Hi, I am 32 years old married man, I have got pain in both my knees, I consulted number of doctors but got no satisfactory treatment. In mri report the impression shows grade two tear in right knee while the left is normal. But the pain is in both knees, the vitamin d level is 13. What should I do know. As having been suffering from last eight months.

Dr. Akshay Kumar SaxenaOrthopedist13yrs exp

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Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Your knee pain could be due to certain reasons but common ones are chondromalacia, pain due to knee instability, inflammation etc. You have also mentioned a grade 2 tear, is it a meniscus tear or a ligament tear that you are talking about? if there is no history of any injury, and no s/s of inflammation or infection like swelling, skin redness or local warmth on touching, then I will like to advise you for conservative management initially in form of: - intensive physical therapy with focus on strengthening of quadriceps and stretching of other group of muscles - gentle anti inflammatory medications like tab etoshine or tab paracetamol can be taken in small doses for 5-7 days - adequate calcium and vitamin d supplementation as per requirement - ice packs at home for 3-4 times in a day and see how it goes for around 2 weeks time. Also kindly let me know about any instability which you may feel in your knee region and can you kindly send me mri report as well. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.  

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