Her right knee has severe arthritis in knee and patellofemoral joint whereas her left knee has grade 3 to 4 arthritis.
Generally in such late stages medications and injections don't help much on the long term. Viscosupplement injection can be attempted but there is a low chance it would work on the right knee . Can help in the left knee with some physiotherapy and activity modification.
Next Steps
if not a standing xray, try to get a standing xray to confirm the joint space reduction.
If any symptoms of rheumatoid arthritis present, better the get blood investigations done for the same.
quadriceps and hip strengthening exercises will help
knee cap can be worn .
Health Tips
avoid sitting on floor and squatting, crosslegged position. minimise stairs.
hot water fomentation can be attempted
analgesics to be taken as per need either orally or topically.
consult an orthopaedician if symptoms don't improve