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hi there its doctor smith from babylon

hi its doctor smith from babylon

hi doctor smith hi can you confirm your name date of birth and your home address please

doctor smith hi can you confirm your name of birth and your home address please

and have you had any times when the knee feels like its giving way underneath you

and have you had any when the knee feels like its giving way underneath

so it means if youre if youre there and uh you just feel it sort of jolt like give way feel unstable underneath you

so it means if if youre there and uh you just feel it sort of jolt give feel unstable underneath you

and does it hurt uh how far into the run does it generally hurt

and does it hurt uh far into the run does hurt

ok ooh youre fast um

ok ooh youre fast um

um and um do you have to stop running or can you run through the pain

um and um do you have to stop running or can you through the pain

ok

ok

ok

ok

right and you said before its both knees

right and you said before its both knees

and any problems with your left one

and any problems with your left one

ok and can you just describe in the knee or show me whereabouts the pain is happening mainly

ok and can you just describe in the knee or show me whereabouts the pain is happening mainly

ok have you noticed any tenderness when you press over any areas in the knee

ok you noticed any tenderness when you press over any areas in the knee

ok does it look swollen to you

ok does it look swollen to you

does the knee look swollen

does the knee look

ok and if youre sitting still for a while do you have any problems when you stand up any locking up of the knee

ok and if youre sitting still for a while do you have any problems when stand up any locking up the knee

cant straighten it any problems going up and down stairs

cant straighten it any problems going and down stairs

any problems just walking normally

any just walking

and intervals of range of movement are you able to fully straighten the leg

and intervals of range of movement are you able to fully straighten the leg

and what about fully flex it

and what about fully flex it

ok i are you in a private place where you can have a consultation today

ok i you in a private place where you can have a consultation today

ok are you taking any medication for the knee

ok are you taking any medication for the

ok and any other joint problems that youre getting any back pains small swelling of your hands feet elbows wrists any pain

ok and any joint problems that youre getting any back pains small swelling of your feet elbows wrists any pain

ok

ok

on your right side

on your right side

any change in colour or temperature of your lower legs

any change in or of your legs

any swelling which stays if you push in and then you release it that it stays there

swelling which stays you push in then you release it that it stays there

yeah any or any pain in the back of the calf or anything like that

yeah any or any pain in the back of the or anything like that

um and with your foot has that gone back to normal now do you feel any altered senstation tingling numbness anything like that

um and with your has that gone back to normal do you feel any altered senstation tingling numbness anything like that

ok and any pain in the joints of your foot or on the underside in the arch any problems walking round on hard floors

ok and any pain in the joints of your foot or on the underside in the arch any problems round on hard floors

ok have you had any other medical problems before

ok have you had any other medical problems before

what can i do for you

what can i for you

ok and do you take any other medications apart from the ones you told me about

ok and do you take any other medications apart ones you told me about

ok and any problems with your stomach or asthma indigestion acid reflux

ok any problems with your stomach or asthma indigestion acid reflux

and what i would suggest is definitely carrying on with the ice therapy that youve been using so as much as you can cause that really does make a difference to injuries

and what i would suggest is definitely carrying on with the ice therapy that youve been so as you can cause that really does make a to injuries

brings the healing blood into the area and it gives it the best chance of getting better so as much as you can use the ice

brings the healing blood into the area and it gives it the best chance of better so as much as use the

um obviously youre trying to stick to a marathon programme but

um obviously trying to stick to a marathon but

um i would try and ease up on the running if you can and if it if its painful enough that youre having to stop running then its not a good idea to do that

i would try and ease up on the running if you can and if it if its painful enough that youre to stop running then its not a good idea to do that

um its fine to take the ibuprofen um i can prescribe you a slightly stronger anti inflammatory that you can take regularly instead of the ibuprofen but not with the ibuprofen

um its fine to the ibuprofen um can prescribe you a slightly stronger anti inflammatory that you can take regularly instead of the ibuprofen but not with the

but make sure that with food ultimately we probably need to examine the knee

but make sure that with food ultimately we probably need to examine the knee

um so the best thing i would suggest getting a appointment with the physiotherapist first who can do like a long assessment and examination of the knee

um so the thing i would suggest getting a appointment with the physiotherapist first who can do like a long assessment and examination of the

and then we can make an assessment as to whether we need to do any um imagery to have a look inside the knee and see if theres any problem with the cartilage

then we can make an assessment as to whether we need to any um imagery to a look the knee and see if theres any problem with cartilage

ok thats fine so when do you think it started

ok thats so when do you think it started

um its its not really possible to diagnose that over the over the video so we definitely would need to see you and the a physio is the best point of call because theyll probably be the most likely initial treatment

um its its not really possible to diagnose that the over the video we definitely would need to see you and the a is the best point of call because theyll probably be the most likely initial treatment

but certainly if the appointment times too long to wait then we can see we can see you in our clinic as well

but certainly if the appointment times too to wait we can see we can see you in our clinic as well

yep we can we can do a referral before that if in the meantime you develop like persistant swelling heat redness um of the knee or high temperature feel unwell or it completely locks up and you cant bend and stretch it

yep we we can do a referral that if in you like persistant swelling heat um of knee or high temperature feel unwell or it completely locks up and you cant bend and stretch it

then youd need to see a doctor urgently so call us back in that case

then youd to see a doctor so call us back in that case

ok ill send it through to your pharmacy for you ok thank you bye

ok ill send it through to your pharmacy for you ok thank you bye

ok um and any joint problems before that

ok and any joint problems before that

ok so um at the moment just tell me about the exercise that youre doing normally

ok so um at the just tell me about the that youre doing normally

hi

hi

hi doctor smith

hi doctor smith

you know not not really i mean i play a lot of sports um and i had a like i play some ice hockey and i had this injury a few months ago

you know not really i mean play a lot of sports um i had like i play some ice hockey i had this injury few months ago

you know i just like fell on the ice and and you know had a huge bruise but i think thats about it

i just like fell on the ice and you know a huge bruise but i think thats about it

so im training well im currently training for a marathon um thats gonna happen in june and so im trying to run like

so im training well im currently training for a marathon um thats gonna happen in june and so im trying to run like

i mean right now im actually not even doing such long runs maybe like seven or eight miles and so i started about uh maybe a month ago

i mean right now im actually not even doing such long runs maybe like seven or eight miles and so i started uh maybe month ago

uh ive done like you know four or five miles and ive just done like a couple of seven mile runs

uh ive done like you know four or five miles and ive just done like a couple of seven mile runs

and then uh uh and then you know i go to the gym like few times a week and kinda do my usual routine

and then uh uh and then you know go to the gym like few times a week and kinda do usual routine

um but yeah i think the only thing thats really different has have been the runs the longer runs

um but yeah i think the only thing thats really different has have been the runs the longer runs

um well i what do you mean by that im not sure what what that means

um well i do mean by that im not sure what what that means

not not bad i mean it just kinda starts hurting you know um

not not i it just kinda starts hurting know um

you know i would say probably starts off like after uh maybe twenty minutes or so which is probably i dont know like somewhere around mile three maybe two and a half or three miles

you i would say probably starts off after uh maybe minutes or so which is probably i dont know somewhere around mile three two and a half or three miles

yes my name is mary jo date of birth is january first nineteen eighty

yes my name is mary jo date of birth is january first nineteen eighty

switching my kilometres and miles im not sure all right

switching my kilometres and miles im not sure all right

yeah that is a good question so um you know the last few times the last time i actually stopped i mean i ran a little bit longer but then i stopped because it was um i i feel like its getting worse

yeah that is good question so um you know the last few times the last time i actually stopped i mean i ran a little bit longer but then stopped because it was um i i feel like its getting worse

um and when i start doing my abs thats you know when i do my abs its kind of requiring me to move my you know um to kind of go from the flex position on my knees and straighten my legs then i feel all this clicking

um and when i start doing my abs thats you know when i do my its kind of requiring me to move you know um to kind go the flex position on my and straighten my legs then i feel all clicking

and i think thats also freaked me out and uh i just figured you know somethings wrong here

and i think thats also freaked out and uh i just figured know wrong here

so its more um its actually my right knee that hurts

so its more um its actually my right knee hurts

no

no

so ah you know i i feel it its kind of weird i feel it in the middle but i almost feel like maybe it kind of uh um moves to the right to the right of my knee a little bit

so ah you know i it its kind of weird i feel it in the middle but i almost feel like maybe it kind uh um moves to the right to the right of my knee a little bit

so yes well its i have probably some fluid i googled it and you know it says that sometimes fluid accumulates uh i

so yes well its i have probably some fluid i googled it and you know it says that sometimes fluid accumulates uh i

sorry

sorry

um well it did like the first time i ran it was a little bit swollen but then i just put some like ice on it and it went away

um well it did like the first i ran it was a little bit but then i put some like on it and it went away

and my address is uh sixty sloane avenue london

and my address is sixty avenue london

um but right now right now its not swollen and right now it doesnt hurt you know

um but right now right now its not swollen and right now it doesnt hurt you know

um but it just kind of comes on when uh um or you know right now when i flex and extend my leg it theres no clicking but ill notice it in the gym and then you know when i run itll start hurting

um but it just kind of comes on when uh um you know right now when i and extend my leg it theres no clicking but ill notice it in the gym and then you when i itll start hurting

no none i dont

no none i dont

yes

yes

yes

yes

well um since youre asking um yes i i take ibuprofen um and ill just kinda use it sometime like uh um like sometimes i have some joint issues but you know that kind of is not very frequent so ill take ibuprofen for that

well um since youre asking um i i take ibuprofen um and ill just kinda use it sometime like um sometimes i have some joint issues but you know that kind of is not very frequent so ill ibuprofen for that

but you know its nothing like major maybe like four hundred milligrams max something like that

but you know its nothing like major maybe four hundred milligrams max something like

i also sometimes will um you know smoke a joint

i also sometimes will um you know smoke a joint

absolutely

absolutely

um and yeah other than that thats it

and yeah than that thats it

uh well i have sometimes you know how sometimes like if you stand for a long time your feet will kinda or your legs will swell up like i noticed it because of my socks ill just kind of notice this indentation

uh well i sometimes you know like if stand for a long time your feet will kinda or your legs will swell up like i noticed it because of my socks ill just kind of notice this indentation

and then another weird thing ive felt this just once but there was this tingling in my toes like uh um after the run

and then another weird ive felt this just once but was this tingling in my toes like uh um run

there was tingling in my toes like on my you know my right toes um so

there was in my toes like on my know my right toes um so

yes

yes

well i dont know if i really try that but i i will tell you that what i noticed is like if i you know when my socks come off i kind of notice that indentation a little bit i mean its not like major right but i uh i mean do you mean i just need to like press and see what happens if it like kind of stays or

well i dont if i really try that but i i will tell you that i noticed is like if i you when my come off i kind notice that indentation a bit mean its not like major right but uh i mean do you mean i just need to like press and see happens if it kind of stays

no no nothing like that no

no nothing no

no it was just it was that time uh but it was just really weird because it kind of went on for a while

no was just it was that time uh but was just really weird because it kind of went on for a while

so a couple of things i i think i may have overdone my workouts and now my knees are hurting and theyre clicking a lot and its starting to worry me

so a couple of things i think i may have my workouts and now my knees are hurting and theyre clicking a lot and its starting to worry me

uh well i had uh

uh well i had uh

you know what just kind of your garden variety stuff right colds and uh i mean i i do have im far sighted and so i had uh i had lasik surgery

you know what just of your garden variety stuff right colds and uh i mean i i do have im far sighted and so i had uh i had lasik surgery

and then once i had this really bad uti they thought it was kidney stones and so they had me actually in er

and then once i had this really bad they thought it was stones and so they had actually in er

and if my gp didnt call them tell them that you know they dont need to give me morphine

and if my gp didnt call them tell that you know they dont need to give me morphine

um that was kind of an awful experience but uh other than that you know im im im pretty good

that was kind of an awful experience but uh other than that you know im im pretty good

well ill take uh i take vitamin d

well ill take uh i take vitamin d

uh i take melatonin sometimes you know just for cramps ill take like uh um ibuprofen or actually uh ill take what am i taking aleve whatever aleve is

uh i take melatonin sometimes you know just for cramps ill take like uh um ibuprofen or actually uh ill take what i taking aleve whatever aleve is

um i cant run very far um any more without just feeling pain in my knees

um run very far um any more without just feeling pain in my knees