Inclusion Criteria:  ≥40 years of age; having knee pain; having at least three of the following additional symptoms: a-morning stiffness ≤ 30 minutes, b-crepitation, c-bone margin tenderness, d-bony enlargement or e-no palpable warmth; willing to provide informed consent  Exclusion Criteria:  Knee joints showing Kellgren and Lawrence (K-L) grades 1 or 4; rheumatoid arthritis; serious pathological conditions (inflammatory arthritis and malignancy); total or partial arthroplasty of the affected knee joint, or on a waiting list for joint replacement surgery; recent surgical procedure of the lower extremities in the previous 6 months; uncontrolled hypertension and unstable cardiovascular problems that could subject the participant to increased risk with exercise and physical exertion; physical incapability to safely perform exercises, walking or stationary cycling, as in debilitating visual defects, neurological problems, exaggerated low back pain, advanced osteoporosis, and inability to walk 10 meters without an assistive device; use of prescribed analgesics, corticosteroid or analgesic injection intervention for knee pain within the previous 30 days; lack of clear comprehension of study procedures or inability to comply with instructions; stated inability to attend or complete the proposed course of intervention and follow-up schedule.