Hello
Thanks for writing to HCM
You didn't mentioned your wife's age.
There may be various reasons.
She need proper clinical examination and thorough checkup.
Investigations like routine hemogram,LFT,RFT,RBS,
Lipid profile,RA factor,
Ultrasound of abdomen, Chest X-ray (PA),Serum calcium level, Vitamin D status,
Thyroid profile should be done.
X-rays of involved joints should be taken and
MRI can be done if needed.
She shouldn't take pain killers for long time, as it has side effects.
Treatment should be done on clinical basis and investigation reports.
Cost for plain MRI is around five to six thousand and it increases if contrast MRI is done
Get well soon.
Take care
Dr.Indu Bhushan