<s>[INST] I have been having problems with both my knees lately. First it was my right knee now my left hurts just as much and I noticed its getting harder for me to stand up. I have gained weight could this be the maor culprit. also when in high school I did run track and participated in the long jump high jump. Is this coming back to haunt me now? Help!!!!! [/INST] Hello, It could be arthritis. We have to rule out other causes like ligament injury as it can also present with similar symptoms. As a first line management analgesics like tramadol can be taken. In severe cases MRI knee may be required to get a better clinical picture. Avoid strenuous physical exercises and weights bearing also. Hope I have answered your query. Let me know if I can assist you further.  </s>