Knee osteoarthritis is one of the diseases that cause degeneration of articular cartilage, and subchondral bone, and causes chronic joint pain and stiffness it is the first reason for disability and the number two reason for the reduction in physical activity.  While there is no effective treatment for inhibiting the progression of its advancement, there are various interventions for managing symptoms of this condition in its early stages and a few treatments for advanced stages. In patients with severe knee osteoarthritis, the most recommended treatment is surgery since most of them respond poorly to recommended noninvasive treatments such as non-steroidal anti-inflammatory drugs (NSAID), intraarticular injections, manual therapy techniques, Transcutaneous Electrical Nerve Stimulation (TENS), orthoses, therapeutic exercises, use of assisted devices, acupuncture, laser therapy, and therapeutic ultrasound. Normally, for these patients, surgical procedures are recommended. However, this procedure is contraindicated for many patients because of their comorbidities. In this study, a new physical intervention for managing the symptoms of advanced knee osteoarthritis in patients whose surgery is not indicated has been investigated. These data demonstrate that this method seems to be effective in pain and stiffness reduction and improves physical activity and quality of life.

To be added...