i will guide on medication

Arthritis - Osteoporosis

Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

Hello, I understand how distressing it is to see your mother in such constant pain — especially when daily activities become difficult despite ongoing treatment. Based on your description, this doesn’t sound like a simple orthopedic problem alone. Given her diabetes, kidney issues, and generalized joint pain, we need to think deeper about systemic or inflammatory causes rather than just wear-and-tear arthritis. What could be going on: Here are the most common possibilities in such a presentation: 1. Diabetic-related joint and nerve issues: Chronic diabetes can cause joint stiffness (diabetic cheiroarthropathy) and nerve pain that mimic arthritis. 2. Inflammatory arthritis (like Rheumatoid arthritis or Polymyalgia rheumatica): When multiple small and large joints hurt daily and are stiff in the morning, we must check for autoimmune causes. 3. Vitamin D or B12 deficiency: Severe deficiency can cause muscle/joint pain, weakness, and fatigue, common in middle-aged women. 4. Post-menopausal hormonal changes: After 45–50 years, estrogen levels fall, which affects joint and bone health. 5. Renal (kidney-related) inflammation: Some medications or metabolic imbalances in kidney disease worsen joint pains and inflammation. What you should do next (don’t delay this): Please get these investigations done — they’ll guide us precisely: CBC, ESR, CRP (to check inflammation) RA factor and Anti-CCP antibody (to rule out rheumatoid arthritis) Serum Uric acid Vitamin D3 and Vitamin B12 levels Serum Creatinine, eGFR (for kidney status) HbA1c (to assess diabetes control) If inflammatory arthritis is confirmed, starting the correct disease-modifying medicines (DMARDs) early can completely change her life — pain can reduce drastically within weeks when properly managed. In the meantime (symptomatic relief): Continue diabetic medicines regularly. Avoid painkillers like ibuprofen or diclofenac if her kidneys are weak — they can worsen kidney function. Safer short-term options: Tab. Paracetamol 650 mg as needed (max 3 times/day). You can also use warm compresses and gentle range-of-motion exercises daily. Vitamin D3 supplement (60,000 IU weekly) for 8 weeks, then once monthly, can often help if levels are low. Final advice: Your mother’s condition is treatable — she doesn’t have to live like this. But continuing random painkillers or orthopedic visits without pinpointing the cause will just delay proper management. She needs a joint pain work-up + diabetic and kidney-safe medication plan tailored to her. I can personally help you analyze her reports, design a step-by-step plan, and suggest which medicines or supplements are safest for her kidney and diabetes profile. You can message me privately on WhatsApp at nine three two six zero two zero five three six — I’ll review her details and guide you with a clear plan to reduce her pain effectively.

Avoid fried and spicy food Water intake more Do connect and consult

Lets do a workup for autoimmune panel for her

Joint pain can be due to many reasons Arthritis, infection, vitamin d def Need more blood test Please connect through practo app or wattsap nine zero seven two two zeo seven zero nine three

What are levels of blood sugar? Also blood pressure and other medications she is on. Kindly consult with me on 94 two six eight six 78 nine six.

You can consult me directly on Practo, or reach out via WhatsApp: Eight Seven Six Two Seven Four Nine Nine Seven Four I’ll guide you step-by-step with easy-to-follow treatment plans. Early consultation helps avoid complications — feel free to connect. Only whatsapp message no calls

Get Vitamin D levels checked —take supplements Calcium and Vitamin D Which joints are affected mainly —small or large joints

Have you checked Mom's Vitamin D Levels? It's better to check Vitamin D and Calcium levels at the earliest, if low will have to supplement. How is her weight? For Moms age, it will be good to start strength training exercises. If Mom has swelling or fever, further evaluation is required.

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Start 1.cap cipcal once daily morning after meal 2.Tab Neurokind forte once daily at bed time Go for blood test CBC RFT LFT RBS HB1Ac ESR X ray knee joint

It could be inflammatory syndrome. Require further details and few tests to be done. Consult on video to discuss further.

Osteoarthritis. Eterocoxib Mr two times a day after food for 7 days a temporary solution. U need superspecialist like orthopedic  n x ray  of joint effected.

Need more history and symtomatology to properly evaluate your problem Connect on video call

Do all routine test and vitamin b12 & vitamin D3 Connect with practo doctor

Could be due to uncontrolled sugars and also could be multiple Keep sugars in track and kidney infection checked again Did she have any injury Does she have any other ailment

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Start calcium daily Physiotherapy Simple exercises Sugar control Reduce weight Consult online will guide you further consult immediately with nephrologist for kidney infection she is diabetic do not neglect

If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.