I would like to examine the patient in detail & investigate.
Preliminary investigations suggested:
hb, tlc, dlc
, esr, blood sugar
fasting & pp, uric acid vit d
x-ray of the affected part.
Anyway it may be tried
sleep on a hard bed with soft bedding on it.
Spring beds, folding beds or thick matress are harmful
use no pillow under the head.
Do hot fomantation
paracetamol 250mg od & sos x 5days.
Caldikind plus 1tab od x10. It may have to be further investigated. Do not ignore it.
Let it not become beginning of a bigger problem.
Make sure that patient is not allergic to any of the medicines that he/she is going to take.
For emergency treatment contact your nearest hospital or family doctor.
If it does not give relief in 4-5days