Ask A Doctor - I am an army officer (male, 47 yrs) based at Bikaner, Rajasthan, India. I am experiencing daily multiple.. - DesiMD Healthcare Services


I am an army officer (male, 47 yrs) based at Bikaner, Rajasthan, India. I am experiencing daily multiple episodes of shooting pain in and around my left knee cap region for the past three months. The pain is severe and at times resembles a wave of continuously ebbing and peaking pain that lasts for few secs. The pain generally occurs when the knee is in flexed position during rest. It is also observed that the pain emanates when the knee is tilted slightly laterally. The pain goes away with change in posture or removal of pressure. In addition, I am experiencing mild intermittent pains in other joints (elbow, hands, shoulder, hip, spinal vertebrae etc) of the body, which are not severe but nevertheless irritating. I also experience severe burning sensation at times in the joints region and other regions of the body which last for few secs. Army doctors (orthopedic and Rheumatologist) have variously classified the condition as early stages of osteoarthritis, psoriatic arthritis (due to occurrence of some psoriatic plaque type rash on left elbow and pitting of nails) etc. However, blood tests have been negative for RF, CRP, ESR, Anti HCV, CBC, CRE2, ALTI, Blood Sugar, Routine Serum, URCA and there has been minimal swelling. Hence, they have retracted from their diagnosis. The skin biopsy of affected area on elbow has revealed PRP but not psoriasis. The orthopedic says there is nothing wrong with the knee clinically. He says he can conduct arthroscopy and send a sample of the synovial membrane for biopsy to find out for other types of arthritis. He has advised physiotherapy but that doesn't seem to be helping either. In addition, he has prescribed an inj of Deponedol 80 mg, NSAIDs, and glucosamine capsules, but these too have not helped me much. I have been an active person all my life and had been playing golf, and doing swimming till onset of this condition. I am really confused wrt my medical condition. The MRI of left knee says degenerative changes Gde II in posterior horn of medial meniscus and some tibial spiking. The MRI of Right Knee says bony fragment from an earlier injury well corticated in the ACL and lax ACL with mild edematous changes and no interstitial ACL tear. Please advice why I am experiencing these pains, the name of disease/condition and what treatment should I take. Thanx, Col Vishal Bakshy. - Asked by v x on 10-Aug-2016 11:28:15

Answer Count: 1    Disorder Type: Others

  • MBBS,Fellowship in Intesnive Care Medicine
    Critical care (Intensivists)
    Languages Known: English, Hindi, Arabic, Urdu

    Answered by Dr. Yezdani Haleema on 15-Sep-2016 22:19:55

    Hello officer the problem you have is not just confined to one joint hence it is not a local disease but more of a systemic illness but iam surprised most of blood tests are ok i would suggest you to get pANCA C ANCA levels and Anti Ro factor done
    See Disclaimer
Login to post a reply

Would you like to consult the doctor privately?

Dr. Yezdani Haleema
Dr. Yezdani Haleemaverified Verified
MBBS,Fellowship in Intesnive Care Medicine | Critical care (Intensivists)
Languages known: English,Hindi,Arabic,Urdu
View Full Profile

Rs.500 / $8.5

voice call

Voice Call
Rs.700 / $11.9

  • 5 Effective Ways to Deal with Smelly Feet

    Be it your spouse, that annoying co-worker or that poor unfortunate soul at the airport security line or you yourself, nobody can afford to stand the stench of smelly feet. If you’re in a situation...
    13/04/2016 by Dr.
  • Preventing Summer Illnesses

    Summer is fun time for most part, but for  the illnesses in this season. While the season calls for recreational activities, beach outings and celebrations, summer related illnesses like skin...
    06/04/2016 by Dr.
  • Facts about Allergic Reaction to Mosquito Bites

    You're enjoying the stillness of your surroundings, probably reading your favourite novel or watching your favourite serial and this irritating insect hovers around you. You guessed it right, it's a...
    22/03/2016 by Dr.
  • How Long Does Alcohol Stay in Your Breath?

    Once you drink alcohol, it stays in your bloodstream until it gets flushed out. Excessive consumption can lead to many complications such as impaired vision, coordination, judgement and reaction,...
    18/03/2016 by Dr.
  • Top Differences Between Breathing and Respiration

    Breathing and respiration both are essential for living organisms. Many a times, breathing and respiration are mistaken as being the same process, but in fact they are quite different. A closer look...
    27/02/2016 by Dr.

  • The answer(s) suggested above are for information purposes only.
  • If you need further help (or) if you have any further queries, please contact our Customer Care Centre +91 40 4242 8282 / +91 801 901 2308 and our doctors will try to help you.
  • In case of emergency, please call your doctor or go to the nearest hospital immediately.
  • The questions asked for free advice will be visible to visitors of this portal ( Hence, the user should not divulge and must take the responsibility to not divulge any personal identifiable information on the portal.
  • If the patient is less than 18 years of age, parental guidance is advised. We discourage (and disapprove) approaching us directly. It is advised that the query be framed in consultation with their parents. Any query from age group less than 18 years is assumed to be done in accordance with this protocol.