Long-term use of Spasmo Proxyvon Plus, which contains Dicyclomine, Paracetamol, and Tramadol, is not commonly linked to causing knee pain directly. However, chronic use of Tramadol can sometimes lead to joint-related discomfort or other side effects that might indirectly affect joints.

🩺 What This Means

• Knee pain after taking this medication for 2–3 years could be from other causes such as joint wear and tear, arthritis, or unrelated musculoskeletal issues rather than the medicine itself.
• If you have persistent knee pain, it’s important to evaluate other factors like activity level, injuries, or underlying conditions.

⚠️ When to See a Doctor

• If knee pain worsens, is accompanied by swelling, redness, or limited movement.
• If you notice any new or unusual side effects after long-term medication use.

🩺 Next Steps

• Consult an orthopedic specialist to assess your knee pain properly.
• Discuss your medication history with your doctor; they may review your current pain management plan and consider alternatives if needed.

If you want, I can explain more about potential side effects of long-term Tramadol use or other reasons for knee pain.