Question: My son is 46 and has been an OTR driver since 18. Both knees are swollen and extremely painful. He has been told there are bone spurs, arthritis, and a torn ligament which "healed wrong." In addition, when the knees swell, both legs go numb. They say surgery is not an option. They give him cortisone shots which do nothing. He is going to be in a wheelchair soon. Any suggestions would be appreciated.

Dr. Hibberd's Answer:

Without more details I am afraid I have little to offer aside from sympathy. Knee swelling sufficient to cause numbness is very significant, and aggressive treatment is indicated, since obstruction of venous return and stasis changes in both legs are almost inevitable with swelling to this degree.

This man is a grown man perfectly able to seek orthopedic and rheumatologic consultation. Assure yourself he is seeking proper consultation, and go with him on his next visit. If you are allowed to attend with him, line up the questions in writing ahead of the visit and consider giving the doctor a copy of your questions in advance of the visit so sufficient time can be allotted for both of you. Ask questions regarding the cause, the tests to support this, the present treatment plan and the expected future treatment plan. Once armed with this basic information, THEN seek alternate consultation if you wish. Good luck, and let me know of your progress.