knee pain

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knee pain


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Old 11-01-2019, 03:28   #1
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Default knee pain

My Dad has severe diabetes (lots of drugs and insulin).
He is 80.

He has pretty bad knee pain.
He has pain even if he is not moving.
He's had an xray (it didn't show anything) and he has an MRI coming up).
I wonder if it related to his diabetes.
I found this quote:

https://www.caringmedical.com/prolot...joint-healing/

Quote:
Type 2 diabetes has been described as an independent risk factor for osteoarthritis. This means type 2 diabetes can create a toxic non-healing joint environment and causes joint damage and joint erosion by itself, no wear and tear necessary. This means resting or knee braces or “staying off your knee,” will not be beneficial in reversing or even stopping continued knee damage. The reality is one day you most likely are going to sent to knee replacement surgery.
What tests would show if he needs a knee replacement?

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Last edited by jammer; 11-01-2019 at 03:35.
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Old 11-01-2019, 03:39   #2
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Hi, Jammer.

We're not doctors, but the doctors for the people I know who've had joints replaced pretty much go by the level of damage to the bones and cartilage in the knee. Your dad's diabetes may complicate his treatment but it seems unlikely his knee would be replaced just because he's diabetic. There would have to be serious non-treatable physical damage to the joint first. So that would be x-rays, MRIs, and so on.

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Old 11-04-2019, 14:06   #3
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Hi As such there does not seem to be any connection between knee pain and diabetes. (I dis read up a lot) but uncannily i have noticed not once but thrice that whenever my sugar has shot up I also get some issues with the knee. This includes swelling pain and stiffness. These symptoms miraculously reduce when blood sugar goes down. What could be the connection?

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Old 11-04-2019, 14:47   #4
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High blood glucose levels encourage water/fluid retention. That would cause swelling. And water weighs about 8 pounds per gallon (approximately one kg per liter if I did the conversion properly) so that's added weight on the joint, too. If the knee joint or associated tendons and ligaments are marginal or already damaged, I could see high blood glucose levels causing problems there.

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Old 11-05-2019, 13:07   #5
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Quote:
Originally Posted by akalpita View Post
Hi As such there does not seem to be any connection between knee pain and diabetes. (I dis read up a lot) but uncannily i have noticed not once but thrice that whenever my sugar has shot up I also get some issues with the knee. This includes swelling pain and stiffness. These symptoms miraculously reduce when blood sugar goes down. What could be the connection?
Last year when my diabetes was out of control, I had three episodes of pain in the back of the knee with swelling. I wore a knee brace for a few weeks until the pain went away. On the third episode I went to the doctor who did my hip surgery and he said he thought it might be a Baker's Cyst. But when I got my blood sugar under control, I never had another problem with that knee. I don't know what the connection is, but I do know that there is one.

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Old 11-06-2019, 09:18   #6
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Could it be that high sugar leads to oxidative stress that stimulates inflamatory reaction which is likely affecting the knee?
But then not all diabetics have this problem or have they not noticed the connection?

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Old 11-06-2019, 13:14   #7
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Interesting thread - occasionally my knee starts to cause me some discomfort but it tends to be random and I just write it off as a result of playing contact sports as a kid. The next time it hurts I will look up my BG readings for the last 24 hours or so - leading up to the pain - to see if there is any correlation.
One thing I did notice, I have dealt with mild carpel tunnel in my right hand for years. It comes from working in front of a computer for the past 25 years. I deal with it by changing positions at my desk on a regular basis - when I got my flu shot last week the carpel tunnel got worse and was bugging me for about 2 days afterward. Wonder if the flu shot had anything to do with that - sugars were running okay ...

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Old 10-01-2020, 00:30   #8
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Just throwing this into the mix. Eight weeks ago I fell down a short flight of stairs...passed out and fell (not sure why). Lots of bruising and some swelling of my left ankle and a lot of pain especially in my calf close to my knee. First GP (not my usual one due to the COVID routines) diagnosed artery insufficiency. Neighbour escorted me to x-ray where the technician declared that no way was the level of pain i was experiencing related to my arteries (which are as good as anybody's my age). Next diagnosis (after an ankle x-ray to confirm no breaks) was a deep torn muscle. Physio...for 6 weeks and a suggestion from my regular GP that it was diabetes related! All this time I was on serious opioids! Ultimately taken to emergency dept where they took one look and admitted me. Saw a geriatrician who immediately suspected a spine problem. Saw the spine guy and sure enough I had a L5/S1 herniated disc pressing on my sciatic nerve. Injection of steroids and I am much better. Back to physio and a calf assessment and as I had been lying down (least painful position) I had lost calf strength and core body strength. Now working to rebuild strength to pre fall levels. Conclusion: get it thoroughly checked out.

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