Requires detailed examination & investigations.
Preliminary investigations suggested:
hb, tlc, dlc
, esr, blood sugar
fasting & pp, uric acid, vit d
urine r/e 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 mattress are harmful. Use no pillow under the head
. Do hot fomentation paracetamol
250mg od & sos x 5days. Bio
d3 max 1 tab od x10. Do neck, back, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that the patient is not allergic to any of the medicines that patient is going to take. If it does not give relief in 4-5 days, inform.