Osteoarthritis there is friction between knee bones due to improper gap and alignment. This is mostly because of reduced synovial fluid (water content in cartilage), cartilage and meniscus, as you can see in picture below when there is less cushion or damaged ligament a person cannot walk properly and limping is most common sign of it which anyone can notice. Cartilage loses elasticity and is more easily damaged by injury or use. It can be usually found in old aged people, diabetic patient, injury, hormonal disorders, obesity, pregnancy and many more. These are main reason for knee pain.
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