Effects of 9 Points Electrical Dry Needling in Knee Osteoarthritis

Inclusion Criteria: * participants age group from 40-60 years * Both male and female genders * Knee osteoarthritis (OA) confirmed by radiographic evidence (Kellgren- Lawrence grade 3). * Numerical Pain Rating Scale (NPRS) ≥ 4/10. * Able to stand and bear weight on affected knee. * WOMAC score \> 25 moderate level of difficulty performing ADL * Participant with restricted range of motion * Pain while walking and ascending stairs * Patients volunteered to participate in the study and signed informed consent Exclusion Criteria: * Mild to severe knee osteoarthritis (Kellgren-Lawrence grade 2 or 4). * Recent knee surgery or injection (\<6 months). * Knee instability and ligamentous injury. * Pregnancy and breastfeeding. * Patient with needle phobia and with history of abnormal reaction to needles. * Diagnosed psychological disorders * Anticoagulant patient, tumors and hematomas. * All acute emergencies and acute systematic fevers. * Pacemakers and implantable cardioverter defibrillators