Introduction: Disturbance and pain is a tale of two common problems in the elderly. In the long-term, it leads to the debility and worsening of chronic health problems. Pain joins two related concerns stress and poor health as key correlates of shorter sleep durations and worse sleep quality. But there are restorative paths to resolve the problem. Objective: The study aims to compare the effectiveness of a structured restorative rehabilitation exercise program with conventional exercises on elderly suffering with chronic knee pain and sleep disturbance using the outcome scores of the KOOS score (Knee Injury and Osteoarthritis Outcome Score) and SQQ (Sleep Quality Questionnaire). Methods: The data has been collected from 96 elderly residents of Satara district suffering from chronic knee pain independent in ambulation. Inclusion criteria: Elderly aged above 60 years suffering from chronic knee pain more than six months duration and willing to take part in the study. Exclusion criteria: Institutionalized elderly, uncooperative patients, and mentally or physically disabled elderly. Outcome measures: KOOS pain score questionnaire measuring knee pain and function __ampersandsignamp; Sleep quality questionnaire. Results: Group A (Structured Restorative Rehabilitation) has shown extremely significant improvement than Group B (Conventional Rehabilitation) with relation to KOOS score (Knee Injury and Osteoarthritis Outcome Score) and SQQ (Sleep Quality Questionnaire). Conclusion: Sleep and pain have a bidirectional and reciprocal relationship. Sleep impairments reliably predict new incidents and exacerbation of chronic type of pain. Deprivation of sleep which is happening as a result of aching is going to have an impact on life quality. It becomes pertinent in such case to understand the extent of relationships that exist if it exists between disorder relating to sleeping and the pain or aching.