Hidden pain in both knees can be treated with general treatment, medication, physical therapy and surgery according to the cause, which may be caused by osteoarthritis, bilateral injuries and allergic diseases. 1. Osteoarthritis: Degenerative changes in bilateral knee joints, severe strain on the cartilage of bilateral knee joints, and osteophytes, which can cause bilateral knee pain. It is necessary to reduce the knee flexion and extension activities, oral celecoxib analgesic and anti-inflammatory treatment, can be injected into the joint cavity of sodium vitrate to nutritional articular cartilage treatment, and in severe cases, the feasibility of joint replacement surgery. 2. Bilateral injury: bilateral knee joints at the same time by the external force, local bone and soft tissue injury, can lead to knee pain symptoms. It is necessary to consult a doctor to clarify the situation of the injury. In the acute stage, local cold compresses can be applied, oral medication such as Panax ginseng tablets can be taken to activate blood circulation and remove blood stasis, and oral ibuprofen can be taken to relieve pain. Physical therapy such as ultrasound can also be carried out. 3. Metabolic diseases: rheumatoid arthritis, allergic purpura, gouty arthritis and other diseases can lead to bilateral knee pain at the same time, the need to develop good habits, can be applied to analgesic drugs such as Loxoprofen sodium and other drugs, and targeted line of methotrexate and other anti-rheumatic therapy, cyclophosphamide and other immune therapy, as well as glucocorticosteroids and other therapies. There are many other causes of pain in both knees, if it persists without relief, you should consult a doctor in time, complete the relevant examinations, after clarifying the cause of the disease, under the guidance of specialists to actively carry out appropriate treatment, which will help to alleviate the symptoms of pain and discomfort as soon as possible. The medication should be applied according to the doctor’s prescription.