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.
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.