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knee pain
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knee pain

My husband's knee started swelling after a day of golf. He went to see our doctor and she wasn't sure why it swelled so she sent him to an orthopedic doctor. He took x-rays of his knee standing and laying down. Said his joint looked good. Drew off some fluid off his knee and gave him an cortizone shot. His knee was better for about a week then started swelling again. So the orthopedic doc sent him to a rhuemetologist. He had an MRI and that came back fine. The rhuemetologist wasn't sure why his knee was swelling. He did an ultrasound and drew off some more fluid and gave him another cortizone shot. The first doctor drew the fluid from under his knee and the second drew it from his knee cap. It has been several weeks now and his pain is back he still has a little swelling but now both his knees hurt. He wears a brace on both his knees now. He has trouble getting up if he has to get down on the ground for something. We are not sure what to do now because both doctors has told him all his test look fine. His joints look good and they did not show no arthritis in them. Who should he see now? What can I do to help him. He on his feet all day for work and by the time he gets home he just aches. Can anyone give me any ideas?  
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1083596_tn?1313398276
Dear wpthomas,
I can understand your concern for your husband.There is a common condition in Orthopaedics called as "Idiopathic arthritis". It means, there occurs joint swelling without any reason.It's due to this reason, all the results / tests are fully normal.
1) Who should he see now?
    Orthopaedician is the correct person.Sports therapist can also help you.If your previous orthopaedician is not able to help you, then it's better to change the doctor.
2)  What can I do to help him?
    You need to help him with his physiotherapy, which include knee range of motion exercises, quadriceps and hamstring strengthening physio.These can be taught by the physiotherapist.
You said he is already wearing the braces.Is he wearing crape bandages/elasto-bandages also.As it helps a lot to keep the swelling under control.
Also please let me know as what medications he was on?
Waiting for you to answer my questions.
Regards.
3 Comments
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Avatar_f_tn
Thank you for getting back to me. My husband only is wearing the braces. For pain and swelling he just takes advil/motrin. His swelling is not bad when he wears his braces. He is concerned when he takes his braces off of a swelling/bump on the lower outside part of his knee cap. Coming down the stairs Saturday his knee gave way and he fell the last couple of steps down the stairs, this is worrying him. If I understand you correctly my husband knee could have arthritis in it and his x-ray and MRI would not show anything. Then how can they diagnose this condition? What questions should we ask the doctor? I look forward to your answers.
thank-you
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1083596_tn?1313398276
Dear Friend,
If your husband felt like the joint giving way, then you must discuss the same with the Orthopaedician.In these scenarios, i would suggest you to go for a Diagnostic Arthroscopy to rule out any other possibility.
Regards.
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