Treatment Protocol
Week 1: Individualized Assessment, Anti-InflammatoryAnti-inflammatoryAny substance that reduces inflammation -- the body's response characterised by redness, swelling, heat, and pain. Both conventional drugs (like NSAIDs) and Ayurvedic formulations (like Dhanyamla) have anti-inflammatory properties.Read full definition → Control & Joint Decompression
• Physician Evaluation & Customization: Comprehensive clinical assessment, review of weight-bearing X-rays (Kellgren-Lawrence grading), evaluation of joint space narrowing, crepitusCrepitusA crackling, grinding, or popping sensation in a joint during movement. Common in osteoarthritis.Read full definition →, and alignment.
Formulation of an individualized treatment plan tailored to the patient's specific stage, doshaDoshaThe three fundamental bio-energies that govern all physiological and psychological functions: Vata (movement), Pitta (metabolism), and Kapha (structure). Disease arises from their imbalance.Read full definition → vitiation, and inflammatory status.
• Targeted Ayurvedic Interventions: Initiation of internal anti-inflammatoryAnti-inflammatoryAny substance that reduces inflammation -- the body's response characterised by redness, swelling, heat, and pain. Both conventional drugs (like NSAIDs) and Ayurvedic formulations (like Dhanyamla) have anti-inflammatory properties.Read full definition → and VataVataThe dosha governing all movement — nerve impulses, breathing, circulation, elimination, and joint mobility. When imbalanced, causes pain, stiffness, anxiety, insomnia, and neurological disorders.Read full definition →-pacifying Ayurvedic formulations.
Execution of localized therapies to reduce joint swelling, pain, and intra-articular stiffness.
• Integrated Physio & Yoga: Introductory PhysiotherapyPhysiotherapyA healthcare discipline that uses physical methods -- exercises, manual therapy, and electrotherapy -- to restore movement and function. At AVN Arogya, physiotherapy is integrated with Ayurvedic treatment for comprehensive rehabilitation.Read full definition → assessment to establish pain-free range of motionRange of MotionThe full movement potential of a joint, measured in degrees. Restricted range indicates stiffness or structural damage.Read full definition →; gentle patellar glides and non-weight-bearing active-assisted movements and pain relief modalities, where applicable.
Introduction of gentle Yoga Therapy focusing on PranayamaPranayamaThe yogic practice of regulated breathing to influence prana (vital energy), autonomic balance, and mental state. Key techniques include Nadi Shodhana (alternate nostril), Bhramari, and Ujjayi.Read full definition → and micro-movements (Sukshma Vyayama) to reduce muscular guarding around the knee joint.
Week 2: PanchakarmaPanchakarmaThe five classical detoxification procedures of Ayurveda: Vamana (emesis), Virechana (purgation), Vasti (enema), Nasya (nasal), and Raktamokshana (bloodletting). The cornerstone of Ayurvedic therapeutics.Read full definition → Intensification, CartilageCartilageSmooth, rubbery connective tissue covering bone ends in joints. Cartilage loss is the hallmark of osteoarthritis.Read full definition → Support & Quad Strengthening
• Panchakarma Interventions: Introduction of specialized VastiVastiMedicated enema therapy — the most important of the five Panchakarma procedures for Vata disorders. Uses herbal decoctions and oils to treat disc disorders, arthritis, neurological conditions, and chronic pain.Read full definition → therapy (medicated enemas)—the cornerstone Ayurvedic intervention for degenerative joint conditions (Sandhigata VataVataThe dosha governing all movement — nerve impulses, breathing, circulation, elimination, and joint mobility. When imbalanced, causes pain, stiffness, anxiety, insomnia, and neurological disorders.Read full definition →) to address systemic degenerationDegenerationGradual deterioration of tissues due to ageing or disease. In musculoskeletal medicine, refers to progressive loss of cartilage, bone density, and disc height.Read full definition →, improve joint lubrication, and arrest further cartilage degradation.
• Integrated Physio & Yoga: Progression to targeted PhysiotherapyPhysiotherapyA healthcare discipline that uses physical methods -- exercises, manual therapy, and electrotherapy -- to restore movement and function. At AVN Arogya, physiotherapy is integrated with Ayurvedic treatment for comprehensive rehabilitation.Read full definition → focusing on isometric quadriceps strengthening, hamstring stretching, and core stability to relieve mechanical loading on the knee joint.
Yoga Therapy incorporating supported non-weight-bearing postures (Asanas) utilizing props to safely expand mobility and restore alignment.
Week 3: Functional Rehabilitation, Discharge Planning & Home Care Protocol *Intense Ayurvedic strengthening therapies for joint mobility and strength.
• Progress Assessment: Clinical evaluation of knee flexibility, walking endurance, pain score reduction, and joint stability.
• Home Rehabilitation Program: Discharge with a customized 3-to-6-month oral medication regimen designed for long-term cartilageCartilageSmooth, rubbery connective tissue covering bone ends in joints. Cartilage loss is the hallmark of osteoarthritis.Read full definition → support and joint nourishment.
• Integrated Home Guidance: A comprehensive home plan including progressive PhysiotherapyPhysiotherapyA healthcare discipline that uses physical methods -- exercises, manual therapy, and electrotherapy -- to restore movement and function. At AVN Arogya, physiotherapy is integrated with Ayurvedic treatment for comprehensive rehabilitation.Read full definition → routines, daily restorative Yoga practices, joint preservation ergonomics, and a structured follow-up schedule. Metabolic & Weight Management: Advice on Dietary and lifestyle interventions to support metabolic health and reduce overall weight bearing on the knee joints.
