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Knee joint pain starts with cracking sound, swelling and pain while movements; mostly seen for people around 40 years. Natural degeneration of joint cartilage is the reason for knee joint pain. As post operative or post fracture complication, knee pain develops into arthritis due to mechanical wear and tear of cartilage. Medicines can’t cure the problem. By physiotherapy modalities, pain can be reduced within three to six weeks time, followed by strengthening exercises and weight reduction which gives long standing effects.