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Musculoskeletal
Osteoarthritis (Knee)
گھٹنوں کا درد
Pain in the knee joint (usually), off and on, exaggerated by activity, with crepitus on examination.
- ICD-10
- —
- Source
- OPD handbook pp.155, 157
- Status
- Draft
Not yet reviewed by a clinician. Check doses and brands against current national guidelines before use.
Symptoms
- Pain in the knee joint (usually)
- Off and on periods
- Exaggerated by activity
Diagnosis
- Knee joint: crepitus positive
Treatment
Step 1 of 4
1. Topical NSAIDs
- Voltrex gel, P-Cam gel (piroxicam), Diclo gel
- Sample: Voltral gel massage of the knee (Urdu: a few times a day)
Prescription
Diclofenac gelTopical NSAID
DoseMassage the knee (sample: three times a day)
Brand Voltrex / Voltral gel; Diclo gel
Also sold as Voltral gel, Voltrex gel, Diclo gel
Step 2 of 4
2. Oral NSAIDs (if symptoms persist)
- Sample: Tab Brufen 400 mg, one tablet as needed in case of pain
Prescription
IbuprofenNSAID
Dose1 tablet as needed for pain
Brand Tab Brufen 400 mg
Caution: Avoid in dengue (bleeding risk); Avoid in kidney disease, peptic ulcer, late pregnancy; Take with food
Step 3 of 4
3. Supplements
- Usually vitamin E (Cap Evion 600 mg once daily for 15 days in the sample)
Prescription
Step 4 of 4
4. Lifestyle modification (Urdu notes)
- Reduce weight
- Pray on a chair, sitting
- Take a regular check-up / get exercises (partly legible)
- Take the support of a walking stick; avoid too much exertion
- Use more milk and fruits