She has typical defeating changes like arthritis. only exs is not the option.she want hydrotherapy treatment.as well ultrasound therapy and interferential therapy.

Hell there...., I can understand your concern... Joint stiffness can be caused by injury or disease of the joint and is a common finding in the arthritis conditions. Joint damage, including stiffness, can also occur following injury to the joint. Sometimes injuries or inflammation of the adjacent areas, such as bursae, can cause pain that may limit the movement of a joint and be perceived as joint stiffness.....Consult orthopedician for further evaluation and treatment....