Conversation: The conversation between human and AI assistant.
[|Human|] I had knee replacement in 2008 and 2011. Both knees have never been an improvement as far as pain and mobility. What are the reasons for knees to remain painful. Could I be reacting to the glue. I have been told by dr. That there is nothing wrong with knees. I just completed four months of pt and no improvement. I can t stand the pain and sleepless nights trying to get comfortable. Morphine does not help.
[|AI|]  Hello, I have studied your case and I think that some knee pain may be there after knee replacement and that is due to weak muscles, weak bones and some time due to un known reason. So I would suggest you to follow these steps.1. Get your bone mineral density test and check if you are not having osteoporosis. If there is then you need to start with calcium, vitamin D and tripartite injection.2. Make sure that your serum B 12 and blood sugar level is normal. If there is any abnormality then you can take tablet methylcobal daily.3. Tablet Pregabalin m should be taken at nighttime to improve nerve related pain. I hope these steps will be helpful for you. Let me know if there is any other followup questions. Thanks