This treatment is being suggested on bases of the information provided. However I would like to examine & investigate your mother in detail. -Control  Hypertension, Diabetes or  metabolic disorder, if there is any. -Any way it may be tried, --. Dolokind Plus (Mankind) [Aceclofenac100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days. --. Caldikind plus  (Mankind) 1 tab OD x 10 days. -(You may need help of your local doctor to get these medicines.) --. Fomentation with warm water. Let the part not be exposed to cold. --. Sleep on a hard bed with soft bedding. --. Use no pillow under the head. --. Avoid painful acts & activities. -- .Do mild exercises for the affected parts. --.(Take help of physiotherapist or you can visit my you tube channel Dr NC Gupta Yoga Simplified). YouTube link: https://www.youtube.com/watch?v=tY8RpRrv05g&t=9s, https://www.youtube.com/watch?v=fAYhFcmo0Mw&t=52s --Do not ignore, let it not become beginning of a major problem. --Do ask for a detailed treatment plan. Kindly make sure, there is no allergy to any of 6 medicines. --For emergency treatment visit nearest hospital. --Wish your mother a quick recovery & good health. --I hope, I have solved your problem to your satisfaction.  Dr N C Gupta MS (ortho)

Though you say it is rheumatoid arthritis, your medication don’t suggest that you are rheumatoid medication. First check rheumatoid status by blood tests and start correct treatment. Again you are from Chennai, I am from Hyderabad. I won’t force you, but a video consultation with someone is helpful.

Please consult online so that we can discuss on medical history and blood work up