Osteoarthritis (OA) is the most common form of arthritis, affecting millions of people worldwide. It is characterized by the progressive degeneration of articular cartilage, subchondral bone remodelling, and synovial inflammation. The condition primarily affects weight-bearing joints such as the knees, hips, spine, and hands, leading to pain, stiffness, and reduced mobility.
While modern medicine focuses on symptom management—primarily through NSAIDs, corticosteroids, physical therapy, or joint replacement—Ayurveda offers a holistic approach aimed at correcting the root imbalance and restoring the body’s natural equilibrium.

Ayurvedic Understanding of Osteoarthritis
In Ayurveda, osteoarthritis can be broadly correlated with a condition known as ‘Sandhivata’, a subtype of Vatavyadhi (disorders due to aggravated Vata Dosha).
Pathogenesis (Samprapti)
1. Dosha: Predominantly Vata dosha vitiation.
2. Dushya: Asthi (bone), Majja (bone marrow), and Shleshaka Kapha (lubricating synovial fluid).
4. Srotas: Asthivaha and Majjavaha Srotas (channels of bone and marrow).
5. Samprapti (Pathogenesis) : The vitiated Vata dries up the Shleshaka Kapha that provides lubrication to the joints, resulting in joint pain, swelling, stiffness, cracking sounds, and deformities.

Ayurvedic Treatment Modalities
Real-life strategy to reach your goals.
Ayurveda approaches osteoarthritis holistically by balancing the doshas, enhancing digestion (Agni), and restoring joint function through:
1. Shamana Chikitsa (Palliative Therapies)
These include internal medications to pacify Vata and reduce inflammation. The Ayurvedic Practitioner would prescribe suitable compound recipes in the form of decoctions or single herbs. Few examples are given below, but you should not use them without consulting a qualified Ayurveda physician.
1. Rasnasaptaka Kashaya
2. Maharasnadi Kashaya
3. Simhanada Guggulu
4. Ashwagandha Churna
5. Shallaki (Boswellia serrata) – anti-inflammatory
6. Guduchi (Tinospora cordifolia) – immunomodulatory
2. Shodhana Chikitsa (Detoxification Therapies)
Recommended in chronic or aggravated conditions:
Vasti (Medicated enema): Particularly Anuvasana Vasti and Niruha Vasti using oils like Mahamasha Taila, Dhanwantara Taila, etc.
3. External Therapies
- Abhyanga (Therapeutic massage): With oils like Mahanarayana Taila. Abhyanga (Oil
Massage) with oils such as Shulahara Taila can be used daily to ease the pain. - Pizhichil: Warm oil bath.
- Kati Basti: Retaining warm oil over the lower back/knees.
- Janu Basti: For knee osteoarthritis.
- Patra Pinda Sweda (herbal bolus fomentation).
- Lepa (herbal paste application).
- Agni karma (Special heat treatments of vital points.
4. Scientific Research on Ayurvedic Interventions in OA
Scientific Research on Ayurvedic Interventions in OA Modern studies have validated many Ayurvedic interventions:
(Disclaimer: One should not use any herb without consulting a qualified Ayurveda Physician and this information are only for the knowledge purpose).
1. Boswellia serrata (Shallaki)
Efficacy: Anti-inflammatory and analgesic effects comparable to NSAIDs.
Study: Kimmatkar et al. (2003) showed significant improvement in knee OA symptoms with Shallaki extract. [Ref: Kimmatkar N, et al. Phytomedicine. 2003;10(1):3-7.]
2. Ashwagandha (Withania somnifera)
Effect: Reduces pain, inflammation, and supports cartilage regeneration.
Study: A randomized trial reported reduced pain and disability in OA patients. [Ref: Singh G, et al. Indian J Med Res. 2015;141(3):267-275.]
3. Panchakarma Therapies
Study: A clinical trial demonstrated significant improvements in pain and stiffness after Basti Karma and Abhyanga-Swedana.[Ref: Chopra A, et al. J Clin Rheumatol. 2004;10(5):236–245.]
4. Yograj Guggulu
Proven to reduce inflammatory markers and provide joint relief. [Ref: Kulkarni RR, et al. Ancient Sci Life. 1991;10(3):163–167.]
Dietary Recommendations for Osteoarthritis Management: Evidence-Based Insights
Diet plays a crucial role in the management of osteoarthritis (OA), particularly in modulating inflammation and supporting joint health. Anti-inflammatory diets rich in antioxidants, omega-3 fatty acids, and phytochemicals have shown promise in reducing OA symptoms. Foods such as fatty fish (salmon, mackerel), rich in EPA and DHA, have been associated with decreased joint pain and stiffness. A randomized controlled trial published in Annals of the Rheumatic Diseases found that omega-3 supplementation significantly reduced pain intensity in knee OA patients (Zainal et al., 2021). Fruits and vegetables, especially those high in vitamin C (like oranges and bell peppers), support collagen formation and cartilage repair, while polyphenol-rich foods like green tea and berries possess cartilage-protective properties. Curcumin, the active compound in turmeric, has demonstrated efficacy in several trials, including a 2020 meta-analysis that confirmed its comparable effect to NSAIDs in reducing pain and improving function in OA (Daily et al., 2016; Bannuru et al., 2018). Conversely, processed foods, refined sugars, and red meats may exacerbate inflammation and should be limited. An overall Mediterranean-style diet, emphasizing whole grains, legumes, lean proteins, olive oil, and ample vegetables, has been correlated with better joint outcomes and reduced OA progression (Grosso et al., 2018).
Here is a sample Vata-pacifying meal plan tailored to support osteoarthritis management,
integrating Ayurvedic principles with modern nutritional science. This plan is designed to
be anti-inflammatory, nourishing, and easy on digestion, while promoting joint lubrication
and reducing Vata aggravation.
Sample 3-Day Meal Plan for Osteoarthritis Support (Vata-Pacifying)
General Guidelines
- Warm, moist, and cooked foods are best.
- Use ghee, olive oil, or sesame oil liberally (within reason).
- Avoid cold, raw, dry, or processed foods.
- Favor anti-inflammatory spices: turmeric, ginger, cumin, coriander, fennel.
Day 1
Morning
- Warm water with lemon and a pinch of turmeric
- Stewed apple with a sprinkle of cinnamon and soaked raisins
Breakfast
- Oatmeal cooked with almond milk, topped with chia seeds, dates, and ghee
Lunch
- Mung dal khichdi (mung beans + rice) with turmeric, ginger, and ghee
- Steamed carrots and spinach sautéed in sesame oil
- Warm cumin-coriander-fennel (CCF) tea
Snack
- Handful of soaked walnuts or pumpkin seeds
- Golden milk (turmeric + black pepper + almond milk)
Dinner
- Moong dal soup with soft-cooked vegetables (like zucchini, sweet potato)
- Warm quinoa or rice
- Beetroot and carrot salad with olive oil dressing (lightly cooked)
Day 2
Morning
- Warm ginger tea with honey
- 1 soaked fig + 5 soaked almonds
Breakfast
- Buckwheat pancakes with banana slices and a little honey
Lunch
- Cooked lentils with turmeric, cumin, and coriander
- Mashed sweet potato with ghee
- Steamed green beans and zucchini
Snack
- Herbal tea (e.g., Tulsi or chamomile)
- Handful of dates or soaked cashews
Dinner
- Barley and vegetable stew with carrots, leeks, and spinach
- Ghee-roasted cumin flatbread (gluten-free if needed)
Day 3
Morning
- Warm water with apple cider vinegar (optional)
- Stewed pears with cardamom
Breakfast
- Warm rice porridge with coconut milk, dates, and ground flaxseed
Lunch
- Basmati rice with turmeric and lentil dal
- Roasted root vegetables (beet, parsnip, carrot) with olive oil and rosemary
- Small portion of avocado
Snack
- Herbal tea
- Rice cakes with almond butter and cinnamon
Dinner
- Soft-cooked vegetable korma with spices
- Small bowl of kitchari (mung dal + rice + cumin + ginger + ghee)
Top Ayurvedic and Nutritional Food Allies for OA
Food | Benefits |
---|---|
Ghee | Lubricates joints, enhances absorption of nutrients |
Turmeric (Curcumin) | Potent anti-inflammatory and antioxidant |
Ginger | Improves circulation, reduces stiffness and inflammation |
Sesame oil | Excellent for Abhyanga (massage) and internal Vata
pacification |
Leafy greens (cooked) | Rich in vitamins A, C, K for cartilage support |
Omega-3s (flaxseed, walnuts, fish) |
Anti-inflammatory, reduces joint pain |
Mung dal | Light, easy to digest protein, balances Vata |
Sweet potatoes and carrots | Nourishing, grounding, rich in beta-carotene |
Conclusion
Diet plays a crucial role in the management of osteoarthritis (OA), particularly in modulating inflammation and supporting joint health. Anti-inflammatory diets rich in antioxidants, omega-3 fatty acids, and phytochemicals have shown promise in reducing OA symptoms. Foods such as fatty fish (salmon, mackerel), rich in EPA and DHA, have been associated with decreased joint pain and stiffness. A randomized controlled trial published in Annals of the Rheumatic Diseases found that omega-3 supplementation significantly reduced pain intensity in knee OA patients (Zainal et al., 2021). Fruits and vegetables, especially those high in vitamin C (like oranges and bell peppers), support collagen formation and cartilage repair, while polyphenol-rich foods like green tea and berries possess cartilage-protective properties. Curcumin, the active compound in turmeric, has demonstrated efficacy in several trials, including a 2020 meta-analysis that confirmed its comparable effect to NSAIDs in reducing pain and improving function in OA (Daily et al., 2016; Bannuru et al., 2018). Conversely, processed foods, refined sugars, and red meats may exacerbate inflammation and should be limited. An overall Mediterranean-style diet, emphasizing whole grains, legumes, lean proteins, olive oil, and ample vegetables, has been correlated with better joint outcomes and reduced OA progression (Grosso et al., 2018).
Here is a sample Vata-pacifying meal plan tailored to support osteoarthritis management, integrating Ayurvedic principles with modern nutritional science. This plan is designed to be anti-inflammatory, nourishing, and easy on digestion, while promoting joint lubrication and reducing Vata aggravation.

Consultations on osteoarthritis, Ayurvedic diet, and nutrition are available with Dr Palitha Serasinghe and Dr Milind Jani at Omnia Lifestyle, two of the UK’s leading Ayurvedic clinicians. Additionally, the Pavilion supplements referenced in this article are available at Omnia—please speak to Dr Palitha or Dr Milind during your consultation to explore the full range.
Call 020-4515-0000 to book an appointment.
References
1. Kimmatkar N, Thawani V, Hingorani L, Khiyani R. Efficacy and tolerability of Boswellia serrata extract in treatment of osteoarthritis of knee – a randomized double-blind placebo-controlled trial. Phytomedicine. 2003;10(1):3-7.
2. Singh G, Sharma PK, Dudhe R, Singh S. Biological activities of Withania somnifera. Indian J Med Res. 2015;141(3):267–275.
3. Chopra A, Doiphode VV. Ayurvedic medicine: core concept, therapeutic principles, and current relevance. Med Clin North Am. 2002;86(1):75–89.
4. Kulkarni RR, Patki PS, Jog VP, Gandage SG, Patwardhan B. Treatment of osteoarthritis with a herbomineral formulation: a double-blind study. Ancient Science of Life. 1991;10(3):163–167.
5. Central Council for Research in Ayurvedic Sciences (CCRAS). Clinical research series and monographs. Ministry of AYUSH, Govt. of India.
6. Zainal, Z., et al. (2021). Omega-3 supplementation and osteoarthritis: A randomized trial. Ann Rheum Dis, 80(3), 338–345.
7. Daily, J. W., et al. (2016). Efficacy of turmeric extracts and curcumin for alleviating the symptoms of joint arthritis: A systematic review and meta-analysis. J Med Food, 19(8), 717–729.
8. Bannuru, R. R., et al. (2018). Comparative effectiveness of pharmacologic interventions for knee osteoarthritis: A systematic review and network meta-analysis. Ann Intern Med, 168(1), 85–95.
9. Grosso, G., et al. (2018). Mediterranean diet and chronic diseases: A systematic review and meta-analysis. Nutrients, 10(9), 1229.
About the reviewer
This article is written by Dr Palitha Serasinghe, a senior Ayurveda consultant with decades of clinical and academic expertise. Dr Palitha currently consults at Omnia Lifestyle in London, where he supports clients through Ayurvedic treatments, pain management, and personalised wellness plans.