### Patient: Hi Doc, I've been experiencing knee pain for a while now and it hurts even more when I climb stairs or do any kind of physical activity.
### Doctor: Based on your symptoms, it appears that you have chondromalacia of the patella. I would recommend taking medications such as Diclofenac, Celecoxib (Celebrex) or Meloxicam to reduce the inflammation and pain. You can also try using Triamcinolone Topical Product to ease the joint pain. Additionally, taking Glucosamine supplements may help to improve joint health in the long term. If the pain is severe, I can inject Bupivacaine, Ropivacaine, or Rocuronium to provide pain relief for a short period of time. However, Pramipexole (Mirapex) is not effective for this condition, and I would not recommend it for you.