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Hello, The condition your mother is facing is the general wear and tear, this can be cured by Ayurveda treatment without doing Surgery. This condition is common in ladies due to their lifestyle, calcium deficiency and hormonal change at the time of menopause etc. The medicines that will be helpful are: Rasnaerandathy Kashaya -Take 3ml of this kashaya morning and evening before food. Yogaraja guggulu- Take 2 tablets morning and evening with the kashaya before food. Stifain tablet can be taken as 2tablets morning and evening after food. Mahanarayana taila can be applied on the knee after heating the oil and it should be gently massaged to absorb, Care should be taken not to do hard massage. Wipe the oil after 30minutes with towel dipped in hot water. This have to be done daily preferably in the morning time. Patient should not be allowed to do hard works and weight bearing in the knee, Bathing should be done in hot water, milk and calcium supplements will also be beneficial. Weight reduction should be done by controlling the diet.