Osteoarthritis (OA) is a degenerative disease of the joint characterized by reduced joint space, osteophyte formation, and subchondral sclerosis of bone. Due to a sedentary lifestyle, the incidence of osteoarthritis is increasing. In the initial stages of OA, a mild reduction in joint space with or without osteophyte formation is seen on X-ray. Pain and stiffness are the main findings in this stage. In this case report, we presented a case of 60 years female patient having pain in the right knee for since2 years which was intermittent. One month back, her pain got aggravated. Because of this, she was not able to do her household work. Came to AVBRH for treatment. Physiotherapy assessment was done according to her x-ray correlating with Kallgren and Lawrence classification; she was having grade 2 osteoarthritis of the knee. Physiotherapy treatment using contrast bath therapy and the Otago exercise program was started showing significant improvement in her symptoms.

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