Hi Welcome to healhcaremagic After going through your query I concluded that you are having osteoarthritis of knees and lumbar spondylitis. Both are age related problems. Treatment of both are Diacerine and glucosamine. Analgesic such as ibuprofen are helpful in pain relief. Quadriceps exercises and back exercises are helpful. Mecobalamine reduces tingling. You can discuss your doctor about it. Hope your query get answered. If you have any clarification then please don t hesitate to write to us. I will be happy to answer your queries. You can also write to me directly on below link: https://www.bit.ly/askdrsudhirortho Wishing you good health. Take care.