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Background: Knee osteoarthritis (KOA) is a common degenerative joint disease characterised by stiffness, pain and progressive cartilage degeneration. Although conventional therapies may temporarily alleviate symptoms, they frequently have adverse effects and cannot halt disease progression. In more advanced cases, integrative approaches combining conventional and alternative therapies may offer longer-lasting benefits. Case Presentation: A 72-year-old woman with radiographically diagnosed advanced knee osteoarthritis experienced severe knee pain, stiffness and reduced mobility. The patient opted for integrative conservative care rather than surgery. Baseline evaluation revealed significant functional restriction, quadriceps weakness, varus deformity and an antalgic gait. Before the intervention, the KOOS was 24/100, the WOMAC score was 72/96, and VAS scores indicated severe pain. Intervention and Outcomes: The patient received integrative naturopathy and yoga therapies during a three-week inpatient programme. Clinically substantial improvements were observed at the post-intervention assessment. The KOOS improved from 24 to 51, the WOMAC score decreased from 72 to 38, and VAS scores for both knees changed from severe to mild pain. Improvements were observed in quality of life, functional mobility, activities of daily living, pain and stiffness. Conclusion: This case illustrates the potential benefits of integrative naturopathy and yoga therapy in the management of advanced bilateral knee osteoarthritis. The multimodal approach was associated with reduced pain, improved function and better quality of life. It may represent a feasible non-surgical option for individuals unwilling to undergo surgery; however, larger randomised controlled trials are required.
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Poojari et al. (2026) studied this question.
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