Treatment Option

Non-pharmacological therapy Pharmacological therapy Interventions

A. Introduction :
Osteoarthritis is commonest cause of knee pain and discussed here. Osteoarthritis is one of the commonest joint problems with 80% of general population of radiologic evidence of osteoarthritis by 65 yrs of age. The disease process starts by age of around 20 yrs and manifest around 40 yrs. More than 40% of sufferers have no radiological evident of osteoarthritis

Pathogenesis :
Exact etiology is not known. By chemical stress on articular cartilage and subchondral bone leads to wear and tear to these structures. Joint inflammation is very minimum compare to other arthritis and seen mostly in advanced disease

Clinical features:
Pain around the joint that increases with weight bearing and movement and improves with rest is the commonest presenting symptom. It may be associated with morning stiffness and swelling of the joints. Clinical signs are tenderness, crepitus, joint effusion, decreased range of movement, valgus/varus deformity etc. X-ray shows decreased joint space, osteophytes formation and osteoporosis of subchondral bone.

Reasons

Prolonged sitting at one place
Jerky movement / weight lifting
History of Fall / Trauma
Advancing age
Inflammatory Spondylo Arthropathy

Symptoms

Posture change painful
Sitting / driving painful
Morning stiffness present
Standing from sitting painful
Local tenderness present
Some times cross leg sitting / sitting painful

Investigations

X-ray/ special X-rays
MRI Spine
Blood reports

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Testimonials

Sciatica/SI Joint

Renukaben P Bhatt : Earlier I had pain in low back more than 30 years & knee pain more than 7 years, I had consulted many doctors & took medicine but they all had advised me for operation of spine & both knee. Then I heard about Dr. Palak Mehta. She had performed PRP treatment in my both knee & for Back Pain she put injection in SI joint . Now I had 80% relief in my knee Pain & Back Pain. Thanks to Dr. Palak Mehta for giving relief from very old pain.

Back Pain

Shantaben Bhanubhai Raiyani: When I consulted Dr Palak Mehta I was suffering from back pain since 1 year. I had severe pain while walking, sleeping and doing my routine activity. Dr Mehta suggested me for injection treatment and after her treatment there is complete relief in pain. Now I can walk, sleep, sit down and can do my routine activity without any pain.

Knee Pain

Sakinabibi Mehboobbhai Mansuri: I was suffering from knee pain since 5 years and I consulted so many doctors but there was no relief in pain and even some doctors suggested me for knee replacement or they asked me to take complete bed rest. Once I saw Dr Palak Mehta's interview and consulted her and through her procedure treatment there is 95% relief in pain. I came to her clinic on wheel chair but now after taking her treatment I can do my routine activity independently without any support.

Neck Pain

Bhanubhai Nanjibhai Raiyani: I was suffering from Neck Pain since 3 years. After consulting Dr Palak Mehta and through her treatment there is complete relief in neck pain

Shoulder Pain

Indravadan B Surti : I was suffering from shoulder pain since 32 years. After consulting Dr Palak Mehta and through her injection treatment there is 70% relief in pain.

Trigeminal Neuralgia

Vimalaben Ambalal Patel : Pain before the operation was severe which was not bearable while talking, eating and during washing face, but now after operation it's really good, no more pain. Basically I will rate this operation of Trigeminal Neuralgia is 97%.

Endoscopic Discectomy

Jayaben Sureshbhai Panchal : Doctor's practice is good. I had back pain since 5 years and I saw Dr Palak Mehta's interview on television and consulted her. After examining she advised me for Endoscopic Discectomy treatment and after taking treatment there is 65% relief in pain.