Dr. Narendra Kumar (Internal Medicine) needs a second opinion on this medical case.
*Chief complaint* A 69 year old female presents with knee pain which is progressively increasing over the past 2 months. She is gaining weight lately. His doctor suggested surgery to debride bilateral knees which she denied. *Investigations* Examination shows swelling in both knees, weak quad, hip extensors & abductors, poor patellar tracking, poor control of subtalar joint neutral with gait, tight gastroc-soleus and anterior hips; weak core; poor balance with single leg stance. *Treatment* What are your views on the treatment part.
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