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Hi, this is Dr. Jeanne Smith. I just came on line and saw your request. I'm sorry no one else was able to respond to you sooner. I'll do my best to help you with home care suggestions and advice for the best course of action. At Penny's age arthritis is common. I suggest using glucosamine HCl, available at any pharmacy. It's safe and effective. It does take a week or two to see the benefits. It's much safer on kidneys and intestinal tract than the non-steroidal anti-inflammatories, especially for long term use. She'd need it the rest of her life. I'll be right back with instructions.