Conversation: The conversation between human and AI assistant.
[|Human|] I have severe, generalized osteoarthritis but especially in R knee and hip. My orthopedist has recommended replacement of both joints. I am only 60 and am not ready. I have been on an NSAID called Diclofenac 75 mg OD, and it no longer works. I absolutely believe exercise is necessary but due to intractable pain, it has been impossible for me to even walk. I have fallen 3x in the past month. I have tried and paid a lot of money for natural pain relievers that have not worked. HELP!
[|AI|]  Hi, Thanks for your query. For osteoarthritis, weight reduction is the main treatment along with medicines to decrease pain like NSAIDs - paracetamol, diclofenac etc., Lifestyle modifications like avoiding sitting cross-legged, squatting, using Indian type toilets will decrease the rate of progression of osteoarthritis. Exercises like qua Chat Doctor. Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years. You can take them after consulting an orthopedic surgeon. Many of my patients do get relief by yoga - Panama and darshan Oriya. You can start with these under the guidance of an expert. In early stages exercises, medicines, joint supplements & intra-articular injections are helpful & may revert the changes but in late cases joint replacement is only option. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care