Get xray done

First xrays are needed to know her arthritis level

Injection dynapar aq..

We can get Xrays , accordingly can comment For temporary relief if indicated we can inject HA with intrarticular steroids which will provide good temporary relief

Do Xray Both the Knee

Will have to avoid too much walking. Get x rays for knee done. Can give intraarticular Hyaluronic acid with intraarticular steroids for temporary relief

I would suggest avoiding walking while going on pilgrimage...Use dolly services walking aids and OA knee braces, rather than taking pain medication. Sprays and ointments with a hot pack or ice pack application..sufficient rest at night keeping legs in an elevated position..with all these measures.. she can have less pain..if at all needed can take paracetamol ..

There is no such wonder drug She is having osteoarthritis Ask her to wear knee cap And plan for intraarticular injection for some relief