iajabmsIAJABMSIAJABMS2709-329810.47310/iajabms.2025.v06i01.007When Joints Speak: A Study on Osteoarthritis Awareness and Early Management Practices Among Elderly in KangraBackground: Osteoarthritis (OA) stands among the leading causes of chronic disability in older adults, yet awareness regarding its early signs and lifestyle-based management remains insufficient in many low-resource settings. Particularly in rural and semi-urban populations, this knowledge gap contributes to delays in diagnosis and increased functional decline. This study evaluates awareness, misconceptions, and early management practices related to OA among elderly individuals in Kangra district, Himachal Pradesh. Materials and Methods: A community-based descriptive cross-sectional study was conducted from January to March 2025 involving 410 participants aged 60 years and above. A validated questionnaire was used to assess socio-demographic variables, OA-related knowledge, and health behaviors. Scores were categorized as Very Good (≥80%), Good (60–79%), Fair (41–59%), and Poor (<40%). Statistical associations were tested using chi-square analysis. Results: Of the 410 participants, 71.2% demonstrated good to very good knowledge. While 83.6% accurately identified OA as a joint degenerative disorder, only 52.1% recognized exercise as a key non-pharmacological intervention. Beliefs that OA is an inevitable part of aging or only treatable through surgery were noted in a significant fraction. Lower educational attainment and rural residence were strongly associated with limited awareness. Conclusion: The findings emphasize moderate awareness with notable misconceptions, especially concerning early management and non-surgical options. Bridging this gap through targeted geriatric education, accessible physiotherapy programs, and culturally relevant outreach can reduce disability and promote healthy aging. Regular screening and community-led joint care initiatives must be integrated into rural public health programs for long-term impact.