Case presentation
50 yr Male Farmer By Occupation Came to Casualty With Cheif Complaints of Pain both knees since 6 days HOPI :- Patient Was Apparently Asymptomatic 4 years Back , Then He Developed Knee joint Pains,bilateral ,which is Insidious In Onset, Gradually Progressive over years,and similar complaints On & off ,went to Rural Community Practitioner And Given Medicine and got relived. The Patient Had Been Taking pain management Medication whenever he has Joint Pains,Swelling was also present at the knee and Ankle joints during during Pain whenever he gets pain. The patient was able to do his Routine farming Activities for 2 years . Since 2 years the patient stopped doing farming works and used to stay at home and was able to take care of his daily activities. Aggravated during walking and relived with rest and also with medication. Pain was not completely relieved On taking medication but patient used to feel better. Usually pain is migratory type,unilateral and no involvement of smal