Osteoarthritic knees

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Q. I have Osteoarthritis in both knee joints with a varus deformity. No evidence of fracture or any other abnormality is seen in the bones of both knee joints. Following treatment was advised by the doctor
Cap contrmal 1 after breakfast, 1 after dinner for 10 days
Tab Rofaday 25mg with breakfast for 10 days
Tab Zinetac(150mg) 1 after breakfast, 1 after dinner for 10 days
Tab Shelcal M 1 in morning, 1 in evening for 3 months
Tab Surbex T with a glass of milk for 3 months
Cap free flex forte 3 times a day for 3 months
Apply Ice and then Dolonex gel twice a day. Use Knee cap
Avoid Indian toilet, jogging, sitting on the floor Physiotherapy Proposed Management: Rt. Knee replacement. I am suffering from much pain in my Right Knee. I am a diabetes paitent. My weight is 74 Kgs. I cannot sit for a long time and cannot stand for a long time. It feels like something is pinching me from inside in the right knee joint. What should I do? Please guide me
Following is the report of X-Ray (2 months back) Radiographs of both knee joints obtained in A.P. [standing] and lateral projections reveal an osteophytic lipping from articular surfaces of knee joints with a decrease in the joint spaces in the medical compartments. There is a varus deformity on either side. The bones of both knee joints show normal bony architecture. No evidence of fracture is seen. There is no evidence of bony erosion, infection or any other intrinsic bony abnormality. No abrormality is seen in surrounding soft tissues. IMPRESSION: Osteoarthritis both knee joints with a varus deformity. No evidence of fracture or any other abnormality is seen in the bones of both knee joints.