Hi i am Dr Ahmed Aly
thanks for using HealthcareMagic site ,
I had gone through your question and understand your concerns ..
IN my opinion you have a kind of
arthritis which could be due to
gout or rheumatoid . you mentioned using anti inflammatory tabs and applied topical gels and you are not that
overweight .
You may begin with high fluid intake , avoid high salts and protein meals , increase your vegetation and salad .
For my patients i may recommend urine analysis , SUA (serum uric acid ) , ASOT (anti strepto lysin o titre ) and Rf (
rheumatoid factor ) and visit your physician for proper evaluation and management .
If you was diagnosed for rheumatoid i think your doctor will add an antibiotic and
prednisone tabs to your painkillers while if gout he may add some proximol sachets or
allopurinol sachets to lower your serum uric acid .the required
dosing of your treatment is prescribed according to the extent and degree of your disease and physical condition .
Please click and consider a 5 star rating with some positive feedback if the information was helpful. Wish you good health,
Any further clarifications feel free to ask.