other knee aslo gives way and needs to be replaced but when the ER did x-rays the report said almost the exact same thing yours just said, but the MRI told the true story.

 

Hi Celine, Thanks for sharing that with me. A recent study I read agrees
with you - X-rays are a poor tool for measuring change or progression
in OA. In fact that was almost the title. If you want to track it over time it
seems that MRI is better. But I would have to pay for an MRI unless I really
put the screws on the GP and again in the future. I don't know that it's
worth it for me? I think i have pretty mild/early stage OA and it seems to
be responding to Glucosamine Sulfate, Vit D, Calcium and physio
programme. It's not perfect but better than it was. A silver lining for me
that it's encouraged me to get back into sea kayaking which I used to
love. That doesn't stress the knee!

Sorry to hear about your knees. What caused your OA do you think? Best
wishes for a your efforts to get on top if it.

Yours, Ted

[QUOTE=celine]

Teddy, I would ask for an MRI to get a much more
accurate record of what is going on with your knees.


 


I say this because I have little to no faith in X-rays being a good
diagnostic tool for OA. I was diagnosed with very early onset OA while
still in my 20s. However, what showed on x-rays and what was actually
there were two completely different things. My OS did arthroscopy
because he thought I had torn cartliage. I did have but I also had very
severe OA in that same knee that he could easily see during surgery. In
fact he scrapped alot of it from the bone and told me at that time I
needed a total knee replacement. But, because I was so young I just
suffered with it for many years. I finally had a total knee replacement last
year after having 3 arthroscopies over the years to get rid of the
arthritis.


My other knee aslo gives way and needs to be replaced but when the
ER did x-rays the report said almost the exact same thing yours just said,
but the MRI told the true story.


 

[/QUOTE] Hi Teddy:
You have the same diagnosis that I did a year and a half ago.  That is the beginning of your knees wearing out.  I had a cortisone injection in each knee to relieve pain.  It did not help for more then 3 to 4 weeks however.  I would say to be careful how  much you walk and avoid extra lifting that puts a strain on your knees.  I have already had double, total hip replacements ten year's ago.  If you can tolerate anti-inflamatories, I cannot, try that in low doses and space them througout the day.  As for actiivity, the more I did the more I hurt.  Good luck,
JCG
Hi I recently had a procedure done that was unexpected.  I tore the minscus in my right knee while vaccuming, yes vacuuming.  When they did the MRI to see how much damage I had done to my knee they found I have stage 4 OA in my knees.  So the doctor did a procedure within a procedure.  He repaired the tear in my minscus and did some drilling in my knee to strengthen the joint by basically injuring my bone so that my body would create scar tissue to cushion my joint.  It seems to be working.  My knee has healed from the surgery and seems to be getting less "crunchy" as the tissue builds up.  It is amazing what they can do these days with a drill.  Sounds weird but it worked and I am going to have the drilling done to my left knee to reduce the pain and crunching.  I don't know the medical term but I am sure if you describe it to your doctor, he/she will know what you are talking about.  Good luck.
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