Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Not responding to ARCOXIA for pain in knee joints.

Resolved Question:

TO whom it may concern,

This consultation is regarding my grandma. She is 76 years old and she has a history of pain in her knee joints. She's been taking the following medications for years:
- Every year she does a Neovise (seringue) injection in both knees
- Arthri-Flex 2 tablets every day

She used to feel fine on those medications. Unfortunately this year the pain didn't go away so she's been experiencing pain in her knee joint for a almost a month now and unfortunately she can barely walk. While sitting down she don't feel the pain, it's only when she's walking. She can manage to walk with a cane but not very easily.

She's already seen a doctor and he asked her for an MRI SCAN. The MRI scan is already attached and her Dr. prescription is attached as well. And based on the findings, he recommended cortisone injections or a surgery. The reason I'm reaching out to you is because we want an additional opinion in this matter and figure out what's the best approach.

She's been taking Arcoxia 60mg as and anti inflammatory and she's using Airtal as a creme on her knee however both medications are not easing the pain.


Category: Orthopedic Surgeon

Ask Your Own Question

Category: Spine Surgeon
 20 Doctors Online

Hello. Thank you for your query at
I have read all details with diligence.It looks that your mother is having osteoarthritis of all three compartment of knee.Knee joint space is reduced on inner aspect of knee.There is thinning of smooth covering over the knee bones,cushions or meniscus which lies inside at knee are also teared.
Injecting a steroid will only remove inflammation but not cure the condition,looking at her age & reports of MRI i am of opinion that she should have surgery like replacement surgery for knee for better quality of life.
Hope this will help you.
With best wishes

Patient replied :

Thanks Dr. for your reply.
My mother is 76 years old and she's already taking medications for HIgh blood pressure and diabetes so she's not a great candidate for surgeries. She's trying to run away from them. Having said that, do you think if we get her Steroid injections for the next 10 years (every 6 months); would it be a good idea to alleviate the pain and serve her the remaining years of her life ? Or do you prefer that we do the surgery today because the steroid injections will worsen the knee and make it in a bad conidition for a surgery.
Adding what is the rate of success of knee surgery replacements ? Would you think she will need a walker or will she get perfectly fine out of it ?

Thank you for posting the follow up query.
It is not a good idea to keep her on steroid injection for such long time.It will increase the complication rate & may worse her knee.
In a korean study -
It has been clearly pointed out about the prognosis for knee replacement in diabetes.In comparison to non diabetic patients there are chances of about 17% wound complication rate then the 7-8% .So there is not a excess of difference.If diabetes remains in control then one can lead a normal life.
She may walk without walker after replacement surgery.
Feel free to discuss further.

Patient replied :

Thanks doctor for your reply.
My mother can't do the surgery today for several factors one of them being financial.
So the plan is to get her temporarily on Steroid injections however I want to make sure that her knee would still be eligible for a surgery at a later date.
How long can we keep her on injections before the surgery ? Is there any limit for that ? How would we know she's eligible for a successful total replacement knee surgery ?
thanks a lot

Thank you for the follow up.
For an effective TKR she should have good health,no anaemia,ndiabetes should be in control,there should not be any other systemic condition which hampers her recovery.knee bending should be not restricted too much,there should not be severe outward or inward bending of knee.
Although recurrent intra articular injection may lead to infection at her knee but you may have them with controlled diabetes.this will only reduce inflammation not the pain.I generally do not give more then 6 in total.
With best wishes.

Patient replied :

Thanks Doctor. Your answers are very helpful.
One last question:
A doctor advised my mom to have injections in her knee joint and another one in her knee muscle. What is the difference and which one do you prefer in her case ?
Thanks a lot,


Sorry, but at present I am not aware of any injection which can be helpful in osteoarthritis by injecting in knee muscles. Painkiller injections can be given into muscles, but the buttock muscles are preferred for that.
Steroids can be injected within the knee joint, to reduce inflammation and pain.

With best wishes.

Dr. Mukesh Tiwari
Category: Spine Surgeon
Fellowship - Khandaka Hospital, Jaipur
Residency - MS, Rabindranath Tagore Medical College, Udaipur, 2000
Medical School, Internship - MBBS, SMS Medical College, Jaipur, 1995
Dr. Mukesh Tiwari and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation



Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news