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Case Report | Health and Medical Sciences | Volume 15 Issue 6, June 2026 | Pages: 1610 - 1612 | India
Clinical Outcomes of Manual Nerve Therapy in a Patient with Knee Osteoarthritis: A Retrospective Case Report
Abstract: Background: Knee osteoarthritis (KOA) is one of the leading causes of chronic pain and disability among older adults worldwide. Progressive degeneration of articular cartilage, alterations in subchondral bone, periarticular soft tissue dysfunction, and persistent inflammation contribute to pain, impaired mobility, and reduced quality of life. Although pharmacological therapy, physiotherapy, intra-articular injections, and surgical interventions remain the mainstay of treatment, many patients continue to experience persistent symptoms or seek conservative, non-pharmacological alternatives. Objective: To describe the clinical outcomes of Manual Nerve Therapy (MNT), a proprietary manual therapeutic technique, in a patient with symptomatic knee osteoarthritis managed in routine clinical practice. Methods: A retrospective case report was conducted using the clinical records of a patient with symptomatic knee osteoarthritis treated at Vinayak Clinic, Haridwar, India. The intervention consisted of Manual Nerve Therapy involving systematic manual stimulation of selected neural, periarticular, ligamentous, and musculoskeletal structures around the pelvis, lumbar spine, sacrum, coccyx, hip, and knee. Clinical outcomes included pain intensity, functional status, ambulatory capacity, and radiographic assessment performed before and after treatment. Results: The patient demonstrated marked clinical improvement following completion of Manual Nerve Therapy. Knee pain decreased substantially, functional mobility improved, and daily activities were performed with greater ease. Follow-up radiographic evaluation reported improvement in tibiofemoral joint spacing compared with the baseline examination. Although the radiographic findings were encouraging, interpretation should be made cautiously because plain radiographs alone cannot establish cartilage regeneration or ligament healing. Conclusion: This case suggests that Manual Nerve Therapy may provide meaningful symptomatic and functional improvement in selected patients with knee osteoarthritis. The findings support further investigation through prospective observational studies and randomized controlled trials to evaluate efficacy, safety, reproducibility, and potential mechanisms of action.
Keywords: Knee osteoarthritis; Manual Nerve Therapy; Conservative treatment; Chronic knee pain; Manual therapy; Case report; Functional recovery
How to Cite?: Dr. Hemant Jaisingh, "Clinical Outcomes of Manual Nerve Therapy in a Patient with Knee Osteoarthritis: A Retrospective Case Report", Volume 15 Issue 6, June 2026, International Journal of Science and Research (IJSR), Pages: 1610-1612, https://www.ijsr.net/getabstract.php?paperid=SR26628020111, DOI: https://dx.doi.org/10.21275/SR26628020111