Orthopedics/Knee Pain

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Question
Respected Sir,
         I am an old man(65 year).I am very fond of walking,but presently constrained for the following
I regularly read medical articles.
I have some(little)knee pain(NOT MUCH),BUT HAVE GOT GOOD PAIN IN TIBIA(Front bone in between knee and foot)and heavy calf muscle pain which aggravates during walking.Leg veins are PROMINENT,NO SWELLING ANYWHERE.Whether the pain in Shin/Tibia is originating from knee OR other vein problem.My body structure is lean,Weight-62 Kg,Height-5 Ft 8 inches
A)Although there is no pain sometime while bending the knees some sound comes.If the problem radiates to lower limbs from Knee Arthritis whether X Ray will probably detect the cause
B)As the calf muscle pain is prominent whether there is Muscle Dystrophy due to Cartinine Deficiency.One Doctor in Hyderabad has prescribed Carnisure(CARTININE SUPPLEMENT) without much improvement.
C)As the pain is in the lower portion(TIBIA and SHIN)whether there is less blood flow in lower limbs(Peripheral Artery Disease)which may be detected by BP of the ankle(ABI Index)and Doppler
Ultrasonography
D)As the pain is in the TIBIA region whether there is any problem of TIBIA NERVE Pain which may be detected by NCV Test
E)Again as the veins are prominent (BUT NO SWELLING)is there any chance of Varicose Vein of WHICH I HAVE NO IDEA
F)I only take BP medicines Attenol-25, Losartan-25 and Asprin-75 once daily each tablet
G)Again for PAD and Varicose Vein Walking should be done ,but for Knee Arthritis walking is
restricted.However as per advice I do Knee Exercise without STRAINING
I am very much worried.Please help"

Answer
Dear Kalyan,

This Chicago Podiatrist, Elmhurst Podiatrist & West Loop Podiatrist says.......
For your knee pain....
Go see a good orthopedist who will pick the best test for your pain.
Your leg pain sounds like myositis of your leg. Your best solution may be physical therapy and gentle exercise-like Yoga, Tai Chi. Other problems would also respond to exercise. A compression hose should be used for varicose veins-or possible ligation/sclerotherapy.
For now do PRICE
Protect- limit the movements that aggravate it.
Rest-Speaks for itself-rest it.
Ice- Will help if it is painful and a little with the swelling. Use heat for stiffness only after one more week. If it hurts-go back to icing.
Compress-Ace wrap on the leg
Elevate-Will help if it throbs or swells.
Continue with gentle range of motion.
Improvement will be slow-because the knee is used daily in all weight bearing activities.
Good Luck!
The podiatrists of AnkleNFootCenters.com are specialists in foot & ankle orthopedics & sports injuries.

Dr George Tsatsos & Svetlana Zats
Podiatrist Chicago 60618 & Elmhurst 60126 Podiatrists
Board Certified in Foot and Ankle Surgery & Orthopedics
New South Loop Location-Chicago 60661
AnkleNFoot.com
Runnersdoc.com
BabyFootDoc.com

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Dr George Tsatsos

Expertise

All questions related to orthopedics of the Lower Extremities-with a specialization in Foot & Ankle Orthopedics & Surgery-Adults & Children Sports Medicine questions of the lower extremities-including runner's injuries. Second Opinion specialist in Foot and Ankle problems including fractures and revision surgery. All questions relating to foot and ankle problems in Children, Sports medicine of the foot and ankle Runner's and walking problems

Experience

Board Certified in Surgery & Orthopedics of the Foot & Ankle. PRIVATE PRACTICES: Ankle N Foot Center.com, 2220 W Belmont Ave., Chgo., IL 60618 since 1979 Ankle & Foot Center of Elmhurst, 401 N.York Rd., Elmhurst, IL, 60126, since 1989. Physicians Suites, Bethany Hospital, 3435 W. Van Buren, Chgo., Il, 60624, since1980. HOSPITAL & SURGICAL AFFILIATIONS: Bethany Hospital, 3435 W. Van Buren, Chgo., Il.- Podiatry staff since 1979 Glen Oaks Medical Center, 701 Winthrop, Glen Dale Hts, IL – Podiatry staff since 1997. Elmhurst Medsurge, 401 N. York Rd., Elmhurst, IL, 60126, since 1999 Resurrection Health Care Surgery Center, 3101 N. Harlem Ave., Chicago, IL, since 1999 Chicago Neurologic & Orthopedic Hospital, 4501 N. Winchester Ave., Chicago, IL, since 2008 Organizations

Organizations
Member American & Illinois Podiatric Medical Association Member of the National & Midwest Academy of Ambulatory Foot Surgery. Member of American College of Sports Medicine. Member of American Medical Athletic Association. Member of Chicago Metropolitan Ski Council.

Publications
Prolotherapy in the Treatment of Foot Problems Clinical Correspondence, June 2002. Vol 92- no. 6 Journal of the American Podiatric Medical Association. Paper on Treatment of Delta-Phalanx of the Foot – submitted for publication to Journal of Foot and Ankle Surgery & for Fellowship of ACPPS., September, 1998 Sports Medicine Consultant for the book-Triathlon 101 Essentials for Multisport Success by John Mora – 1999 ISBN 0-88011-811-3 Windy City Sports – October 1996 Marathon Issue “Keeping Your Feet Happy” American Running & Fitness Association, Clinic Advisor & Lifetime Member – Editorial Staff since 1990.

Education/Credentials
Fellow-American College of Foot & Ankle Orthopedists, since 1991. Fellow-Academy of Ambulatory Foot Surgery, since 1980. Fellow- American Institute of Foot Medicine , since 1987. Fellow-American College of Foot & Ankle Pediatrics, since 1998. Certified in Laser Surgery- by Wenske Laser Center, Ravenswood Hospital, 1991. Certified in Foot and Ankle Arthroscopy – by Doctor’s Hospital, 1991. Certified Preceptorship Director-Scholl College of Podiatry 1993-2006 Board Certified in Foot & Ankle Surgery-A.B.M.S.P., since 1987. Recertified 8/08 till 3/31/2012 Board Certified in Podiatric Foot & Ankle Orthopedics-A.B.P.O.P.P.M., 1991. Recertified 10/2003 till 12/2013 Board Certified in Pain Management-A.A.P.M., since 1990.-retired Clinical Instructor – Department of Medicine at Rosalind Franklin University 10/2007 until present

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