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Pain Management/Knee Joint and Associated Muscle Pain

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Question
Respected Sirs
I am 66 years. 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 NOT PROMINENT,NO SWELLING ANYWHERE.
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 crunching/creaking sound
comes.Whether the problem radiates to lower limbs from Knee
X Ray of knees (both legs(AP plus Lateral)shows EARLY OA CHANGES, BOTH KNEE JOINT SPACES
ARE SLIGHTLY DIMINISHED(not uncommon for a 66 year old man).Lateral Picture is ok
B)As the pain is in the lower portion(TIBIA and SHIN) to check whether there is less blood
flow in lower limbs(Peripheral Artery Disease. Doppler Ultrasonography of lower limbs was
done and the result shows
B)No evidence of Deep Vein Thrombosis,b)No soft tissue abnormality,BUT Diffuse
Artherosclerotic wall thickening of lower limb arteries,bur flow and velocity is NORMAL
C)TO CHECK WHETHER whether there is Muscle Dystrophy Creatine Phosphokinase Level in Blood was
measured and found to be high 253 instead of normal BELOW 171
D)As I am very fond of walking whether it be should be done,but for Knee Arthritis walking is
restricted.However as per advice I do Knee Exercise without STRAINING MUCH
E)I have no Sugar/Calcium /Potassium/Uric Acid/Creatinine /Urea level is normal
F)I only take BP medicines Attenol-25, Losartan-25 and Asprin-75 once daily each tablet and
Cholesterol lowering/controlling drugs(Statin )
G) THIS MUSCLE DESTROPHY IS NOT PROBABLY CURABLE,WHETHER MUSCLE RELAXTANTS WILL GIVE SOME
RELIEF.WHAT MEDICINES CAN BE TAKEN.I have taken Carnisure(CARNITINE SUPPLEMENT) without much
improvement.
With thanks

Answer
Since there was no evidence of deep vein thrombosis it appears that walking is alright for you. Carnitine is a good supplement to take. I would also suggest a calcium supplement with magnesium. you could also try some of the topical analgesics such as Aspercreme or Icy Hot (which does have a strong odor). I also like to use emu oil creams. They have no odor and are very effective against musculoskeletal pain. They come in all brands, like "Blue Emu" or the like. You were smart to rule out muscular or venous abnormalities which, thankfully, were normal.

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Patricia M

Expertise

I welcome questions from people who may want a "nurse's perspective" on the subject of chronic pain and pain management. I am a nurse, NOT a physician (MD).I can answer questions on medications, alternative approaches, and the various organs and body systems. There are many avenues to explore with chronic pain. I am against seeing patients suffer simply because healthcare professionals might suspect they are "drug seekers". There are methods of identifying true pain, and this makes patients feel as if they are taken seriously, which they should be.

Experience

Over 25 years working experience in Internal Medicine, Adult Cardiology, Post-Surgery care, Cancer, psychiatry and some experience as a lay-counselor in addictive medicine (dependence to alcohol and/or drugs, both legal and illegal drugs).

Organizations
I am an Expert with AllExperts in several areas: Pharmacy, Internal Medicine, Medical Errors. Feel free to check my Q&A history as well as my ratings, which are very high.

Education/Credentials
Diploma from hospital-based nursing school. Additional courses in pharmacology. I keep current in continuing education. Am currently working as lay-counselor which can lead to my certification as Substance Abuse Counselor.

Awards and Honors
Dean's List while in college.

Past/Present Clients
Internal medicine patients, cardiology patients recovering from heart disease and/or open-heart surgery, cancer, as well as recently working as a lay-counselor to individuals dealing with addiction to drugs and/or alcohol. NOTE: Just because I attempt to help patients with addictive diseases, I have over 25 years in Internal Medicine, have nursed patients with great deal of pain, and I am compassionate. I never label anyone as a "drug seeker". I have seen that done for years, and am against it. All patients should be evaluated for pain in a fair and comprehensive manner. Am an Expert with AllExperts in three other medical categories; feel free to check my ratings, which are high.

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