A portable device for applying therapeutic electrical signals and/or
electromagnetic fields to a patient's knee for the treatment of
osteoarthritis and other diseases, defects and injuries. The device is
operable in several modes to deliver signals to the patients knee so as
to cause an electric and/or electromagnetic field to be generated that
selectively up-regulates gene expression of Aggrecan and Type II Collagen
while simultaneously selectively down-regulating the gene expression of
metalloproteases. The device includes a signal generator that generates
compound electric signals including a 60 kHz sine wave having a peak to
peak voltage of approximately 4.6 V to 7.6 V and a 100% duty cycle signal
that is generated for approximately 30 minutes and a 50% duty cycle
signal that is generated for approximately 1 hour after the 100% duty
cycle signal. These compound electric signals are communicated to
electrodes or coils in the proximity of a patient's knee for the
generation of a specific and selective electromagnetic field that treats
the diseased tissue.