Objective and Clinical Features: A 52- years- old female housewife presented complaining of knees pain more at inner side of the knee while walking and climbing stairs. Patient reported that her pain started 6 months ago which increased gradually during prolonged standing. Her pain was worst for 2 days when he reported.

Intervention and Outcomes: the combination of conservative treatment approach consisted of eccentric exercise training, manual therapy and most important new school of intervention in physiotherapy i.e. focused shockwave therapy. Outcomes measures included numeric pain rating scale and goniometer. patient symptoms resolved and at 1 month follow-up reported no recurrence of knee pain.

Result: The followed treatment protocol, which involves eccentric exercises of knee muscles and modest intervention aided in the complete resolution of patient’s impairment and functional limitation.

Discussion: The result of this case study adds to our current knowledge of rehabilitation with the use of conventional physiotherapy management, eccentric exercises, and a new technique focused shockwave therapy. The rehab protocol in this study includes strengthening exercises of quadriceps, hamstrings, vastus medialis oblique that resulted in faster recovery and early return to functional activities.

Keywords: osteoarthritis, focused shockwave therapy, manual therapy, goniometer, numeric pain rating scale.

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Ishu Verma

Assistant Professor, Department of Physiotherapy, Desh Bhagat University, Mandi Gobindgarh