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Osteoarthritis (OA) is the most common form of arthritis in which women are more likely than males to be affected and one in every three adults over the age of 65 years is affected. It mostly affects the hips, knees, hands, feet and spine, with a high incidence of polyarticular involvement.(1) It is a major source of pain, disability, and socioeconomic cost worldwide. The disorder's epidemiology is complicated and multifaceted, involving genetic, biochemical, and biomechanical factors. Although OA is characterized by progressive degeneration of articular cartilage, there are considerable changes in the bone of affected joints, as the term suggests. Subchondral cysts, sclerosis, and osteophyte production are all signs of advanced OA.(2) It may arise as a bone disorder, affecting bone structure and remodeling, rather than, a disease affecting articular cartilage directly. More likely, OA has multiple etiologies and are also joint specific.(3) Obesity, physical inactivity, and joint injury are all common OA risk factors. Functional limits, poor sleep, weariness, depression, and loss of independence are among symptoms of OA-related joint pain. (1)