Please pm me with an email address it could be an inflammatory issue which is easy to try. A friend had it bad and this helped him by 90%. He gave me the 38 page information on each food and it's inflammatory rating. I don't have arthritis but it definitely helped me with other issues. The other out of the box idea is frequency music. You can find this on you tube, search for "frequency music for arthritis". She needs to use headphones and allow 2 hours for the first session, then followed by a 1 hour session before bed and another when she wakes up. If that hasn't worked then play around with different frequencies. There are frequency apps too. This has worked for me on sore throat, I use it instead of anti biotics. That being said I don't know if it works for others, but what has she got to lose trying it?