Medial knee pain in the elderly is associated with goosefoot tendon bursitis and osteoarthritis of the knee, and can be treated conservatively and surgically depending on the condition. Pain on the inside of the knee in the elderly may be related to the following factors: 1. Goosefoot tendon bursitis: the tendon on the inner side of the knee can lead to pain, localized swelling, and activity limitation in the inner tibial ankle due to repeated trauma, prolonged squatting and kneeling, and cycling. Conservative treatment can be given as the main treatment, analgesia, physiotherapy, Chinese medicine fumigation, external plaster, pain point closure and other integrated treatment. Conservative treatment is ineffective or repeated occurrence of the author to give surgery. 2. Osteoarthritis of the knee joint: degeneration of the inner side of the knee joint can lead to pain in the inner side of the knee joint. The main treatment is to reduce joint weight bearing, appropriate rest, can be straight leg raising exercise, swimming, can reduce joint weight bearing can also exercise. (1) Drug therapy: mainly divided into symptomatic drug therapy, cartilage nutrition. Non-steroidal drug therapy: such as diclofenac, indomethacin, nabumetone and so on. Chondroprotective agents: mainly including glucosamine hydrochloride and glucosamine sulfate. (2) Surgical treatment: mainly including minimally invasive arthroscopic treatment, periprosthetic osteotomy, unicondylar artificial knee replacement, artificial total knee replacement. Elderly people may also have other reasons for the pain on the inner side of the knee, it is recommended to go to the hospital in time, improve the examination to clarify the cause of the disease, and then give targeted treatment or treatment, not self-medication.