An orthopedic knee pad for secure placement between a user's knees that includes: a first side; a second side a plurality of thermal pads on the first side; and a means to secure the orthopedic knee pad in place during use. The means to secure may include hook and loop connectors on the first side. Preferably, the thermal pads include pockets adapted to receive thermal packs, where the thermal packs provide a cooling or warming sensation for the user. The means to secure may further include a plurality of tie strings at a first end of the orthopedic knee pad.