Inclusion Criteria:  Ability to walk without assistive device  proficiency in the Urdu language  pain level of at least 30% on the visual analog scale  Exclusion Criteria:  Other osteoarthropathies with a good history  If you have a heart condition or are having trouble with your nerves  A debilitating factor that lowers functional independence and activity levels  A lower-extremity fracture within the previous six months of the research  Other joint diseases include ligament, menisci, or patellofemoral issues, as well as severe non-osteoarthritic knee effusion or arthroplasty