Hi,
Welcome back to icliniq.com.
I saw all your reports (the attachments are removed to protect the patient's identity); TSH was not yours. You do not have any issues with thyroid diseases. But I can see a problem mainly in your knee joints from the X-ray. It is grade II osteoarthritis changes, and you might too have it in other joints, tiny ones like the hand, fingers, and foot. You got HTN (hypertension), but it is controlled with drugs. Your vitamin D3 is normal.
I want to explain OA (osteoarthritis) and what and why it is causing you. After that, I can give you some knowledge about the illness and its factors.
Finally, I will suggest the best treatment protocol.
OA involves bone, synovium, joint capsule, and the most changes in the articular cartilage. Joint degeneration occurs in athletes and young individuals through damage to articular cartilage caused by repetitive impact and loading.
Sports that cause direct, blunt trauma to joints (such as football, running, soccer, hockey, lacrosse, and rugby) most impact damage.
Prevalence of OA of knee and hips are higher in former athletes than non-athletes (odds ratio of 1.9).
Athletes' higher loading rate and frequency of impact increase the amount of disruption and damage to joint cartilage goal of treatment.
The main goal of treatment in OA is to minimize pain and improve functionality. Active athletes are most likely to benefit from muscle-strengthening exercises because they reduce pain, allowing them to return to play. In the athlete, bracing helps with pain and malalignment and may decrease the time necessary to return to play. So, you should wear knee braces made with silicon.
The treatment modality for OA is intra-articular injection with corticosteroids and viscosupplementation with hyaluronic acid. We can get one shot of hyaluronic acid in the market. It helps your knee joint to lubricate and reduces OA changes, and we will also supplement HA with collagen supplements.
Suplasyn 1-shot (Sodium hyaluronate)is intended to be a single administration. Up to six months, clinical effect on pain and functionality. Any orthopedic surgeon can give this injection. It is just interatrial into the knee joint.
Tablet Gluc-Msm-Chon-Bos-Hyal (Glucosamine, Chondroitin, and Methylsulfonylmethane (MSM) tablet, Extended Release 12 Hr) one tablet taken in oral twice daily for three months.
I hope you find it helpful.
Kind regards.