I have 75 years old male patient, over wight 73kgs, history of diabetic (under medicaion)diagnosed with bilateral OA, more pain in the RT knee, his x-ray showed reduced in joint spaces in both knees, medial border of the both knees showed no joint space at all, he has been advised to do a surgery (Total Knee replacement) but he refused, patient complain of continous pain in both knees more at night, patien also complain of numbness in both feet,

I started treating him with TENS on both knees, MH, and free ROM exercises, i have a plane to give him static quads exercises an ankle puumb Exercises, i asked him to buy a cycle to start doing cycling at home.

please if you have any suggesstions for treating this case let me know...

Thank you , waiting for your advises...

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