Comments on: Tubercular Arthritis

By: Dr Arun Pal Singh

Dr Arun Pal Singh — Mon, 11 Apr 2011 08:04:30 +0000

@Shyamasree Saha,

First confirm if you have tubercular arthritis of knee because if it is so, the duration of Anti TB medication would increase and local knee management would need to go side by side.

At this moment, your knee needs rest and therefore should be splinted.

If the swelling is tense and painful, fluid aspiration is an option.

All the best and let me know abut your recovery.

By: Shyamasree Saha

Shyamasree Saha — Thu, 31 Mar 2011 22:51:58 +0000

Hi Dr. Arun,
I have been recently diagnosed with Pulmonary TB. I am under TB medication now

My left knee was swollen for last year and half. it was really painful. before the TB medication started
my rheumatologist has taken out fluid from my knee and after testing they have found some type
tuberculosis bacteria there. So seeing the article above I am under impression that I have tuberculosis
arthritis. I would like to have an opinion from you here.

At the same time my rheumatologist taken out the fluid from my knee she has also injected me some
steroid which reduced my knee pain significantly. But for last month and a half since I have started the TB
medication my knee is swollen again and the pain is becoming unbearable. I have asked my doctor to
take out the fluid again. I think I should also mention that my physiotherapist is also reluctant to give me
any routines as long as the knee is swollen. Do you have any suggestions regarding this ..??

By: Dr Arun Pal Singh

Dr Arun Pal Singh — Tue, 09 Dec 2008 16:40:54 +0000

Rama,

There is an endless list of things that could lead to knee pain. At this moment only this could be said about your diagnosis.

As one needs to examine the area for narrowing down on the diagnoses, your orthopedican is the best person to ask.

An xray is the basic investigation which would guide further. There are shields available which protect fetus from exposure. It is possible to get an xray with that help.

I am not sure if i would jump to a conclusion of GCT when there is just pain and no swelling but there must be reasons for your doctor to say so. Tenderness means there is a pathology. You need to be investigated further.

You can discuss the matter with your doctor.

An early diagnosis

By: rama

rama — Tue, 09 Dec 2008 12:48:50 +0000

i have pain in the knee joint since yesterday. it is very severe. it statred suddenly. no h/o injury, no h/o fever. i consulted orthopedician today. he said he needed an x-ray. as im 3 months pregnant i said no. what im worried is he wanted to r/o GCT. im scared. for that he advised me ultrasound after using analgesics. can u think about alternative diagnoses. another thing is there is no swelling or local rise of temp. but i have tenderness. pls reply me. give me other probable diagnoses as i cannot wait 2 days for it to be diagnosed

By: Dr Arun Pal Singh

Dr Arun Pal Singh — Thu, 25 Sep 2008 16:04:21 +0000

Mohammad,

As you are mentioning the diagnosis, I presume that you have consulted a physician. Your brother must have been put on treatment.

Is there something specific that you would like to ask.

Just to mention the treatment is antitubercular drugs, rest of the affected joint followed by physiotherapy.

But the treatment needs to be individualized.

By: Mohammad suhail afroz

Mohammad suhail afroz — Thu, 25 Sep 2008 05:12:04 +0000

hii,

my brother is suffering form tubercular arithritis.

wat is the treatment..