Severe Hip and Knee Contracure

From Google. Physical therapy management Depending of etiology and severity of the deformity a different therapy management is necessary. Treatment of knee flexion contractures include non-surgical and surgical methods. In both cases physiotherapy is necessary. Conservative treatments include physical therapy, home exercise programs, and home mechanical therapy. They are used to treat and minimize the occurrence of flexion contractures. In some cases, such as cerebral palsy, spasticity management is also necessary. Physical therapy consists of manual stretching exercise, prolonged stretch trough strapping on a tilt, sandbag weight over the distal femur, use of mechanical traction, passive range of motion exercise and joint mobilization The effectiveness of a given treatment to reduce flexion contractures is a function of the applied torque, as well as the duration and frequency of the treatment. For patients who have failed standard conservative treatment for 2 or more months, focused treatment protocols including physical therapy and the use of custom knee devices has been demonstrated to effectively treat flexion contractures. Other treatment methods are an orthesis, casting and bracing. Some types of splits have been marketed as another method of applying low stretching forces over prolonged periods. They provide a resistance to flexion, so the knee is at rest in maximum extension. The resistance can be inflated. They are easy to apply and mobile and comfortable for the patients. In most of the cases splints and orthesis are used to prevent deformities or maintain range of motion after stretching but not for increasing motion. In the more severe cases surgical treatment such as soft-tissue release, osteotomies (removing a part of the bone), femoral shortening, hamstring lengthening an rectus transfer can be necessary. Hamstring lengthenining is helpful to relieve excessive contractures, especially when they have a significant effect on gait. Rectus transfer may be indicated to partially reduce the spasticity of the quadriceps, especially in patients with cerebral palsy. more  

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Since your job is a chef, it means standing for long hours. No medicine will work unless you give rest to knee joint. I do not suggest giving up job , but try to do work while sitting,the work where it is possible to avoid standing. this condition is common in traffic policemen , housewives since advent of standing kitchens and was rarely seen in woen who cooked for entire family on a choolah , sitting and cooking with pleasure. try physiotherapy also. more  

Try homeopathy which can certainly help more