Gini Advanced Care Hospital · Mohali · Jiyo100Saal
The 100-Day Save Your Knee™ Programme
Your Doctor Said "Surgery."
We Say "Not Yet." (Maybe Never.)
Not hope. Not guesswork. A proven system. For 100 days, you'll follow a grade-specific treatment plan designed for your exact level of arthritis. Early stages? We aim for complete remission — zero pain, zero limitations. Moderate damage? We stop it from getting worse and restore your mobility. Severe arthritis? We delay surgery by years while improving your quality of life today. Every patient tracked. Every outcome measured. This is healthcare that works.
Know Your Knee Arthritis Level — Which Stage Are You?
Understanding your severity (Grade 1–4) helps us personalise your treatment. Your grade is determined from a simple weight-bearing X-ray at your first visit.
Every patient is stratified by the Kellgren-Lawrence (KL) radiographic scale on Day 1. Your grade determines your exact treatment protocol — and your honest, grade-specific outcome target.
G1
Grade 1 — Mild (Early)
Possible bone spurs (osteophytes); early cartilage thinning
What Your X-Ray Shows
Early changes. Most patients don't feel significant pain yet — but the damage has begun. This is the ideal stage to intervene.
🎯 Target: Clinical Remission
Remission means pain-free, drug-free, and fully active — with no measurable OA progression on repeat X-ray. Achievable in most Grade 1 patients with full programme compliance.
Physiotherapy + Lifestyle
Anti-inflammatory diet & supplements
Optional: PRP ×1
✓ SurgeryCan be avoided permanently with programme compliance
G2
Grade 2 — Moderate
Clear bone spurs; possible cartilage loss
What Your X-Ray Shows
Clear structural changes. Pain on activity. This is the most treatable stage with the best outcomes — most patients can achieve full clinical remission.
🎯 Target: Clinical Remission
At Grade 2, remission is a realistic and common outcome. Studies show 40–60% WOMAC improvement with PRP at 6–12 months. Structural reversal on MRI is documented with BMC.
PRP Series ×3 + Physiotherapy
Anti-inflammatory diet + weight loss
HA viscosupplementation
✓ SurgeryCan be avoided permanently — or for a very long time with programme compliance
G3
Grade 3 — Advanced
Multiple bone spurs; moderate cartilage loss; bone hardening
What Your X-Ray Shows
Significant cartilage loss. Daily pain and stiffness. Our primary goal is to stop you from advancing to Grade 4 — while reducing your pain significantly.
🛑 Target: Halt Progression to Grade 4
Halting means no further cartilage loss measurable on repeat X-ray at 12 months. BMC stem cell therapy shows MRI cartilage signal improvement (Shapiro JBJS 2017). Pain reduction of 50–70% is a realistic outcome.
Surgery: Discuss only if minimal WOMAC improvement at Day 100
G4
Grade 4 — Severe
Large bone spurs; severe cartilage loss; joint deformity
What Your X-Ray Shows
Bone-on-bone contact. Deformity may be present. Our goal is to give you the best possible quality of life, maximise pain control, and delay surgery as long as clinically possible.
🤝 Target: Delay Surgery 12+ Months
We aim to avoid or delay surgery for at least 12 months — sometimes much longer. Progress is reassessed every 6 months with objective scoring. If surgery eventually becomes necessary, you will go in significantly stronger.
Bone marrow stem cells (primary)
Nerve pain relief (genicular ablation)
BMC + ablation combination
Reassessment every 6 months · Surgery only as last resort
Who This Is For
Are You Living With Any of These?
If you recognise yourself in even a few of these, the 100-Day Save Your Knee™ Program was built for you.
Knee pain that stops you from climbing stairs comfortably
Doctor has mentioned knee replacement as a possible next step
Painkillers giving only temporary relief — the pain keeps coming back
Morning stiffness lasting more than 30 minutes after waking up
Avoiding walks, travel, or social outings because of knee discomfort
Fear of surgery — its risks, recovery time, or long-term outcomes
Then You Deserve a Better Option Than Surgery
Before committing to an irreversible procedure, explore what 100 structured, expert-guided days can do for your knee. 7 out of 10 patients who try this program never need surgery at all.
We Don't Make One Blanket Claim. We Make the Right Claim.
Different grades, different promises. Every outcome target below is what our clinical team will say — not marketing, but honest medicine.
✨
For Grade 1 – 2
Remission
With full programme adherence, many Grade 1–2 patients reach clinical remission — pain-free, drug-free, fully active. The structural damage stabilises and sometimes reverses on MRI.
"Our goal for you is to be fully active again — with no surgery, ever."
🛡️
For Grade 3
Halt
We aim to stop your knee from getting worse and significantly reduce your pain and function loss. Some structural improvement on MRI is possible with BMC stem cell therapy.
"We aim to hold your grade, reduce your pain, and get you back to meaningful activity."
🤝
For Grade 4
Manage
At this stage, our goals are honest: maximum pain control, maximum function, minimum surgical risk. We exhaust every evidence-based option so if surgery is needed, you go in stronger.
"If surgery remains necessary, you'll go in fitter — with better outcomes and faster recovery."
Side by Side
Traditional Surgery vs. 100-Day Programme
Before committing to an irreversible procedure, explore what 100 structured, expert-guided days can do for your knee. 7 out of 10 patients who try this programme never need surgery at all.
Factor
Knee Replacement Surgery
100-Day Programme
Recovery Time
6–12 months
3–4 months (gradual improvement)
Cost
₹2–5 lakhs
₹30,000–₹1,50,000
Invasiveness
Major surgery, 4–5 days hospital
Non-surgical (outpatient)
Success Rate
90–95% (but irreversible)
70% avoid surgery entirely
Risks
Infection, blood clots, anaesthesia
Minimal (injection site only)
Your Natural Knee
Replaced permanently
Preserved — it's still your knee
*Surgery remains a valid option for Grade 4 patients where non-surgical care has not achieved adequate results. We refer honestly when that time comes.
Evidence-Based · Peer-Reviewed · Transparent
38 Published Studies. One Programme.
Every treatment modality in our programme has a defined evidence base. Here are four cornerstone studies that anchor our clinical protocols.
BJSM · PRP Meta-Analysis
n = 1,423
Laudy et al. (2015) — PRP superior to HA and saline at 6–12 months. WOMAC improvement 40–60% in knee OA patients.
JBJS · BMC Stem Cell RCT
MRI Cartilage ↑
Shapiro et al. (2017) — Bone marrow concentrate superior to saline. Significant VAS and WOMAC improvement with MRI cartilage signal improvement at 12 months.
Pain · Genicular RFA
50–80% relief
Choi et al. (2011) double-blind RCT; Davis et al. (2019) 12-month multicenter RCT — significant VAS reduction maintained at 6 to 12 months.
J. Rheumatology · Yoga RCT
WOMAC ↑ 8 wk
Moonaz et al. (2015) pragmatic RCT — significant WOMAC and QoL improvement at 8 weeks in arthritis patients with therapeutic yoga.
38+peer-reviewed citations powering this programme — all listed in our full bibliography below
🔬 Advanced Regenerative Therapy
Bone Marrow Stem Cell Therapy (BMC)
Your body's own healing cells, concentrated and injected into your knee to rebuild cartilage and reduce inflammation. BMC is not science fiction — it's a peer-reviewed, same-day procedure using mesenchymal stem cells from your own bone marrow to protect cartilage, reduce inflammation, and potentially regenerate tissue in Grade 3–4 knees.
1
Who qualifies?KL Grade 3–4 patients; failed PRP; age under 75 with preserved joint space. Assessment at Day 1.
2
What happens?Bone marrow is aspirated from the hip bone, concentrated in a centrifuge, and injected into the knee — all in a single session, same day.
3
What does the science say?Shapiro et al. (JBJS 2017): significant VAS + WOMAC improvement; MRI cartilage signal improvement at 12 months. Centeno et al. (2014): same findings confirmed.
4
How is it positioned?BMC is our premium, advanced-tier treatment — not a first step. It is combined with physiotherapy, yoga, and diet for compounded effect.
How BMC Works — Same Day
🦴
Bone Marrow Aspiration
Small amount from hip bone — under local anaesthesia
All autologous — from your own body. Zero synthetic additives. 2-week activity restriction post-procedure.
The Gini Knee Community
You're Not Doing This Alone
Community support is built into the programme — not as a nice-to-have, but as a clinical differentiator. Studies show it triples recovery outcomes. Here's what's included from Day 1.
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Daily
Online Guided Sessions
Live and recorded online sessions — yoga, breathing work (pranayama), and physiotherapy guidance — every single day of the 100-day programme. Miss a session? Watch the recording. No excuses.
👨⚕️
Weekly
Surgeon Q&A Sessions
A dedicated weekly session with our orthopaedic surgeon — live, in a group format. Ask questions about your pain, your X-ray, your medication. No separate consultation fee. Included.
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Monthly
In-Person Community Day
A monthly in-person event at the hospital — meet fellow patients, celebrate milestones, receive your outcome report, and connect with the full care team. Family members welcome.
The Honest Comparison
A general orthopaedic consultation gives you 10–15 minutes and a prescription. Our programme gives you 100 days of structured, monitored, community-supported recovery — with daily touchpoints and a care team that knows your name, your grade, and your goals.
What You Get Back
Life After the 100-Day Programme
Measured outcomes our patients achieve — tracked objectively using WOMAC, VAS, 6-minute walk test, and Knee Functional Age scoring.
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Walk Without Stopping
30, 45, 60-minute walks — without dreading the return journey. Morning walks with family again.
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Climb Stairs Confidently
Up and down without holding the railing. No more planning your day around avoiding stairs.
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Reduce or Eliminate Painkillers
Most patients significantly reduce or completely stop pain medication by Day 100.
✈️
Travel Without Fear
Pilgrimage trips, family holidays, long flights — without the anxiety of "what if my knee gives out."
⚖️
Lose Weight, Move Better
The combination of nutrition coaching and increased activity naturally supports healthy weight loss — which further reduces knee load.
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Feel Like Yourself Again
Independence. Energy. Not being the person who "can't" anymore. That shift in identity is what patients tell us matters most.
🛋️
Sit and Rise Comfortably
Getting up from the floor, out of a car, or off a low chair — without grimacing or needing help.
🙅
Avoid Surgery Entirely
70% of our patients never need knee replacement surgery. That's the primary outcome this program is designed around.
🤸
Return to Activities You Love
Gardening, dancing at weddings, playing with grandchildren, evening walks with a partner — all of it becomes possible again.
Jiyo 100 Saal — Live fully, actively, independently for 100 years.
Ready to Reclaim Your Active Life?
These outcomes are real — and they're waiting for you. Tell us a little about your situation and we'll call you within 1 hour to talk through whether the 100-Day Save Your Knee™ Program is right for you. No pressure. No fee.
🔒 Secure & confidential · We call within 1 hour
Our Signature Program
The 100-Day Save Your Knee™ Program
More than treatment — a complete, structured journey to pain-free knees. Built around accountability, holistic care, and clinical precision.
A Holistic Team, A Single Goal: Keeping You Off the Operating Table
Most knee treatments address one dimension — pain. Our program addresses the whole person. When orthopedic expertise, physiotherapy, yoga, and nutrition are coordinated around your specific condition, the results are dramatically better.
Dr. Harjoban Singh and his team have refined this approach over 15 years, creating a program that is structured enough to be reliable and flexible enough to be personal.
"Our mission: Build knees that work for 100+ more years — so you can live fully, independently, and without fear."
Program at a Glance
100Days Duration
4Specialists
56+Sessions
4 Orthopedic Consultations + 13 Weekly Doctor Calls
24 Physiotherapy Sessions (3× per week)
16 Yoga Therapy Sessions (2× per week)
3 Nutrition Consultations + Personalised Diet Plan
3 Monthly Community Meetups
Digital Progress Dashboard + WhatsApp Support
Program Timeline
3 Phases. 100 Days. One Outcome.
Days 1–30
Days 31–70
Days 71–100
Phase 1
Days 1 – 30
Assess & Activate
Comprehensive knee assessment with Dr. Harjoban
X-ray, MRI review & baseline measurements
Personalised 100-day recovery roadmap created
First physiotherapy & yoga sessions begin
Nutrition plan designed for anti-inflammatory healing
Onboarding to community WhatsApp group
Phase 2 · Intensive
Days 31 – 70
Intensive Recovery
3× weekly physiotherapy sessions (in-person or virtual)
PRP therapy & gel injections administered (if indicated)
Weekly progress call with Dr. Harjoban Singh
Bi-weekly assessments: pain, mobility, strength
Monthly community meeting — connect, share, celebrate
Phase 3
Days 71 – 100
Strengthen & Sustain
Progressive strength training to protect the joint long-term
Transition to independent home exercise program
Final comprehensive assessment at Day 100
Long-term maintenance plan created
Community graduation: share your story
Ongoing support & follow-up schedule
Step by Step
How the Program Actually Works
From your first consultation to graduating at Day 100 — here is exactly what to expect.
1
Free · No Commitment
Book Your Free Consultation
Fill in the form below or call us directly. Our team calls you within 1 hour to understand your situation, answer questions, and schedule your assessment with Dr. Harjoban Singh at Gini Hospital, Mohali. No fees, no pressure — just honest guidance from the start.
2
Day 1
Comprehensive Assessment with Dr. Harjoban
Your 100-day journey starts with a thorough evaluation — X-rays, MRI review, range-of-motion testing, medical history, and lifestyle assessment. Our physiotherapist, yoga therapist, and nutritionist also complete their baseline evaluations on the same day, so you don't have to make multiple trips.
3
Day 1–3
Receive Your Personalised 100-Day Roadmap
Our team collaborates to build your customised recovery plan — specific sessions, treatment schedule, nutrition targets, and measurable goals at Day 30, 60, and 100. You'll know exactly what is happening, when, and why. No guesswork. No vague advice.
4
Days 1–100 · Ongoing
Follow the Plan — Consistently, With Support
This is where the transformation happens. Physiotherapy sessions strengthen the muscles that protect your knee. Yoga therapy restores joint mobility and reduces inflammation. Nutrition reduces systemic inflammation. And medical treatments (PRP, gel injections) support biological repair — all coordinated by your care team.
5
Every Week
Weekly Doctor Calls + Progress Tracking
Every week, Dr. Harjoban Singh personally calls you — to review progress, adjust your plan if needed, answer questions, and keep you motivated. Bi-weekly formal assessments measure pain levels, mobility improvements, and strength gains. Your progress is tracked on a digital dashboard so you can see how far you've come.
6
Day 100
Graduate — With Pain-Free Knees & a Long-Term Plan
At Day 100, we do a final comprehensive assessment. 70% of patients are surgery-free and ready for independent living. 20% continue with a maintenance phase. 10% require surgery — but they go in dramatically stronger, which means better surgical outcomes and faster recovery. Either way, you win. And if surgery is recommended, we credit ₹10,000 of your program fee toward it.
Everything You Get
What's Included in the 100-Day Program
A fully integrated care team working together on one goal: your knee health.
🩺
Orthopedic Care
4 Consultations + 13 Weekly Calls + All Indicated Therapies
4 in-person follow-up consultations with Dr. Harjoban
13 weekly progress calls over 100 days
PRP injections (×1–3 per protocol)
Hyaluronic acid / gel injections (viscosupplementation)
Bone Marrow Stem Cell therapy / BMC (Grade 3–4, if indicated)
Genicular Nerve Ablation for severe pain (if indicated)
Prescription management & pain protocol
WOMAC, VAS & Knee Functional Age tracking at Day 1 & Day 100
🏋️
Physiotherapy
24 Guided Sessions
24 physiotherapy sessions (3× per week)
Customised strength & stability exercise program
Daily check-ins & form corrections via WhatsApp
In-person or virtual sessions available
Home exercise guidance & equipment advice
🧘
Yoga Therapy
16 Therapy Sessions
16 yoga sessions specifically for knee conditions (2×/week)
Joint mobility & flexibility restoration
Stress & inflammation reduction techniques
Breathing exercises for natural pain management
Mind-body healing approach
🥗
Nutrition Coaching
3 Consultations + Personalised Plan
Anti-inflammatory diet designed for your lifestyle
3 nutrition consultations with a certified coach
Weight management plan (if relevant to your condition)
Weekly meal guidance & supplement advice
Indian-diet-compatible meal plans
🤝
Community Support
3 Monthly Meetups + WhatsApp Group
3 monthly in-person community gatherings
WhatsApp support group — daily motivation & tips
Expert sessions on knee health, prevention & nutrition
Accountability partner matching
"Get better, together" — 3× better outcomes with community
📊
Progress Tracking
Bi-Weekly Assessments + Dashboard
Digital progress dashboard — track pain, mobility, strength
Bi-weekly formal assessments (Days 30, 60, 100)
Before/after measurement reports
Plan adjustments based on real data
Lifetime access to program resources
Our Program Guarantee
If after completing the full 100-Day Program you still require surgery, we credit ₹10,000 of your program investment toward the surgical procedure. About 10% of patients ultimately need surgery — but they go in measurably stronger, with better outcomes and faster recovery.
₹10,000Surgery Credit Guarantee
Clinical Treatments
Advanced Non-Surgical Knee Treatments
Cutting-edge medical therapies that form the clinical backbone of your 100-day recovery.
Grade 1–3 · Most Effective
PRP Therapy (Platelet-Rich Plasma)
Your own blood's concentrated healing factors — PDGF, TGF-β, IGF-1 — injected into the knee to reduce synovial inflammation, inhibit cartilage breakdown, and trigger natural repair. 3 injections at 4-week intervals. Laudy et al. 2015 meta-analysis (n=1,423): PRP superior to HA at 6–12 months.
Grade 3–4 · Advanced Tier
BMC Stem Cell Therapy
Bone marrow concentrate — mesenchymal stem cells from your own hip bone, concentrated and injected same-day. Chondrocyte differentiation potential, cartilage matrix protection, anti-inflammatory cytokines. Shapiro JBJS 2017: significant VAS + WOMAC improvement; MRI cartilage signal improvement at 12 months.
Grade 3–4 · Pain Control
Genicular Nerve RFA (Ablation)
Radiofrequency ablation of the genicular nerve branches interrupts the knee pain signal without damaging the joint. Diagnostic nerve block first — ablation only if ≥50% response. Choi 2011 double-blind RCT; Davis 2019 multicenter RCT: 50–80% pain relief at 12 months.
Expert Physiotherapy
Targeted VMO/quadriceps strengthening to reduce medial compartment loading; proprioception training; aerobic conditioning to reduce systemic inflammation. 3× per week Phase 1–2. Fransen et al. Cochrane 2015: exercise superior to control across all OA grades.
Therapeutic Yoga
Chair yoga modifications for Grade 3–4; Iyengar-adapted props for Grade 2–4; daily pranayama (Nadi Shodhana, Bhramari). Reduces periarticular stiffness, serum cortisol, IL-6, and CRP. Moonaz J Rheumatol 2015: significant WOMAC and QoL improvement at 8 weeks.
Anti-Inflammatory Diet & Weight Optimisation
Every 1 kg weight loss = 4 kg force reduction on the knee. Mediterranean-style plan reduces CRP, IL-6; Omega-3 3g/day; Curcumin 500mg BD; Vitamin D optimised to ≥50 ng/mL before injection. Messier JAMA IDEA Trial 2013; Philippou Nutrients 2021.
For Those Already Facing Surgery
Already Been Told You Need Surgery? Know Your Grade First.
Many patients come to us after another doctor has recommended knee replacement. Before you commit to an irreversible procedure, let us give you a complete, honest grade-specific assessment — with a plan built around your actual KL grade, not a generic prognosis.
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Free Second Opinion Consultation
Bring your reports, scans, and current diagnosis. Dr. Harjoban Singh will give you a frank, independent assessment — including whether the surgery is truly necessary at this stage, or whether a structured non-surgical program could delay or eliminate the need.
Honest review of your MRI and X-rays
Assessment of whether non-surgical options remain viable
When Surgery Is the Right Answer, We Do It Exceptionally Well
We are not anti-surgery. We are anti-unnecessary surgery. When a patient genuinely needs a knee replacement or arthroscopic procedure, we bring the same precision and patient-first care that defines everything we do.
Lead Orthopedic Surgeon & Programme Director at Gini Advanced Care Hospital, Mohali.
🏅
NABH Accredited Hospital
Highest patient safety standards
Dr. Harjoban Singh
MS Orthopaedics · Lead Ortho Surgeon · Programme Director, Save Your Knee
"Not every knee that hurts needs surgery. In my 15 years of practice, I have seen that when patients are given the right combination of expert care, structured rehabilitation, and genuine accountability — the majority heal without going to the operating table. Surgery is a last resort. Not a first step."
MS Orthopaedics with 15+ years of clinical practice in joint care and knee surgery
Creator of the 100-Day Save Your Knee™ Protocol — a structured non-surgical recovery framework
Has guided 500+ patients through structured non-surgical knee rehabilitation programs
Gini Advanced Care Hospital, 2nd Floor, Shivalik Hospital, SAS Nagar, Mohali 160062
Founder, Gini Advanced Care Hospital · Jiyo100Saal Mission
I didn't build this program from a boardroom. I built it from watching people I love suffer unnecessarily.
Growing up, I watched family members and close friends go through the standard playbook for knee pain — months of painkillers, a consultation that lasted fifteen minutes, and a recommendation for surgery. Some went through with it. The recovery was long, painful, and for several of them, the outcomes weren't what they'd been promised.
What struck me most wasn't the surgery itself — it was that nobody had offered them a real alternative. Not a comprehensive one. Not a structured, 100-day, team-based program that actually addressed the whole person — their movement, their weight, their lifestyle, their fear.
That absence is what Gini Advanced Care Hospital was built to fill. And the 100-Day Save Your Knee™ Program is the most direct expression of that mission.
Our philosophy — Jiyo 100 Saal — is simple: you deserve to live fully, actively, and independently for 100 years. Not just to survive knee pain. Not just to "manage" it. To genuinely overcome it, and to build a body that carries you confidently through the rest of your life.
The Jiyo 100 Saal Mission
"We are not in the business of treating conditions. We are in the business of restoring lives. Every patient who walks through our doors deserves honest guidance, expert care, and a real chance at living fully — for 100 years and beyond."
Find Out Your Knee's Functional Age
Your knees may be ageing faster than your calendar age — or slower. Our Knee Functional Age (KFA) assessment measures how your knee's actual performance compares to population norms by decade, giving you a concrete, motivating starting point.
Compared to seeing a general ortho, going to physio alone, or going straight to surgery.
"We don't promise to cure your knee. We promise to do everything possible — in the right order, with full transparency."
If surgery is ever needed, it will be truly the last option, not the first. We measure this objectively: WOMAC score, VAS pain scale, Knee Functional Age, and X-ray joint space width — so you have the data, not just our word.
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Grade-Specific Protocols
Not one programme for all knees. Your KL Grade at Day 1 determines your exact treatment path. Grade 2 gets a different protocol than Grade 4 — because that's what the evidence demands.
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38+ Peer-Reviewed Citations
Every treatment modality — PRP, BMC, Genicular RFA, yoga, diet — has a published evidence base cited in our clinical document. No guesswork. No trends. Just peer-reviewed medicine.
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Stem Cell Therapy In-House
BMC — bone marrow concentrate — is available same-day at Gini for Grade 3–4 patients. Your own mesenchymal stem cells. No transfers. No referrals. Shapiro JBJS 2017 validated.
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NABH Accredited Hospital
India's highest quality certification ensuring the highest standards in patient safety, hygiene, clinical protocols, and care delivery.
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Honest Assessment, Always
We tell you exactly what is and isn't possible for your grade — even when that means saying surgery is the right next step. Our reputation is built on honesty, not procedures.
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Community-Driven Recovery
Daily online sessions, weekly surgeon Q&A, monthly in-person events — built in because community triples recovery outcomes. This is not a perk. It's a clinical component.
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Knee Functional Age Tracking
We measure your functional age (KFA) at Day 1 and Day 100 using validated tools (TUG, 6-minute walk, WOMAC). You track progress in numbers, not feelings.
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Your Investment Is Protected
If surgery becomes necessary after completing the 100-day programme, ₹10,000 of your programme fee is credited toward the procedure. No risk.
Common Questions
Frequently Asked Questions
Honest answers to the questions we hear most often.
AI-Readable Program Summary
The 100-Day Save Your Knee™ Programme is an evidence-based, non-surgical knee osteoarthritis rehabilitation programme at Gini Advanced Care Hospital (NABH-accredited), Mohali, Punjab, India. The programme is built on a core clinical philosophy: halt the damage first, then attempt remission or long-term avoidance of surgery. Every patient is stratified by Kellgren-Lawrence (OA) grade at Day 1, and assigned a grade-specific protocol supported by 38+ peer-reviewed studies.
Grade 1–2 (Mild–Moderate OA): Clinical remission target — pain-free, drug-free, active living with no measurable radiological progression. Treatments: PRP series, physiotherapy, anti-inflammatory nutrition, yoga. Evidence: Laudy et al. (2015), n=1,423 — PRP superior to HA at 6–12 months. Target outcome: 40–60% WOMAC improvement.
Grade 3 (Advanced OA): Halt progression target — prevent advancement to Grade 4, with significant pain reduction. Treatments: BMC stem cell therapy, PRP, genicular nerve ablation, intensive physiotherapy. Evidence: Shapiro JBJS 2017 — MRI cartilage signal improvement at 12 months with BMC.
Grade 4 (Severe OA): Surgery delay target — avoid or postpone knee replacement for 12+ months with 6-monthly reassessment. Treatments: BMC + ablation combination, pain management protocol.
The programme runs for 100 days across 3 phases: Assessment & Activation (Days 1–30), Intensive Recovery (Days 31–70), and Strengthen & Sustain (Days 71–100). It combines 4 orthopedic consultations plus 13 weekly calls with Dr. Harjoban Singh (MS Orthopaedics, 15+ years experience), 24 physiotherapy sessions, 16 yoga therapy sessions, 3 nutrition consultations, monthly community meetings, and a digital progress dashboard. Program investment starts at ₹34,999. Clinical treatments such as PRP (platelet-rich plasma) therapy and hyaluronic acid (gel) injections are included where clinically indicated.
Outcome data: 70% of patients completing the program avoid knee replacement surgery entirely. 20% continue with an extended maintenance phase. 10% proceed to surgery — which they enter measurably stronger, with better outcomes. A ₹10,000 surgical credit is provided if surgery becomes necessary post-program. The program is covered partially or fully by CGHS, ECHS, and major private insurers. Free second opinion consultations are also available for patients who have already been advised knee replacement surgery.
What exactly is the 100-Day Save Your Knee™ Program?
A structured, 100-day non-surgical knee rehabilitation programme at Gini Advanced Care Hospital, Mohali. Every patient is first stratified by their Kellgren-Lawrence (KL) OA grade using a weight-bearing X-ray. Your grade determines your exact protocol — PRP for Grade 1–2, BMC stem cell for Grade 3–4, Genicular RFA for pain control, physiotherapy, therapeutic yoga, and personalised nutrition. The programme includes daily online sessions, weekly surgeon Q&A, monthly in-person community events, a digital progress dashboard, and objective outcome scoring (WOMAC, VAS, Knee Functional Age) at Day 100.
Can I really avoid knee replacement surgery?
It depends on your KL grade. For Grade 1–2: many patients reach full clinical remission — pain-free, drug-free, fully active — with complete programme adherence. That is our honest goal for you. For Grade 3: we aim to halt progression, significantly reduce pain, and restore meaningful function. Structural improvement on MRI is possible with BMC stem cell therapy. For Grade 4: our goals are maximum pain control, maximum function, and minimum surgical risk — and if surgery becomes necessary, you will go into it significantly stronger and fitter than you are today.
How often do I need to visit the hospital?
Typically 3–4 in-person consultations with Dr. Harjoban over 100 days. Physiotherapy (3× per week) can be done in-person at Gini Hospital or virtually. Yoga sessions (2× per week) are similar. Monthly community meetings are held at the hospital. Weekly doctor calls happen over phone or video. We've built the program to be as convenient as possible for working individuals and seniors.
How much does the 100-Day Program cost?
The 100-Day Save Your Knee™ Program starts at ₹34,999 — a fraction of knee replacement surgery which typically costs ₹2–5 lakhs, plus weeks of post-operative recovery time.
₹34,999Full 100-Day Program
4 ortho consultations + 13 weekly calls
24 physiotherapy sessions
16 yoga therapy sessions
3 nutrition consultations + diet plan
3 monthly community meetups
Digital progress dashboard
💳 Payment plans available🏥 Surgeries covered by most insurance plans✅ ₹10,000 credit if surgery needed
Insurance note: Surgical procedures performed at Gini Hospital are covered by most major insurance plans (CGHS, ECHS, and most private plans). For individual treatments such as PRP injections, stem cell therapy, and nerve ablation, coverage varies by plan and insurer — our team will help you check your specific policy before you begin. The free assessment includes a full cost transparency breakdown.
Is this covered by health insurance?
Many treatments within the program are covered by CGHS, ECHS, and major private insurers such as Star Health, United India, and others. Our billing team verifies your specific coverage before you begin, so you know exactly what you'll pay out-of-pocket. We are empaneled with major insurance providers and offer cashless settlement where applicable.
What if the program doesn't work for me?
About 10% of patients ultimately require surgery after completing the program. But here's what changes: they go in significantly stronger, which means better surgical outcomes, faster recovery, and reduced risk of complications. Additionally, we credit ₹10,000 of your program fee toward the cost of surgery. You don't lose — you gain either way.
Evidence & Citations
All 38+ peer-reviewed references underpinning the 100-Day Save Your Knee™ Programme. Numbers correspond to protocol citations throughout this page.
OA Classification & Diagnosis
[1] Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis. 1957;16(4):494–502.
[2] Altman R, et al. Development of criteria for classification and reporting of osteoarthritis. Arthritis Rheum. 1986;29(8):1039–1049.
Platelet-Rich Plasma (PRP)
[3] Laudy AB, et al. Efficacy of PRP injections in osteoarthritis of the knee: a systematic review and meta-analysis. Br J Sports Med. 2015;49(10):657–672. [n=1,423; PRP superior to HA at 6–12 months]
[29] Shen L, et al. The temporal effect of PRP on pain and physical function in knee OA: systematic review and meta-analysis. J Orthop Surg Res. 2017;12(1):16.
Genicular Nerve Radiofrequency Ablation
[4] Choi WJ, et al. Radiofrequency treatment relieves chronic knee OA pain: a double-blind randomised controlled trial. Pain. 2011;152(3):481–487.
[5] Davis T, et al. Twelve-month analgesia by cooled radiofrequency ablation of osteoarthritic knee pain: prospective, multicenter, randomised, cross-over trial. Reg Anesth Pain Med. 2019;44(2):173–182.
BMC, Stem Cell & Regenerative Therapy
[6] Shapiro SA, et al. Prospective, single-blind, placebo-controlled trial of bone marrow aspirate concentrate for knee OA. J Bone Joint Surg Am. 2017;99(18):1528–1536. [MRI cartilage improvement at 12 months]
[7] Centeno CJ, et al. Efficacy of autologous BMC for knee OA with and without adipose graft. Biomed Res Int. 2014;2014:370621.
[24] Pers YM, et al. Adipose MSC-based therapy for severe knee OA: phase I dose-escalation trial. Stem Cells Transl Med. 2016;5(7):847–856.
[25] Pak J, et al. Cartilage regeneration in humans with adipose tissue-derived stem cells: current status. Biomed Res Int. 2016;2016:4702674.
[26] Vega A, et al. Treatment of knee OA with allogeneic bone marrow MSCs: randomised controlled trial. Transplantation. 2015;99(8):1681–1690.
Hyaluronic Acid
[30] Bannuru RR, et al. Comparative effectiveness of pharmacologic interventions for knee OA: systematic review and network meta-analysis. Ann Intern Med. 2015;162(1):46–54.
Yoga & Mind-Body Interventions
[31] Moonaz SH, et al. Yoga in sedentary adults with arthritis: effects of a randomised controlled pragmatic trial. J Rheumatol. 2015;42(7):1194–1202. [Significant WOMAC + QoL at 8 weeks]
[32] Cheung C, et al. Yoga for managing knee OA in older women: a pilot randomised controlled trial. BMC Complement Altern Med. 2014;14:160.
Weight Loss & OA
[14] Christensen R, et al. Effect of weight reduction in obese patients with knee OA: systematic review and meta-analysis. Ann Rheum Dis. 2007;66(4):433–439.
[22] Messier SP, et al. Effects of intensive diet and exercise on knee joint loads, inflammation, and clinical outcomes (IDEA Trial). JAMA. 2013;310(12):1263–1273.
Physiotherapy & Exercise
[35] Fransen M, et al. Exercise for OA of the knee: a Cochrane systematic review. Br J Sports Med. 2015;49(24):1554–1557. [Exercise superior to control across all OA grades]
Radiographic Progression & Joint Space Width
[15] Pelletier JP, et al. Osteoarthritis, an inflammatory disease: potential implication for therapeutic targets. Arthritis Rheum. 2001;44(6):1237–1247.
[16] Buckland-Wright JC. Protocols for precise radio-anatomical positioning of the tibiofemoral compartments for SIF radiography. Osteoarthritis Cartilage. 1995;3(suppl A):71–80.
[17] Hunter DJ, et al. Reliability of a new scoring system for knee OA MRI (BLOKS). Ann Rheum Dis. 2008;67(2):206–211.
Vitamins, Supplements & Diet
[18] McAlindon T, et al. Effect of vitamin D supplementation on progression of knee pain and cartilage volume loss in symptomatic OA: RCT. JAMA. 2013;309(2):155–162.
[33] Philippou E, Nikiphorou E. Are we what we eat? Nutrition and its role in the onset of rheumatoid arthritis. Autoimmun Rev. 2018;17(11):1074–1077.
[34] Panahi Y, et al. Curcuminoid treatment for knee OA: randomised double-blind placebo-controlled trial. Phytother Res. 2014;28(11):1625–1631.
Functional Assessment & KFA Norms
[12] Bohannon RW. Reference values for the timed up and go test: a descriptive meta-analysis. J Geriatr Phys Ther. 2006;29(2):64–68. [Basis for KFA Zone mapping]
[13] Steffen TM, et al. Age- and gender-related test performance in community-dwelling elderly: six-minute walk, TUG, gait speeds. Phys Ther. 2002;82(2):128–137.
OA Remission, Phenotypes & Disease Modification
[19] Deveza LA, Loeser RF. Is osteoarthritis one disease or a collection of many? Rheumatology (Oxford). 2018;57(suppl_4):iv34–iv42.
[38] Bannuru RR, et al. OARSI guidelines for non-surgical management of knee, hip, and polyarticular OA. Osteoarthritis Cartilage. 2019;27(11):1578–1589. [Current gold-standard guidelines]
[36] Hasan MY, et al. Impaired wound healing in diabetes mellitus: a mechanistic review. Int J Gen Med. 2021;14:5693–5705. [Impaired MSC activity in high HbA1c]
[37] Dalbeth N, et al. Gout. Lancet. 2016;388(10055):2039–2052. [Uric acid-driven OA acceleration]
[10] Rabin R, de Charro F. EQ-5D: a measure of health status from the EuroQol Group. Ann Med. 2001;33(5):337–343.
[11] Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606–613.
[8] Hawker GA, et al. Determining the need for total knee arthroplasty. Arthritis Care Res. 2010;62(11):1581–1589.
Gini Advanced Care Hospital · 100 Days Save Your Knee™ Programme · Clinical Reference v2.0 · 2026 · Jiyo100Saal — Function-First Healthcare
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