Top Health Tips on Treating OsteoArthritis

Osteoarthritis - Symptoms And Treatment!

MBBS, MD - Medicine, FACC, FRCP
Internal Medicine Specialist, Delhi
Osteoarthritis - Symptoms And Treatment!
The human body is able to move fluidly because there are various joints, muscles, tendons and cartilages that work together to make this happen. Movements of the hands, legs, back, hips, knees and wrists are controlled this way. For various reasons, however, these tissues grow stiff, thereby, reducing free movement. Any movement causes pain and stiffness and swelling of the joints, which forces the patient to reduce physical activity. This reduced activity further leads to the joints becoming stiff, thus putting the patient in a difficult position.

What causes it?

The ends of the bone are covered by softer tissue called cartilage, which is responsible for allowing the free movement. In patients with osteoarthritis, this cartilage is lost and the bones rub against each other, producing pain and a crackling sound with the movement. Some of the most common causes include the following:

Age is the most common cause for osteoarthritis, with lifestyle habits playing a major role in this condition. Most joints would be affected here.
Obesity is another major cause for osteoarthritis, as the additional weight of the person puts extra pressure on the knees and the legs, leading to the wearing of the joints. The back and lower extremities are more affected than the hands in this case.
Joint injuries are another common cause for osteoarthritis, which is more localised to the area of injury.
What are the signs and symptoms?

As noted already, painful movement is the most common symptom of osteoarthritis. There could also be swelling and redness around the affected joint(s).
Diagnosis: The doctor will usually be able to identify osteoarthritis after an examination, but in some cases, an X-ray or MRI may be required to confirm the diagnosis.

Treatments available

The treatment for osteoarthritis is multipronged.

For immediate relief of the pain, non-steroidal and anti-inflammatory drugs are used. In cases of localised symptoms, even topical creams or gels may be used.
Weight loss is extremely essential, if there is obesity that is causing the osteoarthritis.
Vitamins and supplements in good amounts can improve bone health and help in preventing and reversing the damage in some patients.
Heat therapy has proven to be quite useful in many cases to provide temporary relief
As much as the movement of the joints is painful for the patient, it is only with regular exercise that the joints can be made more flexible and mobile.
The affected joints need to be specially cared for by avoiding injury and reducing unnecessary movements.
Role of physiotherapy in the management of OA - Strengthening exercises, Taping, Manual therapy, Education/lifestyle changes, Modalities, Agility and perturbation training.
The definitive therapy of OA is joint replacement (total/partial knee/hip joint replacement).
In addition, support groups and counselling may also help significantly in patients who find their quality of life being reduced due to this condition. Remember, not all is lost with osteoarthritis. It is definitely possible to get your life back to its earlier days when you were able to move about freely.
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Fast Facts You Must Know About Osteoarthritis of Knee Joint!

MBBS, MS - Orthopaedics
Orthopedic Doctor, Chennai
Fast Facts You Must Know About Osteoarthritis of Knee Joint!
In medical terms, Osteoarthritis is referred to a disease of the joints. It mostly affects the cartilage or the slippery tissue, which helps to cover the ends of bones in a joint. A proper cartilage helps in gliding of the bones one over the other. In osteoarthritis, the cartilage s top layer gets damaged or breaks down. This leads to rubbing of the bones and swelling, pain or loss of motion. As the time passes by, the joint may lose its shape. There is also a possibility of developing bone spurs from the edges of the joint. This causes pain and damage.

People suffering from osteoarthritis often complain of joint pain and experience reduced motion. Unlike the other kinds of arthritis, this affects only the joints and does not interfere with the working of internal organs. It is the most common form of arthritis. It mainly occurs in older people. In younger ones, osteoarthritis may occur due to joint injuries.

What Causes Osteoarthritis?
It is caused due to ageing. But there are certain other risk factors that have to be kept in mind. This include:

Excess body weight or obesity
Old age
Joint injury
Improper formation of joints
Defective genes
Stress on the joints
What are the symptoms?
It can develop in any joint in the body. But it mainly occurs in the hands, knees, hips, and spine. The symptoms that indicate towards its occurrence are as follows:

Stiffness in a joint, especially as you get out of bed or sit for a long period of time.
Swelling or tenderness in the joints.
A crunching feeling.
Sound of bone rubbing.
Diagnosis
It cannot be diagnosed by a single test. It takes several methods to detect its symptoms. tHerefore, a combination of tests are conducted, including physical examination, X-rays, blood tests or examination of the fluid in the joints.

How Is It Treated?
It requires a combination of treatments to meet a patient's needs, as per his or her lifestyle, and health. The treatment has four main goals:

To improve function of the joints
Maintain a healthy body weight
It is important to control the pain
Efforts to achieve a healthy lifestyle
The treatment plan or sketch will involve focus on the following things:

Exercise
Weight control
Rest and joint care
Techniques to get relief from pain without the use of drugs
Medications
Therapies
Surgery
6213 people found this helpful

Osteoarthritis - Everything You Should Be Knowing!

Multi Speciality, Navi Mumbai
Osteoarthritis - Everything You Should Be Knowing!
The most common form of arthritis is osteoarthritis and unlike rheumatoid arthritis, the cause of osteoarthritis is not due to any inflammation such as the immune system attacking the joints. Rather, the cause of osteoarthritis can be attributed to the wear and tear of the protective cartilage on your bones over time. The most common parts of your body which may get affected by osteoarthritis are the knees, hands, and spine. Even though osteoarthritis cannot be cured, it is worth noting that the symptoms can be well managed.

Here is everything you need to know about osteoarthritis:

Symptoms:



Intense pain in your joint: This is the most common symptom indicating that you may have osteoarthritis.
Tenderness in your joint: If after applying a little pressure, your joint feels tender, then it can be considered a sign of osteoarthritis.
Stiffness in your joint and loss of flexibility: If you feel stiff after a period of inactivity such as waking up in the morning, it's likely you have osteoarthritis. This may also mean that you may not be able to make movements you were previously able to due to the stiffness in your joint.
Bone spurs: You may also feel extraneous bits of bone from around the affected joint.
Causes:

The most common cause of osteoarthritis is old age. As you grow older, the cartilage that cushions your bones begins to deteriorate. Without this cartilage to cushion your bones, different bones might rub against one another, thus causing the pain you feel.

Treatment:

As mentioned earlier, it is not possible to cure osteoarthritis, but the pain can only be managed. Here are the best ways to manage pain from arthritis.

Medications: Depending on how severe your pain is and whether it is chronic or acute, you may be given drugs such as ibuprofen or acetaminophen.
Physical therapy: An exercise routine can be worked out between you and your physical therapist so that your pain reduces and you are able to regain the range of movements you had before you were affected by osteoarthritis.
Surgery: There are a number of surgeries which can be done to reduce your pain; ranging from a simple lubrication surgery by using hyaluronic acid all the way to a complete joint replacement.
6209 people found this helpful

Osteoarthritis - Ayurvedic Procedures To Cure It!

Bachelor of Naturopathy & Yogic Sciences (BNYS), M.sc in yoga and naturopathy, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Bachelor of Physiotherapy
Ayurvedic Doctor, Delhi
Osteoarthritis - Ayurvedic Procedures To Cure It!
Osteoarthritis is a common disorder that affects the joints in the body. It is characterized by wear and tear of the cartilage present in the bones which lead to pain and mobility issues. The disorder mostly affects the joints in the hips, spine, knees and the hands. This disorder can t be cured; the symptoms, however, can be managed.

Symptoms

The symptoms of osteoarthritis are progressive in nature and tend to worsen with time. You will experience pain in the affected joint, leading to limited mobility. Joint stiffness occurs when you wake up in the morning or when you have been inactive for a long period. You will also experience a grating-like sensation when the respective joint is being used.

Causes

This condition occurs when the protective cartilage around the bones tend to deteriorate. The function of the cartilage is to allow the joints to move without friction. In this disorder, the surface of the affected cartilage turns rough, ultimately resulting in complete damage. This leads to loss of the protective cushion of the bone, making the bone rub on other bones. There are certain factors that make you prone to osteoarthritis, some of them are:

Aging increases the risks of this disorder.

Women are more prone to this disorder as compared to men.

Obesity puts added stress on the joints.

It might be hereditary as well.

Ayurvedic Treatment

Ayurveda is a holistic system of medicine that balances the different energies in the body to keep you healthy. Ayurveda believes in the fact that a disorder in the body occurs when there is an imbalance in the respective doshas Vata, Pitta and Kapha. The idea is to get the doshas in order in order to get relief from the symptoms of this disorder. Osteoarthritis, or for that matter any disorder occurs due to the imbalance of the Vata dosha . The Ayurvedic treatments for this condition is Pachkarma therapy.

Panchakarma is the elimination of doshas from the body. It is one of the peculiarities of Ayurveda. Since according to Ayurveda, disease is the result of imbalance of doshas, when the increase of dosha is in a large quantity the best way to get cured faster is expelling the doshas out. These procedures (Karmas) are five (Pancha) and hence they are described as Panchakarma i.e. five procedures. These are to be performed not only by the patient for getting them cured but even by healthy persons for maintaining the health.

Vamana: This is the elimination of doshas by the process of emesis. This is particularly useful for diseases arising from kapha and also from pitta. Diseases like chr. bronchitis, asthma, skin diseases, allergies, herpes, diabetes, sinusitis, osteoarthritis, hyperacidity are best dealt with this procedure. The best season for doing this procedure is Spring or even Autumn .
Virechana: In this procedure, loose motions are produced to eliminate the doshas. This is very useful in diseases caused by pitta dosha e.g. Hyperacidity, herpes, gulma (Type of tumor) jaundice, osteoarthritis, anemia, skin diseases etc. The best season for this procedure is autumn .
Basti: The procedure is important for the Vata dosha mainly, but can be used for Kapha and pitta and for all sorts of diseases also. In this procedure enema with herbal decoction, oil, honey and salt is given. Since it has a direct action over the large intestine, which is the main site of Vata dosha, it acts instantaneously. The procedure is especially useful for all kinds of diseases caused by Vata Dosha e.g. back ache, arthritis, osteoarthritis, dystrophies, multiple scherosis, muscle waisting etc. The best season for this procedure is the rainy season.
6163 people found this helpful

Garlic (Lehsun) - Reasons Why It Is So Healthy!

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurvedic Doctor, Delhi
Garlic (Lehsun) - Reasons Why It Is So Healthy!
Although a vegetable, garlic is primarily classified as a spice and is used in many dishes across cultures. However, apart from the pungent smell which is the most known characteristic of garlic, it also has medicinal properties and thus, was even used by healers for various ailments before the advent of modern medicine.

Some of the reasons garlic is considered healthy
Garlic is considered healthy for a multitude of reasons. Let's look at some of the ailments that garlic can prevent as well as help in healing.

Great against common cold: Garlic and garlic based homemade treatments are great ways to ward of the common cold. Garlic contains the chemical "allicin" which is known to aid health within the body. Having a few cloves or garlic can help you fight the common cold infection.
It is known to improve bone health: Garlic is known to be very beneficial for bone health, especially in menopausal women. Women may encounter bone loss during menopause as the production of estrogen is lowered. Garlic encourages estrogen production which can stop bone loss and even protect against bone problems such as osteoarthritis.
Is an effective agent in lowering blood pressure: Hypertension is a known killer all across the world. Garlic contains polysulfides which are effective in vasodilation or the widening of the blood vessels and also relaxation of the muscles. This helps blood pressure being lowered within the body and is an effective home remedy if consumed in controlled amounts.
Reduces fatigue and is a performance enhancer: Garlic is known to reduce fatigue within people as it controls the heart rate by lowering blood pressure. Whether it is an athletic performance or other physical work related performance requirements, this spice tends to give an extra boost.
Controls LDL cholesterol, thereby reducing chances of heart disease: LDL cholesterol, also known as bad cholesterol, is controlled by allicin as it improves liver functions. The liver can then break down LDL cholesterol easily and thus also helps in preventing arteriosclerosis. Garlic is also known to prevent blood clots that lead to heart attacks.
Garlic has anti-parasitic and anti-bacterial properties: Garlic has been known throughout the ages to be an affective antibacterial and anti-parasitic agent. Garlic extracts or small amounts of garlic in your diet can help you build up immunity and also kill infections within your system effectively. It is also known to be very effective against tapeworm infestations within the gut.
6161 people found this helpful

How Effective Is Acupuncture Against Osteoarthritis?

Bachelor in TCM, Diploma in Acupuncture, Diploma in Naturopathy & Yogic Science (DNYS)
Acupuncturist, Mumbai
How Effective Is Acupuncture Against Osteoarthritis?
"Acupuncture for osteoarthritis
Is osteoarthritis stopping you from living your life to the fullest? Is it causing the unnecessary pain that you are finding incredibly difficult to handle? If conventional methods are not making your condition any better, you can look at alternative methods. Acupuncture, an alternative treatment method, has been observed to be very effective in treating osteoarthritis.
What is acupuncture?
Acupuncture is a type of alternative medicine in which fine needles are placed into the body at certain points along the body which are known as lines of energy. This is a traditional form of Chinese therapy which enhances the wellbeing of the body and the mind.
What are the benefits of acupuncture?
Acupuncture can help with a lot of health ailments and conditions and is considered to be relatively safe. It rarely has any side-effects. Some of the benefits of acupuncture are the following:
1. Reduces chronic back pain and knee pain.
2. Provides relief from migraines.
3. Helps in treating anxiety.
4. Good for the treatment of arthritis.
5. Helps in decreasing insomnia.
6. Works towards preventing vomiting and nausea.
7. Reduces indigestion and heartburn.
How can acupuncture help in dealing with osteoarthritis?
Acupuncture is a mode of treatment that has been practised for at least a thousand years by the Chinese and plays a very important part in the field of traditional Chinese medicine. It is also considered to be a very helpful method for treating osteoarthritis and reducing the pain that comes with it. Professionals who carry out the procedure of acupuncture are known as acupuncturists. They place slim needles on the skin at certain points of the body for treating osteoarthritis. Acupuncture believes that our health is ruled by the energy flow throughout our body across pathways called meridians . Our health deteriorates when this energy flow gets disturbed, this can be rectified by acupuncture.
When an acupuncture needle is inserted into the body, a number of physiological changes take place. If the needle is inserted properly, it creates a signal that moves along the spinal column to the brain. This sets off the release of neurotransmitters like endorphins which helps in reducing the feeling of pain. An acupuncture needle, when placed properly, can help in the generation of the hormone, cortisol, which helps in controlling swelling. This method of treatment can also help in the secretion of other pain-relief hormones in the human body.
Studies have shown that after 6-8 months of getting an acupuncture treatment, a lot of patients show significant improvement. They felt a lot less pain and also functioned a whole lot better.
Acupuncture may be an unconventional mode of treatment but it is known to work well and deliver results. Moreover, this method of treatment is relatively safe and free of side effects. So, instead of popping pills every time you experience pain, consult an acupuncturist.

"
6076 people found this helpful

Know How Homeopathy Helps to Manage Obesity!

BHMS, VLIR Belgium, Canadian Academy Of Homeopathy
Homeopathy Doctor, Navi Mumbai
Know How Homeopathy Helps to Manage Obesity!
Obesity and the role of homoeopathy in its management

Obesity is a condition associated with having too much fat or adipose tissue in the body. A person having a Body Mass Index of 30 or more is called obese.
If not treated in time, obesity can put you at risk for over 40 chronic medical conditions including, but not limited to High cholesterol, Type 2 diabetes, Heart disease, Gallstones, Hypertension, Sleep apnoea (shallow breathing when you sleep), Osteoarthritis, Respiratory problems, Certain cancers (colon, breast and endometrial).

Primary causes of Obesity

When it comes to causes, there are several that directly or indirectly give rise to this health condition. Some of them are lack of physical activity, unhealthy eating habits and poor diet, family history, lack of sleep, use of certain medications.

Role of Homeopathy in Obesity Treatment

Homeopathy treats obesity with remedies for the different aspects of the condition prescribed on the basis of the causes, symptoms of obesity and patient s disposition. Before arriving at the right remedies, a homeopath goes through your case history to ascertain whether you re predisposed to this health condition. Factors like lifestyle and eating habits, along with other health conditions, are also taken into account for coming up with the right treatment plan.

How does it work?

The remedies that are prescribed to treat the condition work by regulating your body s metabolic processes, and improving your digestive system. More specifically, while lowering your food intake they act on your digestion and absorption powers, so that there s less fat build-up. At the same time, these remedies also help in reducing the effects that low food consumption may cause namely, fatigue and hyperacidity. Again, in contrast to conventional medicines that operate by inducing a feeling of full stomach or limit the absorption of nutrients, homeopathy remedies work by treating the symptoms responsible for weight gain by working on improving your metabolism.

What are the remedies offered by homeopathy?

For this health condition, homeopathy offers about 189 remedies that are tailor-made to suit your specific condition. A remedy for an obese child would be different from the one that has been prescribed for a menopausal woman. Likewise, there are specific homoeopathic remedies for obesity caused by hypothyroidism. A homeopath is the best person to guide you on the appropriate remedies specific to your case.
Homeopathy, as an alternative branch of medicine, provides you with a safe and holistic solution for removing excess fat from your body, consequently leading weight loss.
5990 people found this helpful

Osteoarthritis - Homeopathic Treatment For It!

BHMS
Homeopathy Doctor, Kolkata
Osteoarthritis - Homeopathic Treatment For It!
Osteoarthritis (OA) is a degenerative disease that affects the various bone and joints health, leading to painful movement and thereby limiting the patient's mobility. Knees, hips, joints of hands and legs are affected.

Symptoms of OA

The symptoms revolve around the bones and joints including:

Pain and stiffness of the joints
Swelling of the joints
Inability to form a clench
Difficulty holding things
Stooped posture
Weakness of legs and hands
Reduced height over time
Treatment options in allopathy are limited to nonsteroidal analgesics to control pain and in severe cases, surgical correction, in case of OA. However, homeopathy takes into account the triggering symptoms, the associated symptoms, and the status of the immune system before deciding on a treatment regimen.

With this holistic approach, homeopathy achieve the following:

Reduce the pain, swelling and stiffness
Slows the pace of further degeneration
Improves mobility of the affected joint(s)
Improves the body's overall immune system, thereby allow the body to promote healing on its own
Homeopathic intervention in the early phases is particularly helpful, as it will arrest disease progression
It also enable better absorption of minerals and nutrients essential for bone health. This allows healing of existing bone fractures and avoids further bone damage by strengthening the bones
Homeopathic treatment also enables the body's chemical state to withstand stress and illnesses better
It vitalizes the body's natural healing and ability to repair itself, to create a better state of health and well-being
Some of the popular homeopathic medications based on areas and associated symptoms are listed below:

Knee joints:

Bryonia Alba: Pain worsened with movement, relieved with rest; associated with swelling and stiffness of the joints; difficulty in climbing stairs.
Calcarea Carbonica: Swelling and pain that is worsened when getting up from a seated position. The joints feel cold and painful.
Sulphur: Worse with climbing stairs, prolonged standing, feeling of warmth in the knees.
Hip Joints:

Colcynthis: Cramping pain improved by pressure.
Rhus Toxicodendron: Pain when getting up from a seated position.
Pulsatilla Nigricans: Associated with muscle stiffness and cramping.
Finger joints:

Antimonium Crudum: The pain pain gets worse in cold weather, improved by applying something warm)
Benzoic Acid: There is an associated crackling sound when the fingers are moved or if there are nodes in the area of joints. . The urine is highly offensive in these people.
Calcara Fluorica: There are stony hard nodes formed in the joint area, greatly reducing the mobility.
These medications are safe, completely natural, do not induce habit formation, and are approved by FDA. They don't just treat the symptoms but help manage the patient as a whole. This justifies why homeopathy is definitely a good option in treating osteoarthritis.
5983 people found this helpful

Physiotherapy Treatment For Cervical Osteoarthritis!

BPTh/BPT, Bachelor In TCM, DTCM
Physiotherapist, Mumbai
Physiotherapy Treatment For Cervical Osteoarthritis!
Cervical osteoarthritis is also known as cervical spondylosis. It is a medical condition which involves changes in the joints of neck, bones and discs. This is generally caused due to the deterioration of the muscles owing to old age. With age, the cervical spine breaks down and loses all its fluids. This leads to stiffness in the spine. It occurs usually in middle aged and old aged people. This causes stiffness and severe neck pain. Corrective surgery is helpful to cure Cervical Osteoarthritis.

Symptoms of Cervical Osteoarthritis:

Pain and stiffness in the neck.
Headache which usually emerges from the neck.
Severe pain in the arms and shoulder.
Not being able to turn the head or neck fully while driving.
Muscle spasm and abnormal reflexes.
Grinding sensation or noise caused while bending the neck.
Cervical Osteoarthritis can be cured by physiotherapy in the following ways:

Heat modalities- In this method the pain and stiffness is reduced by putting heat on the affected area. This type of therapy is called heat therapy.
Neck exercise- Regular stretching and bending exercises for the neck can reduce pain and stiffness
Manipulating therapy- This form of therapy is used by massage therapists. They massage and manipulate the joints so that the muscles can function smoothly.
Hydrotherapy- This therapy involves exercising in a pool. Hydrotherapy is extremely beneficial for people having severe joint pain and stiffness.
Cervical traction- This is a common non-surgical treatment which cures pain in the neck by opening the cervical foramen (hole or passage).
Physiotherapy is the most natural and safe way of curing cervical osteoarthritis. If you are diagnosed with cervical spondylosis, you should start physiotherapy as soon as possible.
5738 people found this helpful

Osteoarthritis - How To Deal With It?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Post Graduate Diploma in Hospitality Administration (PGDHA)
Sexologist, Lucknow
Osteoarthritis - How To Deal With It?
Osteoarthritis is a common disorder that affects the joints in the body. It is characterized by wear and tear of the cartilage present in the bones which lead to pain and mobility issues. The disorder mostly affects the joints in the hips, spine, knees and the hands. This disorder can t be cured; the symptoms, however, can be managed.

Symptoms

The symptoms of osteoarthritis are progressive in nature and tend to worsen with time. You will experience pain in the affected joint, leading to limited mobility. Joint stiffness occurs when you wake up in the morning or when you have been inactive for a long period. You will also experience a grating-like sensation when the respective joint is being used.

Causes

This condition occurs when the protective cartilage around the bones tend to deteriorate. The function of the cartilage is to allow the joints to move without friction. In this disorder, the surface of the affected cartilage turns rough, ultimately resulting in complete damage. This leads to loss of the protective cushion of the bone, making the bone rub on other bones. There are certain factors that make you prone to osteoarthritis, some of them are:

Aging increases the risks of this disorder.

Women are more prone to this disorder as compared to men.

Obesity puts added stress on the joints.

It might be hereditary as well.

Ayurvedic Treatment

Ayurveda is a holistic system of medicine that balances the different energies in the body to keep you healthy. Ayurveda believes in the fact that a disorder in the body occurs when there is an imbalance in the respective doshas Vata, Pitta and Kapha. The idea is to get the doshas in order in order to get relief from the symptoms of this disorder. Osteoarthritis, or for that matter any disorder occurs due to the imbalance of the Vata dosha . The Ayurvedic treatments for this condition is Pachkarma therapy.

Panchakarma is the elimination of doshas from the body. It is one of the peculiarities of Ayurveda. Since according to Ayurveda, disease is the result of imbalance of doshas, when the increase of dosha is in a large quantity the best way to get cured faster is expelling the doshas out. These procedures (Karmas) are five (Pancha) and hence they are described as Panchakarma i.e. five procedures. These are to be performed not only by the patient for getting them cured but even by healthy persons for maintaining the health.

Vamana: This is the elimination of doshas by the process of emesis. This is particularly useful for diseases arising from kapha and also from pitta. Diseases like chr. bronchitis, asthma, skin diseases, allergies, herpes, diabetes, sinusitis, osteoarthritis, hyperacidity are best dealt with this procedure. The best season for doing this procedure is Spring or even Autumn .
Virechana: In this procedure, loose motions are produced to eliminate the doshas. This is very useful in diseases caused by pitta dosha e.g. Hyperacidity, herpes, gulma (Type of tumor) jaundice, osteoarthritis, anemia, skin diseases etc. The best season for this procedure is autumn .
Basti: The procedure is important for the Vata dosha mainly, but can be used for Kapha and pitta and for all sorts of diseases also. In this procedure enema with herbal decoction, oil, honey and salt is given. Since it has a direct action over the large intestine, which is the main site of Vata dosha, it acts instantaneously. The procedure is especially useful for all kinds of diseases caused by Vata Dosha e.g. back ache, arthritis, osteoarthritis, dystrophies, multiple scherosis, muscle waisting etc. The best season for this procedure is the rainy season.
5615 people found this helpful