Hello Mr Aiyar, I have studied your case. Precaution to be taken Activity modifications-avoid squatting, avoid cross leg sitting on floor, and reduce stair climbing. Weight reduction is very important to prevent progression. Do daily exercises and stretches. Diet rich in calcium and vitamin D will help to reduce progression. Use knee brace for support to prevent further deformity. VISCOSUPPLEMENTATION: Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years If there is severe destruction of menisci then arthroscopic shaving can be done. Physiotherapy like ultrasound and tens will help, along with knee exercises. You can take tab etodolac to reduce pain consulting your doctor. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you are satisfied with answer do not forget to give rating to this answer. Wishing you good health. Take care