Knees that hurt on stairs, swell by evening, and have started deciding where you will and will not go.
What it looks like: Pain going down stairs more than up; Stiffness for the first few minutes after sitting; Swelling or warmth around the joint by evening; A creaking or grating sound on bending; Difficulty squatting or sitting cross-legged.
Ayurveda calls degenerative knee disease Sandhigata Vata — Vata settled in the joint, drying the synovial cushioning that keeps the surfaces apart. The classical reading matches what imaging shows: loss of joint space and lubrication. Treatment is therefore about restoring unctuousness locally, not about painkilling.
Jaanu Vasti holds warm medicated oil over the knee inside a dough ring for about thirty minutes per knee. Podi Kizhi or Upanaha Lepam is used where there is swelling, since a dry, warm application suits an inflamed joint better than more oil. Internal medicines and a weight and diet plan run alongside, because every kilogram carried is load the joint has to take.
Typical course: 14 sessions is typical, with an internal course continuing after.
When to see a doctor first, not us: A hot, red, very painful joint with fever, an inability to bear weight after an injury, or a knee that locks and will not straighten — that needs an orthopaedic assessment first.
Assessed at Sri Vinayaga Ayurvibe, a government-certified Ayurveda hospital at Nookampalayam, Perumbakkam, Chennai 600131 — reachable from Sholinganallur, Medavakkam, OMR, Velachery, Pallikaranai and Tambaram. Open every day, 10 AM to 8 PM.
Sri Vinayaga Ayurvibe — 12/597, Main Road, Nethaji Nagar Main Rd, Nookampalayam, Perumbakkam, Chennai 600131. Phone: +91 81229 39197.