In an elderly hypertensive woman with grade 2 knee osteoarthritis who has been taking aceclofenac (NSAID) daily for four years and now presents with worsening knee pain, neuropathic pain radiating to the ankle, and unilateral swelling of the lower leg, how should she be managed and is Chymoral Forte (proteolytic enzyme combination) indicated?

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In an elderly woman with controlled hypertension (HTN) who has been taking aceclofenac once daily (OD) for grade II knee osteoarthritis (OA) for four years and now presents with worsening knee pain, neuropathic pain radiating to the ankle, and mild‑to‑moderate swelling extending from the knee to the toes, what is the appropriate management and should Chymoral Forte be prescribed?

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