Hi, For my patients I recommend physiotherapy with hot massages and topical gels, muscle relaxants, ankle slabbing or support CT and MRI, decreasing her weight for proper evaluation of steroid injections or even minor endoscopic interventions if needed. She may increase her fluid intake and avoid high salty and proteins meals to avoid gouty arthritis or any underlying cause of pain in all her joints is helpful I don t need you to worry because female oestrogen hormonal levels passing through her normal menstrual cycles may cause some effect on her bones that may also initiates her bone pain status so it may improve simultaneously with some rest. Hope the above information helps you. Any further clarifications feel free to ask. Regards, Dr. Ahmed Aly Hassan