Ayurvedic treatment for osteoarthritis

In Ayurveda, osteoarthritis is most closely compared to Sandhigata Vata. This page describes the traditional approach. It is an interpretive framework, evidence from good-quality trials is limited, and it should be used as an adjunct to, not a substitute for, medical care.

Traditional understanding

Aggravated Vata is said to enter the joint spaces (Sandhi) and reduce Shleshaka Kapha, the lubricating quality of the joint. This is thought to cause pain, creaking, swelling and limited movement.

Approaches commonly used

• Snehana and Swedana: warm oil massage and gentle warm fomentation, given by a trained therapist
• Abhyanga: regular warm oil massage of the limbs; avoid broken or inflamed skin
• Janu Basti or Kati Basti: warm oil held on the knee or lower back in a ring
• Basti: medicated enema therapies, only under a qualified practitioner
• Herbs often mentioned: Guggulu, Shallaki (Boswellia), Ashwagandha, Rasna, Nirgundi and Haridra

What research says

Some small studies of Boswellia, turmeric and certain formulations show modest pain improvement. Study quality varies and results are not consistent.

Safety

Herbs can interact with blood thinners, diabetes and blood pressure medicines, and some preparations have contained heavy metals. Tell your doctor about everything you take, and do not stop prescribed medicines.

See a doctor if the joint is hot, red or suddenly swollen. Do not apply oil or heat to an infected joint.

Remember

Choose a registered Ayurvedic doctor, and treat Ayurveda as a support to exercise, weight care and medical advice.