Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dr Sunil.My name is Doris.  Ive had bilateral x-rays done on both of my hips.  I have small collar osteophytes on both hips.  Ive been to PT since the middle of Sept.  But now the pain is worse.  I have the pain bad when I sit down and try to get up, or try to get out of the car.  I feel so crippled.  Ive been using stop pain...I rolled it all over the thigh and hip area.  I had this for well over a year.  What is the next step?
[|AI|]  Hi, thanks for writing to Chat Doctor. As per your description, you have mild arthritic changes in your hips producing the symptomatology. The initial measures for hip arthritis is always conservative by the following means-* ACTIVITY MODIFICATION -It is important to maintain as much activity and joint motion as possible, but impact activities will aggravate arthritis. Running and jumping will often accelerate cartilage loss from the joint. The key is to focus on low impact activities, such as swimming or cycling. These are the best forms of exercise with arthritic hips as they do not require significant weight-bearing across the hip joints.* WEIGHT LOSS - Significant weight loss for obese patients can make a Chat Doctor. * NON-STEROIDAL ANTI-INFLAMMATORY