Question: I am a healthy 66 years old woman into running, yoga biking, dancing. I have long standing problem with a bad sprain on my left foot 3-4 years ago. I recently had an MRI where I was diagnosed with " Muller Weiss syndrome and osteo-arthritis and significant edema and 6mm cyst within it. One doc. recommended surgery another one give me unto-inflammatory. Would like if you could suggest the best course of option for my age. Thank you kindly, XXXXX

Thank you for your answer. You wrote: " Till time take analgesic and cartilage protecting medication like glucosamine sulphate. Diet rich in calcium and protein will help." Do you mean: "till that time?" right? Presently I was prescribed by my doct. "Meloxicam 15mg" 1x day. For my joint, I also take the following dietary supplements once x day: Glucosamine HCI 1500mg plus vit. D3. (When finished I will take Glucosamine & chondroitin sulfate.) Magnesium 500mg MSM 500mg Hyaluronic acid 100mg In trying to lower my cholesterol 150 as my cardiologist want me to take it down to 100. I have eliminated the following: Dairy, sugar, red meat, pork and grains. As of last year my diet consist of: chicken, XXXXXXX fish (salmon once x week) nuts, fruits, lots of veggies and some soy products and drink water and some wine mostly red. In addition, I take the following daily supplements: Selenium 200MCG (delayed release) Folic acid 400MCG CoQ10 200MG Chromium picolinate 200MG Vit. B-12MCG Do you think I have adeguate diet to deal with my: (AVN] am not sure what it stands for, and, [Muller Weiss syndrome]. Should I take your suggestion and include "Bisphophonates" too? You wrote: {But surgery with bone graft is good choice to avoid further arthritis.} My first doc. explained that he would remove the diseased bone and replace with a metal plate and pins. How does it compare with: "bone graft?" Looking forward to your reply. Thank you, XXXXX

Thank you! I am not sure if the disease in the early stage. I will ask my doct. I have the report of the MRI but written in language hard to understand by the layman. Have a good day! XXXXX