Hi, The simplest effective treatment is to avoid activities that precipitate pain. Avoid activities that overload the joint, as evidenced by their causing pain. Improve the strength and conditioning of muscles that bridge the joint, so as to optimize their function. Exercise lessens pain and improves physical function. Most effective exercise regimens consist of aerobic and/or resistance training; the latter focuses on strengthening muscles across the joint. Exercises are likely to be effective, especially if one trains muscles for the activities a person performs daily. Unload the joint, either by redistributing load within the joint with a brace or a splint or by unloading the joint during weight bearing with a cane or a crutch. Use a cane in the hand opposite to the affected joint for partial weight bearing. Crutches or walkers can serve a similar beneficial function. Acetaminophen (paracetamol) is the initial analgesic of choice .For some patients, it is adequate to control symptoms, in which case more toxic drugs such as Nonsteroidal Anti-Inflammatory Drugs (NSAIDs e.g. piroxicam,naproxen etc)can be avoided. Doses up to 1 g three times daily can be used. Intraarticular Injections: Glucocorticoids and Hyaluronic Acid is another option in severe joint pain. Because synovial inflammation is likely to be a major cause of pain in patients with osteoarthritic / osteochondritic pain, local anti-inflammatory treatments administered intra-articularly may be effective in ameliorating pain, at least temporarily. Glucocorticoid injections provide such efficacy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist