Pain in Both Knees. Help Required.

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PROFILE:

Name: Imran Anjum

Born: 31st March 1975

Height: 5 Feet 10 Inches

Weight: 75 Kg

Family History: Asthma

Profession: R & D Chemist (Automotive Paints)

HISTORY:

* 1990~present.

I feel tiredness/pain in my knees after long time sitting, while

the knees are bent. Then I have to straighten my legs to relax.

· July 2003.

Motorbike Injury, when a running boy strikes on my right knee from

lateral side & my knee strikes the fuel tank of motorbike from medial

side. Immediate pain in right knee & was unable to walk & bear weight.

After few hours walking become normal. I remain unable to step up on the

ladder for couple of days due to severe pain when I go up through

stairs. But recovery was very rapid, every next day was better than

previous. Within three months I became symptom free & absolutely fit for

running, jumping & step up rapidly. Only one residual symptom is still

present that the right knee become locked, when totally bent to an

extreme end. But it is pain free & easily opened. I can lock & open it

at my will.

· November 2006.

Mild fever like symptoms, which remained undiagnosed &

recovered after 2 months. Two residual symptoms i-e Hematuria & white

deposition on the tongue, remained.Hematuria on further investigations

diagnosed as stones in KUB systems which are now excreted & free from

stones & hematuria too. White deposition on the tongue remained

mysterious & now the intensity reduced by 70% by time, during last one

year.

· February 2007

I first noticed mild pain in both knees when stair up. It was mild &

I can run & jump easily.

· March 2007

Doctor examined & advised Glucosamine+Condoritin Sulphate three

times a day for three months. Doctor also noticed the grinding sound in

my knees.

· Aug~Nov 2007

Symptoms go on increasing, besides the treatment & limiting my

activities. I visited several doctors & go through MRI's.

· Nov 2007~Present

Walking is normal & pain free. Running & jumping is impossible due to

pain.Stepping Up on the ladder is very painful. Now using high dosage of

Glucosamine+Chondoritin & performing " Isometric Quadriceps

Exercises " . Replaced the activities that create pain in knees with

new modified & slow motions.

DIAGNOSIS:

MRI findings are summarized as follows

· MRI LEFT KNEE

1. Grate III to IV Chondromalacic changes in medial & lateral

patellar facets with subchondral bone ulcers and marrow edema

2. Tiny oblique tear in body and posterior horn of medial meniscus.

3. Mild sprain of medial collateral ligament

4. Mild joint effusion

· MRI RIGHT KNEE

1. Tiny oblique tear involving posterior horn of medial meniscus.

2. Mild joint effusion.

3. Bone bruising with focal grade III to IV chondromalacic changes

in medial patellar facet.

CONCERNS:

· I am not satisfied with my diagnosis, because my symptoms

are not improving.

· As I perform exercises vigorously, symptoms become worse

instead of improving.

· As I delay the proper diagnosis & treatment, the damage to

knee may become at a stage where it is irreversible.

Please advise,If some one can:

What is my exact diagnosis? What it seems from above description?

Which doctor I should visit i-e best one. I can travel any where in

world for it.

What treatment options available,in case my diagnosis is correct?