Conversation: The conversation between human and AI assistant.
[|Human|] My mom is about 58 yrs olde and she is HPT and DM and in menopause. She had sever R shoulder and knee arthritis pain to the extent that she cannot move her hand or hold a cup properly. She is visiting from other country and not she is not covered by health insurance but I can pay her treatment expanses. I would like for a doctor to see her. Where I can take her IN Ottawa Regards, Ghadah
[|AI|]  Dear patient Definitive treatment for arthritis at age 58 is joint replacement. How she was diagnosed with arthritis?  Knee arthritis is mostly due to degenerative arthritis and known as osteoarthritis. Which is very common at this age.  Reason for shoulder arthritis needs to be searched for. Was any X-ray done? If not done I would advise X-ray of involved knee anteroposterior and lateral views and X-ray of involved shoulder with clavicle anteroposterior views to confirm diagnosis. You need to consult expert arthroplasty surgeon nearby your area with X-ray report. Meanwhile, take tab diclofenac 50 mg twice a day for pain relief. All the best.