Mr Vasudev from Turbhe Navi Mumbai is having pain in right knee joint with occasional fluid collection. This osteoarthritis (knee arthritis) gives more pain while getting up from squatting, climbing, getting down staircase, kneeling (for household work or for namaj purpose). More advanced cases can have difficulty even in walking. The aim of treatment is to control pain and make patient comfortable. Since this is age related problem and in real sense can not be reversed. Early cases respond to exercises and change in life style. Slightly advanced cases need fluid removal from knee joint and injection of locally acting anti inflammatory drug. Walking stick can reduce the load on affected knee make patient comfortable. Weight reduction is always desirable for obese patients. Very advanced cases not responding to all other options are considered for knee replacement surgery. Surgery is costly and risky.