Taking Painfree Steps Toward the Future
A 65 year old male presents with complaints of constant knee pain whether walking or not. This patient had total bilateral knee replacement twice, once in 1998 and again in 2000. He has had constant pain since before the replacements and after. He has been on a pain medication regimen all of this time, which has not helped a great deal. He walks with a cane and is in obvious pain. Examination found considerable swelling of both knees and pain at specific spots around the knee cap on both knees. The patient received injections into and around each knee. The patient returned 4 days later, earlier than usual because he had to travel and would be away for the next 2 1/2 weeks. His knees demonstrated a visual reduction in inflammation of both knees. He stated that his pain was now off and on and no longer constant. He stated that his pain intensity had dropped by 50% for the first time in years. The patient was injected again in specific areas around both knees. The patient returned 2 1/2 weeks later, coming into the office without a cane and walking quite normally. He stated that he had ZERO pain and had been this way since a couple of days after the last set of injections. The patient on followups since has had no further complaints of pain and is off all of his pain medications.