AIM: To compare the differences between effects of physiotherapy and combination of physiotherapy and preventive education on quality of life in patients with degenerative gonarthritis.

Objective: to statistics the effect of close needling and acupuncture with warmed needle on retrogression gonarthritis.

Conclusion it is in accordance with biomechanics to treat medial knee degenerative arthritis and patellofemoral arthritis due to tibial rotation, which has satisfactory long term result.