Category: Arthritis / Bone / Joint Health

Ayurvedic Treatment for Low Bone Density – Symptoms, Causes , Risk Factors & Herbal Remedies

Abstract

Low bone density, often referred to as osteoporosis in advanced cases. It is a condition where bones become weaker and more susceptible to fractures due to a reduction in bone mineral content. This condition typically develops without noticeable symptoms in its early stages, making it difficult to detect without medical testing. Several factors contribute to low bone density, such as aging, hormonal imbalances (especially after menopause), inadequate nutrition (low calcium or vitamin D intake), lack of physical activity, and certain medical conditions or medications. In this article we will discuss this in more and we will discuss its Ayurvedic overview and its management.

Low Bone Density

Introduction

Low bone density is a condition in which bones become less dense, weakening their structure and increasing the likelihood of fractures. It is typically identified through bone density tests. The condition is commonly categorized into two types: osteopenia and osteoporosis. Osteopenia is a less severe form of bone loss, while osteoporosis represents a more advanced stage, leading to significantly higher fracture risk. Osteoporosis is a widespread global health concern, particularly among the elderly, marked by a notable decrease in bone mass that results in fragile bones. In contrast, osteopenia refers to a condition where bone density is reduced but not to a level that severely compromises bone strength. Both conditions are more common with age, and women, especially those post-menopause, face a higher risk due to hormonal changes that impact bone health.

Causes

Low bone density can arise from various factors, which can be grouped into genetic, lifestyle, hormonal, and medical causes –

  • Age – As individuals age, the process of bone renewal slows down, leading to a gradual decrease in bone density. This becomes especially noticeable after the age of 30, as bones lose mass over time.
  • Hormonal Changes in Women – Women are more likely to develop low bone density due to lower peak bone density and accelerated loss after menopause.
  • Natural Lower Bone Density – Some individuals naturally have lower bone density without experiencing bone loss.
  • Peak Bone Density – Bone mass starts to decrease after the age of 30. Thicker bones at age 30 may delay low bone density or osteoporosis.
  • Eating Disorders / Metabolic Issues – These issues can hinder nutrient absorption, leading to low bone density.
  • Chemotherapy or Some Other Medications – Medications like steroids can weaken bones.
  • Radiation Exposure – Damages bone health.

 

Other Risk Factors

  • Family history
  • Thin body type
  • Low physical activity
  • Smoking
  • Alcohol

Symptoms

There are no as such symptoms of Low bone density, some of the Commonly seen sign and symptoms are –

Common Symptoms of Low Bone Density

  1. Frequent fractures
  2. Fractures from light impact
  3. Chronic back discomfort
  4. Height reduction
  5. Hunched posture
  6. Reduced movement
  7. Joint discomfort
  8. Weak grip strength
  9. Fatigue
  10. Difficulty in standing upright
  11. Decreased balance

Diagnosis

1. DEXA Scan (Bone Density Test)

A Dual-Energy X-ray Absorptiometry (DEXA) scan is the most common test used to assess bone density. This painless test measures the mineral content of bones, usually in the spine, hip, or wrist, and helps determine if the bones are weak or at risk for fractures.

2. X-Rays

X-rays may be employed to identify any existing fractures or changes in bone structure, particularly in the spine. However, X-rays are not effective for detecting early bone density loss.

3. Blood Tests

Blood work can help measure levels of calcium, vitamin D, and other factors that influence bone health. Abnormal results, such as low vitamin D or calcium deficiencies, can point to possible issues affecting bone density.

4. Physical Exam

A physical examination may be performed to evaluate posture, balance, and any physical signs of bone weakness or fractures. Doctors may also measure height to detect any reduction in stature due to spinal compression.

5. CT Scan (Quantitative CT Imaging)

In certain cases, a quantitative CT scan may be used to get detailed imaging of the bones. While not a routine procedure, it can offer more specific insights into bone density when necessary.

Treatment

Approaches to Treating Low Bone Density

  1. Medications
    • Bisphosphonates
    • Selective Estrogen Receptor Modulators (SERMs)
    • Hormone Replacement Therapy (HRT)
  2. Supplements
    • Calcium
    • Vitamin D
  3. Lifestyle Modifications
    • Physical Activity
    • Nutritional Adjustments
    • Smoking Cessation
    • Limit Alcohol

Ayurvedic Overview

Low bone density is a condition that leads to increased bone porosity. This condition in ayurveda can be correlated with Asthisoushirya (Weakening of bones). It is not classified as a distinct disease on its own in ayurvedic texts. It is described as a symptom of Majja kshaya. It can be understood as a condition where vitiated vata becomes localized in the Asthi dhatu (Bone tissue), leading to Asthigata Vata, which eventually results in Asthi kshaya (Bone loss). However, it’s important to note that not every instance of Asthigata vata progresses to osteoporosis. Chronic conditions that exhibit clear stages of Asthisaraheenata (Bone depletion) can eventually lead to Asthusushirata (Bone fragility or porosity).

Causes (Nidana)

In general, Vatavyadhi Nidana (causes of Vata disorders) can be considered relevant here, although specific Nidana for Asthigata Vata (Vata in bones) is not explicitly mentioned. When Vata becomes deranged, it settles in the Asthi (bones), leading to Asthi Kshaya (bone loss). Since the Asthi dhatu (bone tissue) is nourished by nutrients circulating through its own channels, and both the Asthi and Asthi Vaha srotas (bone and bone-carrying channels) share similar qualities, factors that disturb the Srotas also disturb the dhatu. Additionally, Asthi and Majja (bone marrow) are interconnected, as Charaka mentions a cooperative relationship between Dhatus, known as “Paraspara Upasamsthabdha Dhatu Sneha Parampara” (mutual nourishment of tissues through a continuous flow of fat). Hence, factors that affect the Asthi Vaha and Majja Vaha srotas contribute to Asthi Kshaya (bone loss).The causes (Nidanas) for Vatavyadhi (Vata disorders) and vata prakopa (Vata aggravation) can be classified as follow –

  1. Dietary factors (Aharaja)
  2. Lifestyle factors (Viharaj)
  3. Mental stress (Mansika)
  4. Trauma (Abhigataja)
  5. Other contributing factors (Anyat nidana)

Aharaj (dietary Factors)

Consuming food that is low in nutritional value, or not taking in enough food (Alpabhojana), can contribute to imbalances. Foods that specifically aggravate Vata (Vatala Ahara) also play a significant role. Overconsumption of foods and drinks that are predominantly Tikta, Katu, and Kashaya in taste, and have the qualities of Rooksha (dry), Laghu (light), and Sita (cold), can intensify Vata dosha. Additionally, prolonged consumption of Virudha Ahara (incompatible food combinations) and Mamsala Ahara (heavy, meat-based foods) disturb the Majja Vaha Srotas (bone marrow channels) and Manovaha Srotas (fat channels), which ultimately have a negative impact on the Asthi dhatu (bone tissue).

Viharaj (Lifestyle factors)

Viharaja (lifestyle factors) that contribute to imbalances include-

  • Excessive exercise (Vyayama) – Overexertion during physical activities can strain the body.
  • Overindulgence in sexual activity (Vyavaya) – Engaging in sexual intercourse excessively can weaken the body.
  • Staying awake at night (Prajagara) – Sleep deprivation or staying awake during nighttime hours disrupts bodily functions.
  • Improper regimen during treatment (Apathya regimen) – Failing to follow appropriate guidelines while undergoing treatment.
  • Excessive blood loss – Losing too much blood, either through injury or medical conditions, can harm the body’s vitality.
  • Suppression of natural urges (Vegadharana) – Holding back natural bodily functions such as urination, defecation, or sneezing can cause harm.
  • Continuous physical stress –Repetitive activities like long journeys, uncomfortable postures while traveling, walking long distances, wrestling with someone stronger, or carrying heavy loads can irritate the body tissues.
  • Lack of exercise, obesity, and daytime sleeping – Insufficient physical activity, excess body weight, and sleeping during the day are factors that disrupt the Medovaha Srotas (fat channels), leading to various health issues.

Symptoms (Roopa)

Manifestations of Asthigatavata (Vata in bones) include the following symptoms

Ayurvedic Symptoms Related to Low Bone Density

  1. Asthiparvanam Bheda – Sharp, breaking pain around bony joints, such as the interphalangeal joints, wrists, cervical spine, lumbar spine, and sacral joints.
  2. Sandhisoola – Pain in the joints, often occurring in various parts of the body.
  3. Mamsakshaya – Muscle wasting or loss of muscle mass.
  4. Balakshaya – Weakness or loss of physical strength.
  5. Asthi Bhagna – Increased susceptibility to bone fractures.

According to Bhela Samhita, when Vata becomes aggravated in the Asthi (bones) and Majja (bone marrow), it leads to a variety of disorders, including –

Complications Related to Bone Weakness and Vata Disorders

  • Fractures of bones due to weakened bone structure.
  • Shivering and wasting of the body.
  • Epilepsy or convulsions.
  • Lockjaw, where the jaw becomes stiff and immobile.
  • Lameness in one or both hands or legs.
  • Joint dislocation due to weakened joints.
  • Other Vata disorders affect various parts of the body.

Treatment

Line of treatment for Low bone density in Ayurveda is –

Panchkarma therapies

  • Sneha Basti (Enema with Ghee)
  • Ksheer Basti (Enema with milk)
  • Abhyanga (Massage with herbal oils)
  • Virechana (Therapeutic Purgation)

Single Drugs used

  • Ashwagandha
  • Vacha
  • Dadima
  • Madhuyashti
  • Vidarikanda
  • Parushak
  • Padam Bijak
  • Guggul

Medicines Used

  • Lakshadi Guggulu
  • Trayodashang Guggulu
  • Yograj Guggulu
  • Praval Pishti
  • Mukta Shuktibhasma
  • Kukkutandatvak Bhasma
  • Kapardika Bhasma
  • Trikatu Churna
  • Panchkol Churna
  • Pippalyadi Churna
  • Ardraka Ghrita

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Herbal Remedies for Low bone density by Planet Ayurveda

Planet Ayurveda is a GMP certified ayurvedic company. They provide a wide range of natural, herbal formulations to support health and manage chronic disease. Planet Ayurveda’s Formulations are 100% pure, natural, chemical free and safe to use. All their formulations are prepared under the supervision of MD (Ayurveda) scholars. Their products focus on holistic care, addressing the root cause of ailments through personalised treatment, and lifestyle modification.

Ayurvedic Supplements for Bone Health

1.Coral Calcium Complex

This capsule is a pure extract of Praval Pishti (Coral), Akik Pishti (Agate), Mukta Pishti (Pearl), Guduchi (Giloy Satva) etc. Coral Calcium Complex can help provide additional calcium, which is crucial for maintaining bone strength.

Dosage: 1 capsule two times a day, with warm water after a meal

2. Lakshadi Guggul

This tablet is a standardized pure extract of Laksha (Laccifer Lacca), Asthisamharaka (Cissus Quadrangularis), Arjuna (Terminalia Arjuna), Ashwagandha (Withania Somnifera), Nagbala (Grewia Populifolia) etc. These herbs help to strengthen bones and enhance calcium absorption, supporting overall joint health.

Dosage: 2 tablets two times a day with lukewarm water after a meal

3. Osteoplan Capsule

This capsule is a standardized pure extract of Ashwagandha (Withania Somnifera), Shatavari (Asparagus Racemosus), Hadjod (Cissus Quadrangularis), Arjuna (Terminalia Arjuna). These capsules help revitalize osteocytes, offer joint lubrication, and meet calcium requirements. They help alleviate joint pain, back pain, neck pain, ankle discomfort, and swelling.

Dosage: 1 capsule two times a day with warm water after a meal

4. Bone Support Capsule

This capsule contains standardized pure extracts of Shudh Laksha (Laccifer Lacca), Shuanjana Beej (Moringa Oleifera), Hadjod (Cissus Quadrangularis), Arjun (Terminalia Arjuna), Praval Pishti (Corallium Rubrum) etc. These herbs enhance calcium absorption, promote joint flexibility, and support overall bone health. They help maintain bone density, reduce fracture risk, and improve mobility.

Dosage: 1 capsule two times a day with warm water after a meal

Conclusion

Low bone density is a condition that affects bone health, and it’s important to approach its treatment in a well-rounded way. Early diagnosis, prevention, and timely treatment are key to managing it. Ayurveda offers a natural method for preventing low bone density by looking at the whole person, including factors like body type, strength, digestion, and lifestyle. Ayurvedic remedies can be used individually or together, based on the person’s specific needs, to help prevent the disease.

 

Osteoarthritis & Joint Pain? Try These Powerful Ayurvedic Herbal Remedies

ABSTRACT

Bone and joint health is essential for the well-being of the bones and joints in your body. Bones provide structure and support, while joints allow movement. Keeping them healthy is important for staying active and pain-free as you age. This involves staying active, eating nutritious foods, and protecting your body from injuries to maintain strong bones and flexible joints. If bone and joint health are not properly maintained, it can lead to various problems, including Arthritis. Arthritis is a condition that involves inflammation of the joints, leading to pain, stiffness, and reduced movement. Over time, if joints are not cared for, they can undergo changes that result in arthritis. With age, the risk of arthritis also increases and if there are underlying comorbidities like diabetes mellitus, the risk gets higher.

Osteoarthritis, Joint pain, Inflammation, Cartilage degeneration, Bone health, Vata dosha, Ayurvedic herbs, Arthritis relief, Joint stiffness, Herbal remedies, Anti-inflammatory, Pain management, Calcium absorption, Ayurvedic treatment for Osteoarthritis, Causes of Osteoarthritis, Symptoms of Osteoarthritis, Herbal Remedies For Osteoarthritis

INTRODUCTION

Osteoarthritis is the most common type of arthritis, affecting millions of people worldwide. Osteoarthritis can damage any joint. Osteoarthritis is a degenerative disease. Most commonly it affects large joints in your body like, knees, hips and spine. In this, degenerative changes occur in joints and also synovial fluid is depleted. The joints are designed to bear the weight of the body and provide mobility. A joint consists of bones, cartilages, tendons, ligaments, synovial fluid, synovial membrane, bursae, and meniscus. Due to degeneration, the cartilage in joints breaks down, the synovial membrane gets inflamed and the synovial fluid gets depleted causing bones to rub together which causes friction in the joints. This leads to development of various symptoms like pain, swelling, stiffness, etc. Sometimes both knees are involved and sometimes only one is involved.

CAUSES/TRIGGERS OF OSTEOARTHRITIS

  1. Wear and Tear (Osteoarthritis): When bones and joints are not kept strong through physical activity and a balanced diet, the cartilage that cushions the ends of bones in the joints can wear away. This leads to bones rubbing against each other, causing pain, swelling, and stiffness.
  2. Injury and Stress: Not maintaining bone strength and joint flexibility can make your body more vulnerable to injuries. Repeated injuries or stress on a joint can lead to the development of arthritis over time.
  3. Being Overweight: Extra weight puts stress on joints like the knees and hips, which can lead to osteoarthritis. BMI of over 30 keeps you at a greater risk.
  4. Repetitive Stress: Repetitive movements or stress on a joint from work or sports can lead to osteoarthritis.
  5. Lack of Nutrients: Nutrients like calcium, vitamin D, and omega-3 fatty acids are essential for bones.
  6. Aging: The risk of osteoarthritis increases with age.
  7. Genetics: A family history of osteoarthritis can increase the risk of developing it. Few genetic conditions like hemochromatosis, Wilson’s disease, and Ehlers-Danlos syndrome can also predispose this.
  8. Joint Deformities: Some people are born with malformed joints or defective cartilage.
  9. Joint Injuries: Injuries to the joints, such as fractures, strains, or cartilage damage, can increase the risk of osteoarthritis.
  10. Metabolic Diseases: Some metabolic diseases, like diabetes, can increase the risk of osteoarthritis.
  11. Sex: Women are more likely to develop osteoarthritis than men, especially after age 55.

SYMPTOMS OF OSTEOARTHRITIS

  • Joint tenderness
  • Weakness and muscle wasting (loss of muscle bulk)
  • Joints appearing slightly larger
  • Limited range of movement in your joints
  • A grating or crackling sound (crepitus) or sensation in your joints
  • Increased pain and stiffness when you have not moved your joints for a while

SIGNS OF OSTEOARTHRITIS

  • Bony enlargement, crepitus, and decreased range of motion
  • Tenderness on palpation at the joint line
  • Pain on joint motion
  • Commonly weight-bearing joints are involved, i.e., knees and hips
  • Sometimes hands are involved, particularly the proximal & distal interphalangeal joints
  • Base of the thumb (first metacarpal joint) is sometimes involved in OA and can even become swollen and be mistaken for wrist involvement

DIAGNOSIS OF OSTEOARTHRITIS

  • X-Ray findings: include osteophyte formation, joint space narrowing, and cysts.
  • MRI: helps to find out changes in cartilage, periarticular structures, and edema in subchondral bone.

TREATMENT/LIFESTYLE ADJUSTMENTS

  • NSAIDs for pain control
  • Steroid injections
  • Use of ortho-friendly footwear
  • Exercises for maintaining joint mobility
  • Weight management
  • Surgery: partial knee replacement, total knee replacement, or joint knee replacement
  • Cartilage grafting can be done with the help of healthy cartilage harvested from the body of the patient only

AYURVEDIC OVERVIEW

Acharya Charaka (Father of Medicine in Ayurveda) has explained about Osteoarthritis which can be correlated to Sandhivata which is explained under Vata-vyadhi Adhaya (diseases due to vitiated Vata dosha) in Chikitsa Sthana. The term Sandhivata is derived from “Sandhi” and “Vata” which means when Vata dosha lodges in Sandhi i.e.,joints causing swelling, pain, restriction of joint movements and other symptoms. Sandhivata commonly affects weight-bearing joints of the body like, knee joint, hip joint.

वातपूर्णदृतिस्पर्शः शोथः सन्धिगतेऽनिले |
प्रसारणाकुञ्चनयोः प्रवृत्तिश्च सवेदना ||

Ancient Reference – [Ch. Chi. 28/37]

In the above Shloka, Acharya Charaka has explained about the symptoms of Sandhivata (Osteoarthritis) stating, when vitiated Vata dosha gets accumulated in joints, it leads to a painful feeling of presence of air within joints i.e., crepitus, swelling, along with painful flexion & extension of joints.

In osteoarthritis as there is asthi dhatu kshaya which results in aggravated vata dosha and thus results in pain and crepitus in the joint.

बाह्याभ्यन्तरतः स्नेहैरस्थिमज्जगतं जयेत् ||

Ancient Reference – [Ch. Chi. 28/93]

Both Bahya (external) and Abhyantar (internal) Snehan are of utmost importance in the treatment of Sandhigata Vata. Bahya Snehan in the form of Janu Basti (Knee basti i.e., a small pool is prepared around knee with black gram flour in which hot medicated oils are poured), Abhyanga (hot oil massage), Dhara (stream of hot medicated oil is poured on knee) can be done.For Abhyantar Snehan, Snehapana with various medicated Ghrita can be done in accordance with the aggravated doshas and the presenting symptoms.

Abhyantara (internal) snehana is helpful in replenishing “meda dhatu” and then subsequently “asthi dhatu” and “majja dhatu” get replenished. Use of “Mahatikta ghrita” is indicated for internal snehan. Use of Janu Basti (Knee basti i.e., a small pool is prepared around the knee with black gram flour in which hot medicated oils are poured) with medicated oils like Ksheerbala tailam is also indicated in osteoarthritis for pain relieving.

Also, the use of “Pinda Swedana” is indicated in painful joints. In this the medicinal paste is prepared with the help of Eranda (Ricinus communis) patra (castor leaves), Nirgundi leaves along with medicated oil or ghee. The paste is heated and then applied to painful joints.

AYURVEDIC HERBS BENEFICIAL IN OSTEOARTHRITIS

1. GUGGUL/COMMIPHORA MUKUL

Acharya Charaka has said guggul to be “medo-anilaharm” i.e., it balances vata dosha and is also helpful in reducing cholesterol levels, thus helpful in obesity. It is also tridosha shamak i.e., balances all the three doshas. Madhur (sweet) rasa balances Vata Dosha, Kashaya (astringent) rasa balances Pitta Dosha and Tikt (bitter) rasa balances Kapha Dosha. It also has “vran-ropan” (wound healing) properties, thus it helps in relieving joint inflammation.

2. NIRGUNDI/VITEX NEGUNDO

It consists of various alkaloids like phenol, vitricine, dulcitol etc. It is a potent Vata and Kapha dosha shamak as it is Laghu (lightness), Rooksha (dry) qualities and Katu (pungent), Tikta (bitter). It is also “Rujapaha” i.e., it relieves pain and thus is useful in arthritic pain.

3. SHALLAKI/BOSWELLIA SERRATA

Its essential oil is called “frankenstein oil”. Shallaki is rich in Glucosamines. These are amino-acids that have anti-inflammatory action that help in relieving joint pain and increase joint mobility and flexibility. It balances Kapha and Pitta dosha as it has laghu (light), Rooksha (dry) properties. Externally Upanaha swedana (application of hot paste) with shallaki is recommended to use in joint pains.

4. ASTHI-SHRINKHALA/CISSUS QUADRANGULARIS

An ancient ayurvedic saying states “यत्र आकृति तत्र गुणा वसन्ति” meaning when something is similar to any body organ or structure, its functioning will be beneficial for that particular body organ. So in this case, Asthi-shrinkhala has a similar appearance to structure of bone and joints, & it is indeed very efficient for strengthening of bones and joints. It is also called “had-jod”. It balances Vata dosha as it is of Madhur (sweet) rasa and Kapha dosha as it has Laghu (light), Rooksha (dry) qualities and Ushna veerya (hot potency).The extract from this plant is rich in calcium ions. Had-jod is also “Bhagna Sandhankara” (helpful in healing broken joints or bones) and “Balya” (helpful in strengthening bones).

HERBAL REMEDIES FOR OSTEOARTHRITIS BY PLANET AYURVEDA

Planet Ayurveda provides a combination of ayurvedic herbs for the management of OSTEOARTHRITIS. With the use of above-mentioned herbs, planet Ayurveda has compiled the “Osteoarthritis Care Pack”. This pack includes Bone Support, Joint Aid Plus, Coral Calcium Complex and Lakshadi Guggul. All the Planet Ayurveda medicines are 100% natural, vegetarian, additive free, chemical & preservative free and without any side effects. With ayurvedic intervention, Osteoarthritis can be managed efficiently and thus, increasing the quality of life.

PRODUCTS DESCRIPTION

Osteoarthritis, Joint pain, Inflammation, Cartilage degeneration, Bone health, Vata dosha, Ayurvedic herbs, Arthritis relief, Joint stiffness, Herbal remedies, Anti-inflammatory, Pain management, Calcium absorption, Ayurvedic treatment for Osteoarthritis, Causes of Osteoarthritis, Symptoms of Osteoarthritis, Herbal Remedies For Osteoarthritis

1. BONE SUPPORT

These capsules are prepared from the standardized extract of herbs like Shudha Laksha (Laccifer lacca), Hadjod (Cissus quadrangularis), Sehjan (Moringa oleifera), Arjun (Terminalia arjuna), Mukta (Compound of Pearl Calcium) and Praval pishti (Corallium rubrum). These are helpful in increasing calcium absorption as well as increasing bone density. In addition, the formulation helps in strengthening the cartilages as well and improves joint mobility. Hadjod in it enhances bone density, and Arjuna helps in better circulation. Also Praval Pishti and Mukta increase the natural calcium levels in the body.

Dosage: 1 capsule twice a day with plain water after meals.

2. JOINT AID PLUS

These capsules are prepared from the standardized extract from the herbs like, Shallaki (Boswellia serrata), Guggul (Commiphora mukul), Nirgundi (Vitex Negundo), Shunthi (Zingiber officinale), and Ashwagandha (Withania Somnifera). These herbs are helpful in reducing inflammation and strengthening of joint and bones. Guggul and Shallaki are helpful in reducing characteristic pricking pain which is increased on movement by pacifying the aggravated Vata dosha. Moreover, the presence of Shunthi in it aids digestion and Ashwagandha provides strength to the muscles and ligaments. This formulation has given effective results in almost all types of joint related conditions.

Dosage: 1 capsule twice a day with plain water after meals.

3. CORAL CALCIUM COMPLEX

These capsules are prepared from the standardized extract from the herbs like, Shallaki (Boswellia serrata), Guggul (Commiphora mukul), Nirgundi (Vitex Negundo), Shunthi (Zingiber officinale), and Ashwagandha (Withania Somnifera).These herbs are helpful in reducing inflammation and strengthening of joint and bones. Guggul and Shallaki are helpful in reducing characteristic pricking pain which is increased on movement by pacifying the aggravated Vata dosha. Moreover, the presence of Shunthi in it aids digestion and Ashwagandha provides strength to the muscles and ligaments. This formulation has given effective results in almost all types of joint related conditions.

Dosage: 1 capsule twice a day with plain water after meals.

4. LAKSHADI GUGGUL

Lakshadi Guggul is a classical preparation that is available in the form of capsules. It is prepared with the standardized extract of Laksha (Laccifer lacca), Asthisambharaka (Cissus quadrangularis), Arjuna (Terminalia arjuna), Ashwagandha (Withania somnifera), Nagabala (Grewia populifolia) and Guggul (Commiphora mukul). The Guggul and Ashwagandha are helpful in balancing the vitiated Vata dosha thus relieving pain. The Arjuna enhances the blood circulation. As it is also a rich source of calcium, it accelerates the healing process in the joints. Asthi shrinkhala is used to soothe the ligaments and for increasing the bone density.

Dosage: 1 tablet twice a day with plain water after meals.

CONCLUSION

To prevent arthritic changes, it’s important to maintain good bone health through regular physical activity, a balanced diet, staying hydrated, and avoiding excess strain or injury to your joints. Timely intervention can help slow down the progression of the disease and increase the chances of achieving positive results. The treatment protocol depends on the involvement of doshas. Selection of drugs for treatment of Sandhivata on the basis of its Kriyalakala (stage of disease manifestation in the body) can provide accurate results. Early diagnosis of Sandhivata such as through symptoms or screenings, can lead to better treatment and a higher chance of successful recovery.