Hi Dr Kaul,
Thank you for replying. The arthritic changes actually have taken place in my ankle. I did go see my ortho doc yesterday and he said he could not address the ankle I need to go see an orthopaedic.
He examined both my knees - right knee is the replaced one, he said I had an inflamed tendon in front of my knee I believe he used the word Patella Tendon. The left knee same there but I also had a bursa. He gave me an cortisone injection in both and I am to go back in a week to see what is happening.
The thing is I am not a runner, dancer, gymnast just an ordinary person somewhat limited due to a neck fusion from C3-T1. So I am not sure what is causing all my tendons to be inflamed. What causes this, any clues or can you point me into the right direction? Thanks for your help.
Hi there!
I would assume you to be talking about the knee with the replacement. Well, without a clinical evaluation it would be difficult to determine the cause of the pain. Possibilities that may need to be considered include hardware/ prosthesis issues, degeneration, injuries, inflammation etc. MRI’s are not typically recommended with metal implants due to lack of image clarity. A CT or an MRI with adjusted pulse sequences and other parameters are more acceptable options. With bleeding/ platelet issues NSAIDS are typically avoided since they tend to have anti-platelet action with cumulative doses. However, a few other medications with little or no anti-platelet action such as steroids may be suitable in such situations. It would be best to discuss alternative anti-inflammatory medications and possible causes with your treating doctor for appropriate management.
Hope this helps.
Take care!