My 45 year old mom has diabetes from 8 years. She is taking insulin. From 3 years she is having severe knee pain. And all types of treatment has done and none worked. Doctors said cartilage (gel like thing) has dried up completely in her knees. Please suggest foods to build cartilage and any supplement and perfect treatment?

Dr. Poonam Patel VasaniPain Management Specialist11yrs exp

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Your mother is suffering from age related degeneration of knee joint called osteoarthritis. Treatment of knee osteoarthritis consists of exercises and lifestyle modifications to avoid knee strain. In advanced and refractory cases Knee replacement is the only option. Other treatment options where knee replacement is not feasible or desired are as follows: 1. Injections of Viscoelastic substance or artificial synovial fluid into knee joint. This decreases friction in joint space. 2. Injections of Platelet rich plasma derived from patients own blood into the knee joint. This regenerates the knee joint cartilage. 3. In patients with severe pain, genicular nerve block can be given to decrease pain. For all the above treatment consult a pain specialist. 

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Dt. Uma MaheshwariDietitian/Nutritionist16yrs exp

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Hi, For retrieving cartilage, include one amla, 4 full walnuts and 2 egg whites on a daily basis. This will reduce pain and build cartilage. Regards,  

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Dr. Vipul AggarwalOrthopedist8yrs exp

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The only treatment I feel effective is weight control and regular exercises especially quadriceps exercises. If its bone on bone grade 4 arthritis which can be very much seen on standing knee X-rays the treatment would be replacement. All the interim measures as stated above are not long term as its more of a mechanical problem and do not offer long term results in sever OA. 

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