The goal of this randomized , double blind , placebo controlled and parallel design clinical study, is to evaluate oral administration of Nigella Sativa, on knee osteoarthritis ,in knee OA patients attending rheumatology clinic of Sina hospital, Tehran University of Medical Sciences . Inclusion criteria is: a minimum of 40 and maximum age of 69 years ,having the radiological and clinical knee OA ACR criteria, and the pain score> 40 mm on VAS scale. patients with a sample size of 60 patients in both two groups ,enter the study.Intervention:Nigella Sativa, and placebo : starch , both in capsules ( 500mg,2 before breakfast & 1 before lunch & dinner) are given to patients for 12 weeks .acetaminophen up to 4 gr/day is considered as the rescue medicine. During the study outcomes including: Pain , Other symptoms, Function in daily living, Function in Sport and Recreation ,and knee-related Quality of Life that are measured by KOOS scale, the global patient & physician assessment that are measured by VAS scale, the number of acetaminophen tablets taken ,and the laboratory and clinical drug side effects , that are checked at weeks 2 , 4, 8 and 12 .