There is a possibility of degenerative changes in lower spine which might be causing pain.. Has the patient taken any treatment since 2 years..
Is there any pain in lower limbs or difficulty in walking.. Is there any tingling numbness in lower limbs..
Next Steps
I will suggest to start with hot fomentation, use a knee support like knee cap, take analgesic tablet, take
calcium and
vitamin d supplement, apply analgesic ointment locally at the site if pain for 3-4 times daily..
Health Tips
Avoid heavy work, avoid Indian toilet, avoid forward bending, avoid sitting down. plan to get x ray of knee and lumbar spine if not relieved..