Patient presents with complaints of bilateral knee pain consistent with osteoarthritis.  Symptoms include chronic joint pain, stiffness, crepitus, and limited range of motion in both knees.  Onset of symptoms was gradual over several years and is exacerbated by weight-bearing activities and prolonged standing.  Patient reports morning stiffness lasting approximately 30 minutes.  Pain is described as aching and is localized to the medial and lateral aspects of both knees.  Patient denies any history of trauma, infection, or other inflammatory joint conditions.  Physical examination reveals bony swelling, tenderness to palpation along the joint line, and reduced flexion and extension.  Crepitus is palpable with range of motion.  No effusion or warmth is noted.  Radiographic imaging of the bilateral knees demonstrates joint space narrowing, osteophyte formation, and subchondral sclerosis, confirming the diagnosis of osteoarthritis.  Assessment: Bilateral knee osteoarthritis.  Plan: Conservative management is recommended, including weight management, regular low-impact exercise such as walking and swimming, and physical therapy to improve range of motion and strengthen supporting musculature.  Over-the-counter analgesics such as ibuprofen or naproxen are recommended for pain management.  Patient education provided on joint protection strategies and the importance of maintaining a healthy weight.  Follow-up scheduled in six weeks to assess response to treatment.  ICD-10 code M17.0 assigned.