hi doctor, 3 years back i was suffering from knee pain,following a blood test it was found that aso titre levels were high.my ecg,echo was normal.xrays of joints were perfect.i was suggested to take keypen 250 three times a day suspecting it could be rheumatic fever and repeated tests after a year and fount count has reduced but was in range of 400.i took tablest for abot 1 plues years.then i had to consult another doctor due to non availability of my old doctor.my current doc is a cardiologist and he checked my past medical history and said that i did not meet jones criteria for arthritis and told that i just had rheumatic history in past and suggested me to take penidure 12lac injection every month for a period of 4 years as i already took keypen for 1 year.Now iam in the process of relocating to usa and medical facilities are not simple as in our country.so adminstering injection every month will be difficult.can i switch back to tablets?ie keypeen 250? kindly guide.. thanks in advance shruthi
Hello, As a first line management you can take analgesics like paracetamol or diclofenac for pain relief. If symptoms persist better to consult an orthopedic and plan for an MRI scan to rule out ligament or tendon injury. Hope I have answered your query. Let me know if I can assist you further.