“…Over 4 billion dollars are spent annually on arthroscopic knee surgery alone (Gage, McIlvain, Collins, Fields & Comstock, 2012) despite evidence suggesting arthroscopic surgery does not result in superior patient outcomes (Kirkley et al, 2008;Sihovnen et al, 2013;Thorlund, Juhl, Roos & Lohmander, 2015). Osteoarthritis (OA) related knee pain has been identified as a possible trigger for physical and functional decline for older adults (Jinks, Jordan & Croft, 2007).…”