Hi I had gone through your question and can easily understand your problem. Actually in the field of arthritis and spondylitis ( Musculoskeletal problems), orthopedic doctors and I have been working together from last many years to relieve the patients effectively. We know that pain-killers, steroids etc. are not the solution and should be taken only in case of unbearable pain and can t be used regularly. Ayurveda medicines effectively reduce frequency of taking pain killers up to 90 - 95 % ( results based on the responses from INNUMERABLE patients treated in B.H.U. for 10 YEARS tenure and thereafter in my private practice). Raised ESR value and crp value and positive RA factor are common in such patients due to inflammatory conditions in the body and become normal with the treatment. If your mother is having normal blood pressure and weight and is non-diabetic and non-constipated then following are the details about the Ayurveda treatment - Patient start responding to the treatment within 14 - 30 days. The treatment duration varies from 6 - 12 month ( from patient to patient). Frequency of pain killer intake is greatly reduced ( up to 90 - 95% ). If other clinical symptoms are associated, treatment varies accordingly. Patient are advised certain personalized EXERCISE & DIET after observing their reports for curative and preventive purpose. Please don t use any market product because such products deteriorate the conditions and make it difficult to treat. Hope the answer will help you. Warm regards.... Dr. Ranjeet Sharma ( ramgoday@gmail.com )