<s>[INST] My knee hurts alot, i ve been seeing an ortho surgeon in WA. But they thought it was my flexibility and weak quads that put pressure on the knee so i did phys therapy. Flexibilty increased i noticed the quads coming back but my knees hurt even more. Left knee cracks VERY badly when i bend down so i cant squat at all. Both knees hurt to the point where i can t run, jump, or bend then at like a 40 degree angle without pain. Please i neeed help [/INST] Hi, The treatment depends on age and condition of knees. Firstly, you need to get an X-ray done to look out for arthritis. If X-ray shows nothing, we need to get an MRI, only then the definitive line of management will be decided. Till then, you can do physiotherapy and hot fomentation. Painkillers are not an option without having a proper diagnosis. Hope I have answered your question. Let me know if I can assist you further.  </s>