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 %. So you are suggested to meet a qualified Ayurveda physician for effective solution of your problem. ESR value is raised incase of any inflammatory condition progressing in your body so its value will itself go down with the arthritis treatment. Weight is a matter of concern in your condition,.... it is often found that in such patients weight start reducing by itself with the treatment of arthritis because the medicine is planned in that particular way so the doctor will take care of it and you need not find separate treatment for your weight management. B.P. in an obese person is often managed along with weight management but do keep a constant watch on it. Your diet ( for B.P., Obesity, Arthritis) should contain any such edible which could SATISFY YOUR HUNGER but NON-NOURISHING in nature e.g. - - Roasted BARLEY made into flour (SATTU) 4-5 tea spoon should be dissolved in water along with little salt and lemon juice and drink it 7 - 8 times / day. - say NO to POTATO, RICE, SUGAR, FAST / CANNED food. - if you suffer from CONSTIPATION, make sure to avoid it with the help of diet, exercise and if required, use medicine like castor oil. Make exercise and yoga an integral part of your lifestyle. Hope the answer will help you. Warm regards.... Dr. Ranjeet Sharma