Background: Knee Osteoarthritis affects the entire joint, causing synovial inflammation, cartilage injury, bone remodeling, and the development of osteophytes. Pain, muscle fatigue, joint dysfunction, brief morning stiffness, crepitus, and functional limitations are the common symptoms of knee osteoarthritis.Pain Neuro Science Education (PNE) produces wonderful effects in altering the pain perception of patients by changing their perspective towards pain and reducing pain catastrophization.Methodology A 61 year old female primarily complaining of pain in her right knee (9 on NPRS) along with crepitus, swelling and painful knee flexionfor which shereceived conventional physiotherapy treatment (Cryotherapy, IFT, Ultrasound, strengthening exercises) along with pain neuroscience education PNE (Neurobiology of pain, Education about the pathology of OA, Audio visual aids 30 min session for 5 days Outcome measures were NPRS for pain, pain catastrophizing scale (PCS).Result: PNE has/was shown an additive effect on overall reducing pain and pain catastrophizing along with the conventional physiotherapy treatment.

Cognitive behavioral therapy (CBT) is a psycho-social intervention that aims to improve mental health. Insomnia is a frequent sleep problem that interferes with daily activities. It may play a role in the development of co-morbid conditions such as arterial hypertension. Many types of research, however, imply that CBT is a superior therapy with a better long-term effect. In this descriptive analysis, we retrospect the literature concerning CBT and insomnia. To retrospect the literature focusing on CBT and Sleep Quality. We searched the databases like Google scholar, pub med and Cochrane, and Embase, web of science with keywords (Cognitive behavioral therapy, Sleep quality, insomnia, physical therapy, and physiotherapist). We reviewed 104 articles out of which 25 studies were enrolled. We reviewed abstracts of 102 articles from which we shortlisted 85 articles. 85 articles were analyzed and reviewed in detail out of which 30 are cited in the present review. We found sufficient literature supporting the use of CBT to modify sleep quality or to deal with insomnia. However, there is ambiguity about the execution of this therapy among the clinicians. The literature focusing on the exact execution of CBT is needed which will make the clinicians incorporate this treatment in their day-to-day practice and benefit the patients.

Chronic low back pain is the leading cause of disability and health care usage and is also a common condition requiring Physio therapeutic intervention. The most common symptom in musculoskeletal condition is pain. Pain which lasts for less than a 3 months is called as acute pain which last more is defined as chronic pain. Pain is a complex phenomenon involving both emotional and physical component. Current intervention and approaches are more physical component based which leads to treatment of just physical component. the emotional component usually leads to avoidance the avoidance can be because of fear of pain which is termed as algophobia Pain Neuroscience education is useful approaching treatment of emotional component of pain. pne approach includes explanation of pain using photos images videos or even verbally In this report a 65year-old female came with complaints of chronic low back pain for 6 months the p ain was present on the left side. Intervention used is pain neuroscience education to ­­chronic low back pain. The report represents the effectiveness of PNE with the conventional mode of treatment is useful in the treatment of chronic low back pain. The results demonstrated improvement in quality of life and reduced fear and catastrophization.