I am Dr.Amita and I would be happy to assist you
You should discuss adding a proton pump inhibitor like Prilosec to the medicines you take as it may help counteract the gastric side effects of Naproxen.
You should also discuss decreasing the dose of co codamol as it may be causing nausea
In place of cocodamol higher dose of paracetamol can be given
would it be beneficial to have a steroid injection into the joint?
You may also start taking chondroitin and glucosamine as these supplements may help to some extent in arthritis
I was coming to that.Yes you can definitely consider steroid shot into the joint as it can give a short term relief in pain for 6 -12 months
You may also consider having hyaluronate injection as visco supplementation as that may also give short term relief
I just cant keep on like this, I am usually quite active but there are times when I cant even walk without holding onto furniture, I will try the glucosamine and chondroitine, what doses should I take?
Chondroitin should be used in dose of 200-400mg 2-3 times a day or 1000-1200 mg as a single dose.Glucosamine should be used as 500-750mg 2-3 times a day or 1500 -2000mg as a single dose
Thank you for your advice I will commence those tomorrow. I'll go back to my GP to discuss injection.