This treatment is being suggested on bases of the information provided. However I would like to examine & investigate you in detail. -Control  Hypertension, Diabetes or  metabolic disorder, if there is any.  - Sleep on a hard bed with soft bedding. - Keep no pillow under the head. - Avoid painful acts & activities. - Fomentation with warm water. -Let the part not be exposed cold. -Do mild exercises for the affected parts-    -Any way it may be tried, --. Ugesic (Piroxicam) 20mg 1tab once  a day x 5days  --. Caldikind plus  (Mankind) 1tab Once  a day x 10 days. Kindly make sure, there is no allergy to any of these medicines. --For emergency treatment visit nearest hospital. -For exercises you may visit my YouTube channel- Dr. N C gupta. -Wish you a quick recovery & good health  kindly like & subscribe to the channel to get notification for subsequent videos of your intrest. it is free.  Dr N C Gupta MS (ortho) DMC 3624

Maintain a healthy lifestyle. Be active and exercise daily.  For pain relief you can take simple analgesics like paracetamol , hot fomentation for 15 mins and apply volitra gel. Get following blood investigations done.. Cbc,Calcium, vit-d, vit b12 levels. RA factor, Anti ccp, ESR, CRP. Consult an orthopaedic surgeon with above blood reports.

May be vit D / bi B12 deficiency

Check vitamin d, b12 , hemoglobin Take vitamin e supplement