Hello Dr. My mother (age - 56 ) is suffering from joints pain and muscles pain since last 2-3 months. The pain is unbearable. She can't walk without holding any support and even can't stand for sometime. Some times she becomes aggressive n speaks very harsh words bluntly. She often forgets many things she has done or spoken. She has thyroid disorder since last 15 years n she was taking a tablet (Thyroxine Sodium Tablets IP, THYROX - 25 ) regularly in the morning empty stomach and she was doing very well with this medication. Now, 3 months before when she had these types of pains we consulted our family physician where her routine checkup had being done on regular basis as directed by the physician. We got some blood tests like Haemogram report, Renal Function, Arthritis Profile, Thyroid Function Test done for it. And the results says : Hemoglobin : 11.3 gm% R.B.C. : 4.18 mill./cu. Mm. W.B.C. : 7820/cu. Mm Platelet. : 3,06,000/ cu. Mm. polymorph. : 70% Lymphocytes : 25% eosinophil. : 02% monocyte. : 03% basophil. : 00% P.C.V. : 35.1% M.C.V. : 83. 97fl M.C.H. : 27.03 pg M.C.H.C. : 32.19% R.D.W. : 14.9% E.S.R. (Automated ) After one hour : 90 mm Serum Creatinine. : 0.99 mg/dl Uric acid : 6.41 mg% RA Test (Quantitative ) : 109.9 IU/ml Serum FT4 Estimation : 14.12 pmol/L Serum U/S TSH Estimation : 12.30 ulU/ml Our family physician proscribed the below medicines for it - Tab Thyrox 50 mcg 1-0-0 empty stomach Tab HCQS 200 (10) 0-1-0 Tab Etova-P 400 (30) 1-0-1 Tab Imutrex 7.5 (4) 0-0-1 every Friday Tab liquid-D3 (4) 0-0-1 every Friday She had completed the course of the above medicines. But there is no result. She has continue her Thyroid Tab as the physician said. We had also consulted other physicians. Some of them said the arthritis problem is because of Thyroid disorder, if she takes Thyroid Tab regularly n do routine checkup regularly then everything will be fine after few months. Some said she needed to take the Thyroid Tab of 50 mcg when she was taking it of 25 mcg. But our family physician never proscribed the 50 mcg Tab before this. Now here is my question Dr. Is/was my mother going under correct/right medication. Is her Thyroid Tab of 50 mcg is okk according to her report I've mentioned above. Shall we go for Ayurveda or naturopathic treatment for her arthritis problem. Give some suggestions for the problem. I will be thankful to you if you can proscribe some medication or remedies or any other treatments for her. Thanks a lot. Regards, Hiral Patel.