Hello Ted. I use a heat pack at night, take vitamins D3, K2, & 1600 mg of calcium tablets per day. Finally, I exercise all of my joints at least 4 times weekly by stretching first and adding 2 lb weights to my regimen. I use Jane Fonda Workouts (CD collection) which I ordered online for $53. The CDs have workout and stretches for older Americans, no matter what level of fitness level you are currently functioning on. Ask you Dr. first before attempting any new exercise regimen. Best.