Hi I don't want to jump to conclusions about India as I know there are Some Lovely well Equipped areas Hopefully he lives in one where he is getting Good Medical Care if so then for sure a Cortisone shot into the Knee would be his best move Also to Check with his Doctor that his RA medication is Giving him the Right Coverage he may need to try a Different or new Drug
as for over the Counter I use Voltaren Osteo Gel (it's an anti inflammatory cream)Also
He needs some Good Quality Vitamins one that uses good ingredient's he needs a Good Men's Multi Vitamin and Vitamin D ( 1000 iu Minimum) & Omega 3
You can buy Paraffin Wax heat it in a pot then coat the knee in Warm-Hot But NOT Burn Hot Wax then Wrap in thick Bandage so its all snug and rest it for about half hour then unwrap and flake off the wax ( you keep the wax and reuse it- also the same pot - I just put the wax back in the pot till next time)
I know it seems messy & it can be BUT it Really Works so if he would try this perhaps before bed or in the morning he will find relief.
FORUM MODERATOR Rheumatoid Arthritis for 30Yrs. Asthma,Fibromyalgia,Osteoperosis,Cervical Spondalosos,Degenerative Disc Disese,Disc Bulges, Diabetes,Heart SVT & AF, Sleep apnoea,Nocturnal Respiratory Failure,Panic Attacks,Anxiety
on; Methotrexate , Arava , Endone, Targin 20mg (oxycontin) , Prednisone, Metforman(Diabex) , Tambocor. Oxygen & Cpap, Prolia Injection ,Lyrica