Discover the Power of Breathwork for cure Stress, migraine, Obesity, shortness of breath, Bronchitis ,Asthma , high blood pressure, wheezing

From 19 C$ /h

I help people to be calm, relaxed, mindful, concentrated and Energetic by Yoga,Breathing and Meditation techniques. Are you looking to transform your life and improve your overall health and well-being? Look no further! As I am internationally certified Breathing wellness coach. With my extensive experience, I have successfully taught more than 5000 People's worldwide via online and offline from 25 diverse countries people's across various platforms.I am highly qualified and experienced yoga teacher, specializing in breathing techniques And Meditation. As a wellness coach, I am dedicated to providing my clients with personalized guidance and support on their journey towards optimal health and well-being. With my extensive knowledge of the human body and its intricate workings, I am able to help individuals achieve profound physical, mental, and emotional balance through the practice of Breathing exercises . My approach is gentle yet effective, empowering my students to connect with their inner selves and harness the power of their breath to improve their overall quality of life

Results:

🔴cure Anxiety, Stress, Depression,migraine, Obesity, shortness of breath, Bronchitis ,Asthma , high blood pressure, cholesterol, Chest pain, chest discomfort, intestinal problem, gast&acidity, Constipation, piles, hyper tension, sinus, Heart problem, emphysema, chronic bronchitis, wheezing, chest tightness

🔴 Improving stamina&immunity power

🔴 improving the strength of your diaphragm

🔴 getting more air into your lungs
Mucous

🔴Keeping the lungs and chest Wall mobile

🔴helping to Bring up deep seated

🔴increase mental strength to cure anxiety &depression

🔴Increase lungs capacity &Heart power

🔴 emotional stability and mind control.

Amid the chaos of life, the calm and clarity found through meditation And BreathWork,can be a powerfully. Embrace the simple, profound peace it brings, and the strength and resilience you will gain. On the challenging road of life, meditation And Breathing can be your refuge and strength, always at your disposal.

My coaching methodology is grounded in a holistic approach that draws from both ancient wisdom and modern science.

I tailor each session to your unique needs and preferences, ensuring that your journey towards your goals is both fulfilling and effective.

My sessions are highly customized to suit your individual needs and comfort.

Requirements for Participation:
- A Yoga Mat
- Good internet connection
- Wear loose, comfortable clothes (Joggers & T-shirt)

The path to a more fulfilling life begins with a single step.

See you on the mat!

🙏NAMASTE
Prabhat

Extra information

Requirements for Participation:
- A Yoga Mat
- Empty stomach
- Good internet connection
- Wear loose, comfortable clothes (Joggers & T-shirt)

Location

Online from India

About Me

As a certified yoga instructor with 7 years of teaching experience, I have honed my skills in guiding students through various yoga practices, including Hatha, power yoga, traditional yoga, advance asana, iyenger yoga ,stretching yoga ,yoga pilates, pranayama and meditation,a. I have a strong focus on alignment, breath awareness, and mindfulness, creating a safe and supportive environment for practitioners of all levels. My background as indian government certified yoga teacher ,500 hours yoga alliance certified teacher , power yoga certified teacher and certified hath yoga teacher has equipped me with a solid understanding of physiology, and the therapeutic benefits of yoga, allowing me to tailor sessions to meet the individual needs of my students.

Education

Pursuing M.A in YOGA from uttrakhand sanskrit University (Rishikesh)

Completed Hatha Yoga YTTC in April 2015 RISHIKESH , India

Completed International Yoga Course of Quality Council of India (QCI) November 2018
Mumbai, India

Completed power yoga teacher training course from world Gym Institute

Completed Pilates yoga teacher training course from world gym Institute

Completed 500 hours yoga alliance TTC

Self study of anatomy , ayurveda, sutras, mantras and much more.

Experience / Qualifications

Since 2010, I’ve immersed myself in yoga, beginning in 8th grade when I competed in and placed second in a state-level yoga competition. Over the past decade, I’ve transitioned from a practitioner to a professional instructor, starting my teaching journey in 2015. My experience encompasses guiding individuals with various health concerns, including diabetes, migraine, heart problems, sinus sciatica,depression, anxiety, arthritis, spondylitis etc. Also Learn Breathing exercises for better sleep, shortness of breath,cure migraine, Obesity, shortness of breath, Bronchitis ,Asthma,high blood pressure, cholesterol, Chest pain, chest discomfort, intestinal problem, gast&acidity, Constipation, piles, hyper tension, sinus, Heart problem, emphysema, chronic bronchitis, wheezing, chest tightness issues, and more. As a specialist in meditation, pranayama, asana, and Ayurveda, I’ve also delved into advanced techniques like therapy yoga, power yoga, Pilates, and Jaap.

My professional qualifications include ongoing pursuit of an M.A. in Yoga from Uttarakhand Sanskrit University, along with certifications such as Hatha Yoga YTTC, International Yoga Course from Quality Council of India, Power Yoga and Pilates Teacher Training from World Gym Institute, and completion of a 500-hour Yoga Alliance TTC. Additionally, I’ve engaged in self-study covering anatomy, Ayurveda, sutras, mantras, and more, enhancing my holistic understanding of yoga and its benefits.

Age

Children (7-12 years old)

Teenagers (13-17 years old)

Adults (18-64 years old)

Seniors (65+ years old)

Student level

Beginner

Intermediate

Advanced

Duration

60 minutes

The class is taught in

English

Hindi

Skills

Health

Yoga

Meditation

Reviews

Availability of a typical week

(GMT -04:00)

New York

Online via webcam

Mon

Tue

Wed

Thu

Fri

Sat

Sun

00-04

04-08

08-12

12-16

16-20

20-24

Yoga Pilates – Strength, Flexibility & Mindful Movement Build core strength and improve overall body stability

30 C$ /h

My Yoga Pilates sessions combine the principles of Yoga, Pilates, breathwork, mobility, and mindful movement to create a balanced approach to physical and mental well-being.

The sessions are designed to help you:

Build core strength and improve overall body stability

Improve flexibility, mobility, and posture

Develop better body awareness and movement control

Strengthen muscles without excessive strain

Improve balance, coordination, and functional movement

Release physical tension and stiffness

Develop better breathing patterns and relaxation

Support healthy weight management and overall fitness

I adapt every session according to your fitness level, age, goals, flexibility, and individual needs. Whether you are a complete beginner, looking to improve your fitness, or already have experience with Yoga or Pilates, the practice can be customized for you.

My teaching approach focuses on proper alignment, controlled movements, mindful breathing, and sustainable progress rather than simply performing exercises.

If you are looking for a practice that combines the strength and precision of Pilates with the flexibility, breath awareness, and mindfulness of Yoga, Yoga Pilates can be an excellent choice.

Suitable for: Beginners, working professionals, people with sedentary lifestyles, fitness enthusiasts, and anyone looking to improve strength, flexibility, posture, mobility, and overall well-being.

TREATING PATIENTS THROUGH YOGA, BREATHWORK, STRETCHING EXERCISE, MEDITATION, AYURVEDIC DIET FOR HEALTH AND WELLNESS

19 C$ /h

Since 2010, I’ve immersed myself in yoga, beginning in 8th grade when I competed in and placed second in a state-level yoga competition. Over the past decade, I’ve transitioned from a practitioner to a professional instructor. As an experienced yoga Teacher with over 7 years of experience, I offer a unique blend of yoga, , Meditation,breathwork,Yoga therapy ,Iyenger Yoga , yoga pilates , stretching yoga , Ayurveda, Mudra, Chant For any kind of diseases. also get trained for weight loss, strength, Stamina,flexibility training Through Power yoga, advanced asana, core strengthening exercise, yoga pilates,iyenger yoga,Yin yoga, flow yoga to get desired results..

as a certified yoga Teacher Successfully Treated a lot of Patients like weight loss issue,anxiety,depression,Migraine,weight issues, Heart Problems, Sinus, Sciatica, Arthritis, Spondylitis, Better Sleep, Shortness of Breath,Obesity, Shortness of breath, Bronchitis, Asthma, High blood pressure, Cholesterol, Chest pain, Chest discomfort, Intestinal problems, Gas and acidity, Constipation, diabetes,Piles, High stress, Sinus, Heart problems, Emphysema, Chronic bronchitis , wheezing, chest tightness treatment. I have honed my skills in guiding students through Therapeutic yoga I have a strong focus on alignment, breath awareness, and mindfulness, creating a safe and supportive environment for patients of all levels of physical problem. as a certified yoga teacher has equipped me with a solid understanding of physiology, and the therapeutic benefits of yoga.

SPECIALIST OF :-

● Therapy Yoga
● Meditation
● Pranayama
● Asana
● Ayurveda
● advanced asanas
● Power Yoga
* Pilates
*Jaap

---- Here's a glimpse of what you can expect:

- Traditional Hatha Yoga, Iyenger Yoga stretching yoga, Breathwork and Asanas to strengthen and rejuvenate your body.
- Pranayama techniques to enhance your breath and energy and keep calm your mind& body
- Meditation and Yoga Nidra for deep relaxation and mental clarity.
- Yogic Kriyas and Surya Namaskar to invigorate your energy.
- Yogic breathing practices (yogabhyas) and mindful breathing.
- Guidance on Ayurvedic Diet to nourish your body from within.
- Micro-exercises for daily vitality.
- A comprehensive understanding and practical application of connection with health and spirituality

--My coaching methodology is grounded in a holistic approach that draws from instant relief from your problems

I tailor each session to your unique needs and preferences, ensuring that your journey towards your goals is both fulfilling and effective.

My Yoga sessions are highly customized to suit your individual needs and comfort.

Professional Qualifications
Pursing M.A in YOGA from uttrakhand sanskrit University (Rishikesh)

Completed Hatha Yoga YTTC in April 2015 RISHIKESH , India

Indian government certified Yoga Teacher(QCI) 2018
Mumbai, India

Completed power yoga teacher training course from world Gym Institute

Completed Pilates yoga teacher training course from world gym Institute

Completed 500 hours yoga alliance TTC

Self study of anatomy , ayurveda, sutras, mantras and much more.

Requirements for Participation:
- A Yoga Mat
- Good internet connection
- Wear loose, comfortable clothes (Joggers & T-shirt)

The path to a more fulfilling life begins with a single step.

See you on the mat!

Namaste,
Prabhat

Carla

5.0

(3)

Why is pelvic mobility important?
🔆Pelvic mobility is essential to meet the simplest daily functional needs such as walking or climbing stairs. The pelvis is the center of gravity and the largest bone complex in the human body. It is an insertion point for strong muscles: they form the muscular chains that have the pelvis as an anchor point.
The shortening or overtraining of some of them, due to sports postures or gestures, can generate an imbalance in the tensegrity system of the pelvic girdle and many local and adjacent problems, from muscle decompensations, pain, health problems at a visceral level and many others. aspects that are not taken into account 🧐
✅You have to ensure that your pelvis is in a neutral position, aligned at all times and in any activity you do so that your body does not adopt wrong postures by default and avoid having problems with its mobility and consequently other derived dysfunctions, such as hernias, lower back pain. , pelvic floor problems, etc.
📌The program aims to strengthen, stretch and put into tension the muscle chains and the analytical work of the abductor, adductor, extensor and pelvitrochanter complex. All of these myofascial elements determine the pelvic position and, in doing so, create or limit the freedom of the pelvis, having repercussions on the lower and upper limbs.
🤗 Of course we are not going to leave aside the rest of the body❗️❗️😅
The training approach will be individualized, after a general and analytical body evaluation.
Enough of so many aches and pains, release the superficial and deep fascia and revitalize your energy center. 🥰

Pranav

5.0

(3)

Traditional Yoga in its purest form
Not Book Yoga,Not Studio Yoga ,Not You Tube Yoga but traditional yoga in its purest form
Hatha Yoga,Ashtanga Yoga ,Yoga Therapy for Diseases, Power Yoga, Laughter Yoga, Fitness Class
Yoga for Seniors
Chair Yoga
Iyengar Yoga
Kundalini Yoga
Corporate Yoga
Yoga Nidra
Restorative Yoga
Sound Healing
Sound Bath
Meditation with Sound Healing
Nutrition Counselling
Yogic Counselling

Yogesh

5.0

(3)

Mindfulness & Meditation Classes – All Levels WelcomeDiscover Calm, Clarity, and Balance

Experience guided meditation sessions designed for everyone—especially beginners—who want to explore mindfulness in a gentle, supportive environment. Each class is tailored to help you reduce stress, improve focus, and bring lasting well-being into your daily life.

What You’ll Experience

Supportive Guidance: Step-by-step instruction in simple meditation and breathing techniques, perfect for new or nervous students.

Mindfulness Tools: Learn practical exercises including breath awareness, guided visualization, and body scan to cultivate inner calm and mental clarity.

Personalized Attention: Individual or small group settings, with sessions customized to your needs and goals.

Holistic Well-being: Optional integration of gentle movements or sound healing elements, helping release tension from body and mind.

Typical Session Structure

SegmentDetailsWelcome & IntentionSettle in, introduce theme, share intentionsBreathworkRelaxing pranayama or mindful breathing exercisesGuided MeditationStep-by-step instructions, gradual progressionReflection & Q&AShare insights, ask questions, tips for home practice

Who Should Join?

Beginners seeking a welcoming introduction to meditation.

Anyone looking to reduce anxiety, improve focus, or support better sleep.

Busy professionals and students interested in stress management.

All ages are welcome—no prior experience needed.

Class Options

Private 1:1 Lessons: Tailored support for your journey.

Small Group Sessions: Supportive group energy and motivation.

Online or In-person: Flexible formats to fit your lifestyle.

Ready to Begin?

Step into a calmer, more mindful life—one breath at a time.

Contact now to reserve your spot or book your introductory session.
Sessions available in English and Hindi for your convenience.
All welcome—no special equipment required.

Victoria

5.0

(3)

Hey, I'm manager of yoga instructor Diana. She's from Ukraine, so I'll help with translations and communication.

Hatha yoga - Yoga helps us to strengthen the body from the outside and inside. It helps us to improve our inner state and find balance. It is an opportunity to organize thoughts and focus on the here and now. In addition, yoga strengthens the body and improves mood. It has a positive effect on the flexibility and balance of our body.

What are the benefits of this practice? First of all, it helps to strengthen the human body, build endurance and willpower. This yoga helps to relax and improves the ability to cope with stress. It has a positive effect on blood sugar and cholesterol levels. Due to the diversity of this practice, it improves muscle flexibility. Also, this practice fills the body with energy, boosts immunity and improves your posture.

This practice is suitable for both women and men of all ages. The practice is a bit more complicated than hatha yoga, but it is also suitable for beginners. It is possible to move further in terms of complexity, using more dynamics and increasing the complexity of asanas. Further complication is focused on the use of asanas with deflections and inverted positions. Also, you can smoothly move into Ashtanga yoga or dynamic yoga.

Diana has three years of experience teaching modern dance and yoga individually. She has more than 5 years of teaching experience in groups and dozens of satisfied students. Therefore, she will definitely provide everyone with an individual approach, find the right pace and the necessary asanas.

If you have more questions, don't hesitate to text me <3

Let's change our lives today, not every Monday, right?)

Gaurav

5.0

(3)

Feeling overwhelmed? Join this calming, beginner-friendly online yoga class designed to help you release tension, relax your mind, and reconnect with inner peace.
We’ll combine gentle movement, breathwork (pranayama), and mindfulness techniques to regulate stress, improve sleep, and support emotional clarity.
Perfect for all levels. No previous yoga experience needed. Ideal for anyone working from home, dealing with anxiety, or simply looking for a mental reset.
Format:
Live Online Session
Duration: 45–60 minutes
Level: Beginner to Intermediate
Frequency: Weekly or biweekly

BASIC OUTLINE:
(Every class flow will be different:)

1. Welcome & Check-in (5 min)
Quick introduction, class intention: “Let go of tension, return to calm.”
2. Grounding Breathwork (5 min)
Practice: Box Breathing or Nadi Shodhana (alternate nostril breathing)
Goal: Activate parasympathetic nervous system (rest & digest)
3. Gentle Flow & Stretching (20–25 min)
Poses include:Child’s Pose,Cat-Cow,Seated Forward Fold,Supine Twists,Legs-Up-the-Wall
Slow transitions with breath awareness
4. Guided Meditation / Body Scan (10 min)
Optional background music
Focus on softening the body and letting go of emotional tension
5. Closing & Affirmation (5 min)
End with a grounding affirmation or quote
Optional journaling suggestion after class: “What am I ready to release today?”

“Stress builds up in the body—let's release it together. 🧘‍♀️
Join my online Yoga for Stress Relief class this week.
No experience needed. Just bring your breath. 🌿”

Yona

5.0

(3)

🌿 YOGALATES: Strength & Softness in Harmony
Private & Small Group Sessions in Noordwijkerhout

Discover a calming fusion of yoga and Pilates designed to gently strengthen your core, support your spine, and restore balance—physically and emotionally. Whether you're new to movement or returning after a pause, this practice meets you where you are.

What to Expect:
🌸 Gentle flows that build deep core stability

🌬️ Breath-led movement to calm the nervous system

🤸‍♀️ Pilates-inspired exercises for posture and strength

🧘‍♀️ Mindful stretches to release tension in the lower back and hips

💬 Space to move with care, curiosity, and compassion

Perfect for:
Beginners or anyone seeking a soft yet strengthening practice

Those recovering from stress, fatigue, or physical tension

Adults and seniors looking to improve posture and mobility

Details:
Duration: 60 minutes

Location: Private studio in Noordwijkerhout or online

Language: English or Dutch

Available: One-on-one, small group, or corporate sessions

Let your body feel supported. Let your breath guide you. Let movement become medicine. To book or inquire, feel free to reach out—I'd love to welcome you.

Deepak

5.0

(3)

Personalized Online Yoga Classes by Globally recognised indian yoga teacher.
Try Online Authentic yoga intigrated with modern needs.
Result Oriented classes Focused on SSF( Strength Stamina Flexibility)
These online yoga classes are designed to support strength, flexibility, posture, and stress management in a safe and structured way. Sessions are suitable for beginners, intermediate practitioners, and active individuals.
Each class is personalized according to your goals, physical condition, and experience level. Before starting, I take time to understand your needs so the practice feels effective, comfortable, and sustainable.
Classes typically include:
Gentle warm-up and joint preparation
Strengthening and mobility-based yoga postures
Flexibility work adapted to your level
Breathing techniques (pranayama)
Relaxation to release physical and mental tension
Clear verbal guidance is provided throughout the session, making the class easy to follow even when practicing from home.

Yoga for Strength, Stamina, Flexibility & Posture
This class focuses on improving functional strength, flexibility, and posture using a structured yoga approach. It is especially suitable for people who sit for long hours, experience stiffness, or want to improve overall body awareness.
The practice emphasizes-
Correct alignment and joint safety
Core stability and balanced muscle engagement
Gradual flexibility development
Mindful and controlled movement
The goal is to build a strong, mobile, and well-aligned body without strain or unnecessary pressure.

Stress Relief & Breath Awareness Yoga
This class is designed for those experiencing mental stress, fatigue, or tension due to work or daily life. The practice combines gentle movements, breathing techniques, and relaxation to calm the nervous system.
Sessions focus on-
Slow and mindful yoga postures
Conscious breathing (pranayama)
Releasing tension in the neck, shoulders, and lower back
Guided relaxation for mental clarity
This class helps you feel lighter, calmer, and more centered after each session.

Yoga as Cross-Training for Active Individuals
This class is suitable for people who already practice sports or fitness and want to use yoga as cross-training. The focus is on mobility, flexibility, balance, and recovery.
Key elements include-
Joint mobility and injury prevention
Improving range of motion
Balancing strength and flexibility
Supporting recovery and body awareness
The practice complements other physical activities and helps improve overall movement quality.

Beginner-Friendly Yoga
This class is ideal if you are new to yoga or returning after a break. The pace is calm, explanations are clear, and movements are introduced gradually.
You will learn-
Basic yoga postures and transitions
Correct breathing and body alignment
Safe ways to build strength and flexibility
How to practice with confidence
No previous yoga experience is required.

Guided Meditation & Mindfulness Sessions
These guided meditation sessions are designed to help reduce mental stress, overthinking, and emotional fatigue, while improving focus and inner calm. Sessions are suitable for beginners as well as those with prior meditation experience.
Each session is guided step by step with clear instructions, making it easy to follow. The practice focuses on developing awareness of breath, body, and mind in a simple and practical way.
Sessions typically include-
Gentle preparation and posture guidance
Breath awareness and mindful attention
Guided meditation techniques
Short reflection or relaxation
The aim is to help you feel calmer, more balanced, and mentally refreshed after each session.

Meditation for Stress Relief & Mental Clarity
This meditation class is ideal for professionals and individuals experiencing work-related stress, anxiety, or mental overload. The practice helps calm the nervous system and release accumulated tension.
Focus areas include-
Breathing techniques to settle the mind
Mindfulness practices to reduce mental noise
Awareness-based meditation for clarity and focus
Relaxation techniques for deep mental rest
Sessions are calm, structured, and suitable for daily life.

Khashayar

5.0

(3)

Nowadays, Healthcare is one of the most significant aspects in everyone's life in this industrialised society. I am going to offer Online Healthcare & Wellness advice and guidance for any individual in any age based on his/her age, lifestyle, occupation goals in life & income. You can be guided accordingly through a pure healthy life by taking my online healthcare advice. I am Dr.Khashayar, a licensed Medical Doctor graduated from Shiraz University of Medical Sciences in Shiraz,Iran as one of my two professions & I can help you move towards your healthy lifestyle based on your own personal & occupational situation. If you have any commorbid diseases, I can advise you how to deal with it & help you to build a pure healthy lifestyle.My Health Advice Cover both Physical & Mental issues. Please reach out to me if you are interested.

Valentina

5.0

(3)

My classes offer a traditional Hatha Yoga practice that honors the ancient teachings to explore the philosophical heart of the practice: aligning breath, energy, and intention to cultivate inner harmony. Each session weaves mindful movement with an invitation to turn inward and listen to the body's ancient wisdom. Whether you are a complete beginner or a seasoned practitioner, I offer a space where you can slow down, release tension, and reconnect with the present moment, free from judgement. Drawing from my background as a professional dancer and certified yoga asana instructor, I guide you through each asana with attention to alignment, fluidity, and the subtle energy that animates every pose. This practice is accessible to anyone, at any age, because the journey inward is always available. Together, we move not just to stretch, but to remember the unmovable peace that already lives within you.

Iulia

5.0

(3)

The classes I am offering are gentle, grounding, and intuitive. Whether you're looking to release tension, find balance, or simply take a pause from everyday life, you'll be guided with warmth, curiosity, and intention. Blending yoga, authentic movement, breathwork, and the soothing vibrations of sound healing, each practice becomes an invitation to reconnect with your body, quiet the mind, and move in a way that feels true to you.

Mae

5.0

(3)

A healthcare tutor is an educational professional who provides specialized instruction and support to students or trainees in healthcare-related fields. They help learners understand complex medical concepts, prepare for exams, and develop practical skills required for careers. Healthcare tutors may work in academic institutions, online platforms, or as private tutors, and often tailor their teaching to individual learning needs. Their goal is to enhance students' knowledge, confidence, and competence in healthcare subjects.

Ashwini

5.0

(3)

Certified instructor with 15 years of experience across four disciplines: Yoga, Aerial Yoga, Mat Pilates, and Reformer Pilates — a rare combination that lets me design one tailored program instead of switching teachers for each style.

Sessions are fully private and adapted to your goals, fitness level, and any physical considerations, whether you’re a complete beginner or an advanced practitioner. I travel to you and bring all necessary equipment (aerial rig setup requires a suitable ceiling point — happy to advise in advance).

Discretion, punctuality, and a calm, focused teaching style for clients who value their time.

Teesta

5.0

(3)

My classes combine mindful movement, breath work, and body awareness with a focus on empowerment, self-trust, and developing a more compassionate relationship with your body.

Having personally navigated conditions including endometriosis and adenomyosis, I understand how challenging it can be to live with pain, hormonal changes, and the emotional impact of feeling disconnected from your body. I bring this personal experience into my teaching, creating a gentle, supportive and trauma informed space where women can listen to their bodies without judgement or pressure.

Whether you’re looking for a general yoga practice or support in reconnecting with yourself through a difficult period, sessions are personalised to your needs, energy, and experience.

Shruti

5.0

(3)

This class is for someone who is looking for one on one yoga classes to manage pain and stress in their day to day life.

If you are someone who is living with a lot of pain which is causing disturbances in your daily life and you have tried has worked. I am offering a holisctic solution with help of yoga and breathwork, that will help you manage pain and live sustainably

Chetna

5.0

(3)

Yoga for Women's health, infertility, pregnancy, postpartum, Dance Yoga, Vinyasa, traditional yoga.
Specialist in Women's health
RYT500, Prenatal Yoga Teacher, Advanced asana practice , yoga for Children, Yoga for adults issue related knee pain