Is there any past history childhood history you would like to share.. as your bones look thinner compared to the age and the joints show signs of wear-out way ahead of your age..The patella also looks out of its track.. This scenario is seen when there is previous neuromuscular problem. Kindly share the history.. It will help us diagnose better and so the treatment
Next Steps
you may have to start strengthening exercises of your knees. A physiotherapist can guide you for that
you can use knee caps with hinges
Health Tips
a local ointment application
hot fomentation may soothen your pain to some extent