Ayurvedic Treatment Case study at Elephant Pass

Case Study: Management of Left Knee and Left Hip Joint Pain and Stiffness through Ayurvedic intervention

Guest Name: V Bharathi

Age/Gender: 47 years / Female

Occupation: Engineer

Date of admission:24/01/2026

Presenting Concerns

Patient C/o pain over left knee joint and left hip joint since 6 months.

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Knee & Hip Pain Relief in 6 Months

A 47‑year‑old engineer with post‑fall pain and stiffness in the left knee and hip, plus clinical signs of Sandhigata Vata, achieved clear reduction in pain, crepitus, and movement restriction, with better walking and daily functioning after a structured Ayurvedic program.

Panchakarma for Degenerative Joint Pain

Targeted therapies—including Dhanyamla Dhara, Choorna/Pinda Sweda, Kati Basti, localized Abhyanga, Matra Basti, and Lepana—were sequenced to calm Vata, nourish joints, and ease inflammation in the knee–hip complex without adverse effects.

Long-Term Joint Care at Home

At discharge, the guest was advised simple home measures—Vata‑pacifying diet, joint‑friendly exercises, yoga and meditation, external oil applications, and rock‑salt Sweda—to maintain mobility, prevent overstrain, and slow further degeneration.

History of presenting complaints

Patient was apparently normal before 6 months.One day she had a fall hitting left side of body.She felt pain and took medications but got only temporary relief.Now pain again reappeared.For this ,she came here for better Ayurvedic management.

Abstract

Joint pain involving the knee and hip is a common presentation in middle-aged and elderly patients, often associated with degenerative and inflammatory conditions. This case study highlights the effective management of left knee and left hip joint pain and stiffness through Ayurvedic interventions, including Panchakarma and internal medications. Significant improvement was observed in pain, mobility, and functional independence.

Past Medical History

  • Known case of Sjögren’s syndrome
  • No diabetes or hypertension
  • No surgical interventions

Personal history

  • Bowel – Regular
  • Appetite- Moderate
  • Micturition-Normal
  • Sleep- sound 

General examination 

  • Vitals:within normal limits
  • Systemic examination 

Left Knee Joint:

  • Tenderness: Present
  • Crepitus: Present
  • Range of Movements : Painful and restricted

Left Hip Joint:

  • Stiffness: Present
  • Range of Movements : Mildly restricted 
  • Tenderness: Mild

Treatment plan

Ayurvedic Assessment

  • Prakriti: Vata-Kapha
  • Vikriti: Vata aggravation
  • Affected Srotas: Asthivaha, Majjavaha
  • Diagnosis: Sandhigata Vata

Treatment plan

Day1

  • Dhanyamla dhara
  • Netra pichu – triphala ghritha

Day 2,Day 3,Day 4

  • Choorna Linda sweda
  • Kati basti- Kottamchukkadi taila

 Day 5

  • Udwarthanam and Bashpa sweda
  • Sthanika patra pinda sweda- Dhanwantharam taila 

Day 6

  • Udwarthanam and Bashpa sweda

 Day 7,Day 8

  • Udwarthanam and Bashpa sweda
  • Sthanika patra pinda sweda- Dhanwantharam taila 

Day 9

  • Kati basti- Dhanwantharam taila/Kottamchukkadi taila and Nadi sweda
  • Jambeera pinda sweda and Abhyanga- Kottamchukkadi taila 

Day 10

  • Shirodhara- Asanvilwadi taila
  • Choorna pinda sweda

Day 11

  • Shirodhara- Asanvilwadi taila
  • Choorna pinda sweda
  • Lepana

Day 12,Day 13,Day 14,Day 15

  • Sthanika abhyanga -Dhanwantharam taila
  • Matra basthi-Mahanarayana taila Lepana

 Results

  • Significant reduction in knee and hip pain
  • Improved joint mobility and flexibility
  • Better walking ability and daily functioning
  • Reduced stiffness and discomfort
  • No adverse effects observed

Discharge medicine 

  • Thriphala Choorna-1/2 tsp in 1 glass water-Bed time
  • Kottamchukkadi taila + Karpooradi taila- For external application
  • Neerkovai mathirai- For external application with lemon extract

    Lifestyle & Diet Advice
  • Avoid excessive walking and strain
  • Maintain healthy body weight
  • Practice regular joint-friendly exercises
  • Yoga and meditation
  • Sweda with rock salt kizhi
  • Follow Vata-pacifying diet (warm, nourishing foods)

Case Study Conclusion

Ayurvedic management demonstrates significant efficacy in treating degenerative joint conditions involving the knee and hip. Early diagnosis and comprehensive care can prevent progression and improve quality of life.

Ayurveda, Yoga & Varma Therapy FAQs

Frequently Asked Questions

Can Ayurveda help if my knee and hip pain started after a fall?

Yes. In this case, the guest’s left knee and hip pain began after a fall and then evolved into chronic, degenerative‑type pain with stiffness, consistent with Sandhigata Vata. The Ayurvedic approach addressed both the post‑traumatic origin and progressive Vata aggravation using Dhanyamla Dhara, Kati Basti, Sweda, local Abhyanga, Matra Basti, and internal medicines. This combination reduced pain, crepitus, and stiffness and improved walking ability, showing that even trauma‑triggered pain can respond well when treated systematically rather than symptom‑by‑symptom.

The guest had tenderness, crepitus, and painful, restricted movement in the left knee, along with stiffness and mild restriction in the left hip, on a background of Vata‑Kapha Prakriti and Vata aggravation. In Ayurveda, this pattern aligns with Janu Sandhigata Vata (knee) and Katigraha/hip involvement, with Asthivaha and Majjavaha srotas affected. These findings guided the selection of Vata‑pacifying and joint‑nourishing therapies such as Kati Basti with Kottamchukkadi/Dhanwantharam taila, Patra Pinda Sweda, Matra Basti with Mahanarayana taila, and Shaddharanam for internal correction.

In this case, the guest had a known history of Sjögren’s syndrome, yet tolerated the Ayurvedic protocol well with no adverse effects reported. The treatment plan was tailored to her overall condition—using gentle external therapies, carefully chosen oils, and moderate internal medicines—while keeping vitals and systemic responses under close observation. For anyone with autoimmune disease, it is essential to share full medical history and medications, so the Ayurvedic doctor can adjust intensity, avoid aggravating factors, and, if needed, coordinate with your rheumatologist or primary physician.

Here, over a 15‑day structured program, the guest experienced significant reduction in knee and hip pain, better joint mobility, easier walking, and less stiffness. Acute trauma improves faster; degenerative changes usually respond over weeks rather than days, with the most noticeable changes often appearing after several consecutive therapy days (e.g., after repeated Choorna/Patra Pinda Sweda, Kati Basti, and Matra Basti). Long‑term stability then depends on following discharge medicines and lifestyle advice consistently.

The discharge plan in this case included Triphala choorna at bedtime, external application of Kottamchukkadi + Karpooradi taila, and Neerkovai mathirai with lemon extract, along with clear lifestyle advice. To maintain benefits, guests are asked to avoid excessive walking and strain, keep a healthy body weight, practise joint‑friendly exercises, yoga, and meditation, and occasionally use warm rock‑salt Sweda at home. A Vata‑pacifying diet—warm, freshly cooked, lightly spiced, and nourishing—helps prevent dryness and stiffness from returning, supporting the joints over the long term.

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Medical Disclaimer –All Ayurvedic consultations and treatments at Elephant Pass are provided by qualified Ayurvedic doctors as part of traditional Ayurvedic medical practice. The information on this page is for general awareness about our services and does not replace a personal consultation, diagnosis, or treatment plan from our doctors or your other healthcare providers. Always discuss your individual health condition, current medications, and treatment options directly with a qualified doctor before making medical decisions or changing any ongoing treatment.

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