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Dealing with ankle injuries can certainly be frustrating, especially when you have specific fitness goals like running a 5km. Steroid injections can be an option for reducing inflammation and pain in the affected area. However, it's important to weigh both the potential benefits and risks of steroid injections, as they are not benign treatments. Benefits might include rapid relief of inflammation and swelling, which could help you get back to training sooner. On the downside, potential risks may include weakening of the surrounding tissues, potential increase in infection risk, and other local or systemic side effects. Given that you have an upcoming running commitment, it's essential to discuss this treatment option thoroughly with your doctor or a sports medicine specialist.

Thank you

Unlikely to be anything significant. But still your symptoms of not able to walk is concerning and I would recommend checking with a doctor to make sure all ok.

Yes, it should help.

Each medication indeed has its specific dosing guidelines, including Saxenda. For Saxenda, the starting dose is typically 0.6 mg, which is part of its dosing regimen to gradually increase the dosage to minimize side effects and improve tolerability. Starting at a lower dose like 0.25 mg isn't standard practice, and due to the design of the pen injector, it may not be possible to accurately dose lower than 0.6 mg. The starting doses are determined based on clinical trials and the drug's pharmacological profile, which might explain the difference in starting doses compared to other medications such as Ozempic. It's crucial to discuss your dosing questions and any concerns with your doctor, as they can provide guidance tailored to your health needs and ensure you're using the medication correctly for the best outcomes. Always follow your healthcare provider's instructions for any medication.

I am concerned you could have a acl injury or could have subluxation of knee cap. I recommend seeing a physician for a thorough evaluation

I've been trying your exercises and it's really getting me to work. Also the medications and home remedies are working. From yesterday night I can straighten my knee without any pain. It's now matter of squatting.

Unfortunately, an MRI alone is not sufficient to determine the appropriate treatment. It is advisable to consult with a healthcare professional who can provide an accurate diagnosis and recommend a suitable treatment plan.

glad it was helpful

Thank you.

Thank you.

While I don't have extensive experience with stem cell therapy, I am familiar with PRP (platelet-rich plasma) treatment, which is somewhat analogous. I have no objections to performing PRP procedures following hyaluronic acid (HA) injections.

Appreciate it

Given your history, a proper clinical exam is important and i would not go by MRI findings, Would recommend seeing a clinician to address this further.

@srikanthnithyanandammd Thanks doctor. I will let you know

Given the circumstances, it's wise to consult with a healthcare professional to confirm the severity of the injury. If it's indeed a Grade 1 MCL injury, a period of relative rest, typically ranging from 7-10 days, is often recommended before gradually starting exercises tailored for rehabilitation. This approach aims to prevent further strain and encourage proper healing of the ligament. However, the specific recommendations and rehab exercises should ideally come from a doctor or physical therapist, as they can offer guidance best suited to her specific condition. Wishing your wife a speedy recovery!

Given the absence of a clear mechanism for the injury and the symptoms you're describing, it might be something other than a straightforward MCL strain - sometimes conditions like pes anserine bursitis can present similarly with the symptoms you've mentioned. It would be wise to start with phase 1 of your rehabilitation to safely gauge how your body responds. However, it's also very important to get a professional evaluation to ensure that you've correctly identified the issue and that everything is indeed okay. A doctor or a physical therapist can provide you with a precise diagnosis and guide you on the best course of action for your specific situation.

@ thank you for the reply. I tried phase 1 exercises yesterday and once I reached the 2nd exercise, around the 14th rep my knee began feeling off. The sensation of a pull in the inner part of my left knee returned. When I hyperextend (when standing) it doesn’t feel normal.

That’s awesome. Keep me posted

Thank you.

Thank you for your feedback.

Thank you for your feedback.

For managing spinal lumbar disc herniation, extension-based exercises are often found to be beneficial, but it's important to remember that the effectiveness of these exercises can vary significantly from one individual to another. It's key to base the choice of exercises on how movements affect your pain. If certain movements exacerbate the pain, it’s best to avoid those and focus on the ones that feel comfortable. However, I must emphasize that any exercise regimen should be patient-specific, tailored to your unique situation, and ideally, developed in consultation with a healthcare professional.

@@srikanthnithyanandammd Thank you

In this particular video, I have laid out all the exercises

Yes, intrarticular cortisone injection can be helful for pain relief with knee arthritis

thank you.

in my experience, these are just effusion inside the knee joint. most time they resolve on their own. in some case, i do consider aspiration followed by a steroid injection or prp injection on a case by case basis.

You bring up a commonly held belief regarding the use of heat in acute cases. However, recent studies suggest that the concern for increased swelling due to heat might be overestimated. While it's important to approach each case individually and with caution, the idea that heat therapy exacerbates inflammation isn't as clear-cut as previously thought.

@@srikanthnithyanandammd thanks , could you send me the articles supporting this new concept?

yes, thank you

appreciate the comment

Is it your MCL or ACL?

You raise an excellent point about cumulative load, and it's crucial to consider both aspects when discussing the impact of different exercises. Indeed, jogging does involve a higher peak joint force, which can lead to concerns, especially for those new to higher impact activities or with pre-existing conditions. Your calculation beautifully illustrates that the difference in total cumulative load between jogging and walking isn't as significant as one might think. However, the higher peak forces in jogging cannot be overlooked, as they are often the culprits behind the increased risk of injury if a person hasn't properly conditioned their body for such impacts. In my clinical experience, I often see patients start developing worsening symptoms if they do not progress slowly;

@@srikanthnithyanandammd Yes, my doctor told me to walk (diagnosed with knee OA and normal BMI). I asked him if I could jog. He said to listen to your body. So he did not restrict anything. In my experience, walking does not worsen symptoms. I typically walk two miles a day and rarely have joint pain the following day. I recently tried mixing in a 1/4 mile jog as part of my 2 mile walk and experienced moderate joint pain the next day. Expect that the joint pain will mostly resolve within 24 hours. Will continue to monitor. My goal is to jog 1 mile and walk one mile. I think it is possible with gradual introduction.

Thank you

Glad that helps you

yes

Recommend 2 times a day if you can be consistent. Consistency is more important to improve flexibility.

@@srikanthnithyanandammd thank you sir il be consistent.

yes, its a common problem that we see

Most of the time, the course of treatment depends on the clinical examination. If you've experienced a patellar dislocation, there's a chance you might also have a slight MCL sprain. However, the primary focus should be on healing the patellar dislocation. In cases involving an MPFL injury, I typically advise two weeks of immobilization to allow the ligament to heal properly. After this period, it's beneficial to begin slowly increasing the knee's range of motion. If it's been five weeks and you're still unable to completely extend or flex your knee, I highly recommend consulting a therapist. This situation calls for specialized, one-on-one rehabilitation to prevent the development of knee stiffness, which could lead to long-term issues. I hope this advice is beneficial.

Thank you. Glad it was helpful. All the best.

Thank you. Glad it was helpful.

This video will help. Non-surgical Knee Arthritis Treatment Options - Sports and Integrative Medicine MD Approach ua-cam.com/video/47Db8TnXEpE/v-deo.html

Thank you for the feedback

I would highly recommend to watch the full video on this topic. To answer your question, if one adds weight then the exercise would not be effective. ua-cam.com/video/7ynhY8kY5bM/v-deo.html

Yes. However if you are choosing the lower extremity ones, recommend 3-4 times a week

Most likely your bp is well controlled because of medications. However one can control blood pressure with lifestyle modification. Would recommend working with your doctor to adjust your medications. To know more check out this video ua-cam.com/video/BYMqCwNjIzw/v-deo.html

It is unlikely you are injuring your mcl. Possible it could be pes anserine bursitis. Please discuss with a sports medicine doctor and sports physio to get a proper evaluation

Much appreciated!

Complete Knee Osteoarthritis Rehabilitation Guide For Full recovery ua-cam.com/video/52hM4fX4nfM/v-deo.html

I just shared the complete rehab guide for knee osteoarthritis

Would highly Recommend seeing a sports medicine doctor. That’s very odd for someone to limp after 3months.

Sir my knee is in flexed position while walking and standing.But i can do all exercise.struggling with it .some kind of numbness in foot ..I had taken mri but it only shows lateral root meniscus fraying . I m walking now but sometimes when i put my weight some kind of buckling causes . I had feeling of strectch pain over femoral ending of MCL which is quiet pain full Knee immobilization caused my knee muscles to weakness. I m fed up with these all . I want to be full active in my is it possible sir . I want to look my family as well ​@@srikanthnithyanandammd

​@@srikanthnithyanandammdSir i cant do some weighted exercise also. If does that i had pain back side of knee especially in lateral area . Some times i can feel pinprick pain on my back side of knee

Not during the initial stages of injury

@@srikanthnithyanandammd but I can start doing some stretching right like after 3 days or maybe 2?

100%. Do it all the time. We are interdependent