Thanks for query on HCM.
Any chronic symptoms should be ruled out by proper investigations.
Go for complete arthritic profile to confirm the diagnosis.
Watch for s.uric acid level.Start treatment accordingly.
Otherwise it could be due to improper foot wear,improper posture and also usually seen in obesity(over weight),b12,calcium and other
vitamin deficiency.
Start
nsaid orally as well as locally.
B12,calcium,minerals and other vitamin supplement will be helpful.
Change your foot wear,try to reduce your weight if you are over weight.
Avoid extra weight bearing till get complete cure.
Consult orthopedician for further guidance,proper diagnosis and better medical management.