40 years old male, have been suffering from pain in wrist joint

Medical Case Details:

Hello doctors,

One of my patient, 40 years old male, have been suffering from pain in wrist joint. MRI Lt wrist indicates -

1) Negative Ulnar Variance with osteophytic lipping and degenerative subarticular cystic changes along ulnar articular surface.

2) Intrasubstance PD fat sat hyperintense signal intensity involving foveal and radial attachment of triangular fibrocartilage with minimal perifocal soft tissue edema raises possibility of sprain.

This patient has been working out for many years. Pain in left wrist has been going on for years. He takes pain killer as required. Kindly suggest the further treatment plan.