Background: TKR is a surgical technique where a synthetic or artificial joint replaces an inoperative knee joint. The main manifestations of TKR are discomfort and functional constraints. For individuals to be evaluated a candidate for TKR, their everyday activities tend to be significantly impacted by pain and functional limitations .An excessive immune reaction to a pro-inflammatory stimulus causes arthrofibrosis (AF), which is characterised by pathological periarticular fibrosis and ensuing symptoms including reduced joint range of motion. A rare, localised, and irreversible delayed impact of surgery that has been reported in a variety of tissues and organs is called postoperative fibrosis (POF). In this study we use dry needling as an approach towards arthrofibrosis which develop after total knee arthroplasty. Case presentation: We presented the case of 69 year old female patient who had total knee arthroplasty and has fibrosis. Physiotherapy procedure was commenced along with dry needling. Conclusion: As a result the physiotherapy with dry needling aided patient in his recovery.