Abhyanga is a classical Ayurvedic therapeutic oil massage in which warm medicated oils are applied over the body or specific affected areas using systematic strokes to pacify Vata dosha, nourish muscles, joints, nerves, and improve circulation, making it a core treatment in orthopedic and musculoskeletal care. It is especially effective in conditions such as cervical and lumbar spondylosis, osteoarthritis, sciatica, frozen shoulder, muscular stiffness, chronic back pain, and post-injury or post-fracture rehabilitation. Abhyanga helps reduce pain, stiffness, and spasms, improves joint mobility and flexibility, enhances muscle strength, and supports nerve function, while also preparing the body for further treatments like Swedana, Basti, chiropractic correction, and Kalari-based rehabilitation. Commonly used oils include Dhanwantharam Tailam, Kottamchukkadi Tailam, Mahanarayana Tailam, Sahacharadi Tailam, and Murivenna, selected according to the condition.

Pizhichil (Sarvangadhara) is a classical Kerala Ayurvedic therapy in which warm medicated oil is continuously poured over the entire body in a rhythmic manner while gentle massage is performed, making it one of the most effective treatments for severe Vata disorders and chronic orthopedic conditions. It deeply nourishes muscles, joints, bones, and nerves, reduces pain, stiffness, inflammation, and muscle spasms, and improves joint mobility and strength. Pizhichil is especially beneficial in osteoarthritis, rheumatoid arthritis (chronic stage), cervical and lumbar spondylosis, disc-related problems (supportive care), post-traumatic stiffness, neuromuscular weakness, and paralysis-related conditions. By combining oleation and sudation simultaneously, it enhances circulation, lubricates joints, promotes tissue regeneration, and supports nervous system health

Shirodhara is a classical Ayurvedic therapy in which a continuous, gentle stream of warm medicated liquid—usually herbal oil, medicated buttermilk, milk, or decoction—is poured rhythmically over the forehead (Ajna marma), producing a profound calming effect on the nervous system. It is highly beneficial in stress-related musculoskeletal conditions, chronic pain syndromes, cervical spondylosis with muscle spasm, tension headaches, insomnia, anxiety, and psychosomatic disorders that aggravate Vata and Pitta. Shirodhara helps relax deep neuromuscular tension, improves sleep quality, enhances mental clarity, balances the autonomic nervous system, and supports faster recovery when combined with orthopedic treatments such as Abhyanga, Swedana, Basti, chiropractic correction, and rehabilitation therapies.

Udwarthana is a classical Ayurvedic dry or oil-assisted herbal powder massage performed with firm, upward strokes, primarily aimed at reducing Kapha and Meda (fat tissue) while improving circulation and musculoskeletal function. In orthopedic and rehabilitation practice, Udwarthana is especially useful for managing muscle stiffness, heaviness, edema, poor circulation, post-injury swelling, obesity-related joint stress, and metabolic conditions affecting joints and mobility. The therapy helps reduce inflammation, improves muscle tone, enhances lymphatic drainage, relieves lethargy, and prepares the body for further treatments such as Abhyanga, Swedana, chiropractic correction, and exercise-based rehabilitation. Herbal powders like Kolakulathadi Choorna, Triphala Choorna, or condition-specific formulations are selected based on the patient’s constitution and condition

Kati Basti is a specialized Ayurvedic localized oil-retention therapy in which warm medicated oil is pooled and retained over the lumbosacral (lower back) region using a dough ring, providing deep oleation and heat to the affected area. It is highly effective in orthopedic conditions such as low back pain, lumbar spondylosis, disc degeneration, sciatica, sacroiliac joint disorders, muscle spasms, and stiffness caused by aggravated Vata dosha. Kati Basti helps relieve pain and inflammation, improves flexibility, nourishes intervertebral discs, strengthens muscles and ligaments, and enhances blood circulation in the lower back. Commonly used oils include Dhanwantharam Tailam, Sahacharadi Tailam, Kottamchukkadi Tailam, and Mahanarayana Tailam, selected based on the condition.

Patra Pinda Sweda (Elakizhi) is a classical Ayurvedic fomentation therapy in which warm boluses prepared from medicinal leaves sautéed in herbal oils are applied and massaged over the body or affected areas to relieve pain and stiffness caused by aggravated Vata and Kapha dosha. It is highly effective in orthopedic and neuromuscular conditions such as osteoarthritis, cervical and lumbar spondylosis, sciatica, frozen shoulder, muscle spasms, sports injuries, and post-traumatic stiffness. Elakizhi helps reduce inflammation, improve blood circulation, relax tight muscles, enhance joint mobility, and strengthen surrounding tissues. Commonly used leaves include Nirgundi, Eranda, Arka, Tamarind, and Kottamchukku-based formulations, selected according to the condition. 

Choorna Pinda Sweda (Podikizhi) is a classical Ayurvedic fomentation therapy in which warm boluses prepared from specially selected medicinal herbal powders are applied and gently massaged over the body or affected areas to relieve pain, stiffness, and inflammation associated with Vata and Kapha disorders. It is particularly beneficial in orthopedic conditions such as osteoarthritis, cervical and lumbar spondylosis, chronic muscle spasm, soft-tissue injuries, sports strain, and post-traumatic or post-fracture stiffness. Podikizhi helps improve blood circulation, reduce swelling, loosen tight muscles, enhance joint mobility, and restore functional movement without excessive oiliness, making it suitable even in inflammatory or obese patients. Commonly used powders include Kolakulathadi Choorna, Rasnadi Choorna, and condition-specific formulations selected by the physician.

Janu Basti is a specialized Ayurvedic localized oil-retention therapy in which warm medicated oil is retained over the knee joint using a dough ring, providing deep oleation and therapeutic heat to the joint structures. It is especially effective in orthopedic conditions such as knee osteoarthritis, degenerative joint disease, chronic knee pain, ligament strain, meniscal wear, stiffness, and post-injury weakness caused by aggravated Vata dosha. Janu Basti helps reduce pain and inflammation, improves joint lubrication, strengthens surrounding muscles and ligaments, enhances flexibility, and supports cartilage nourishment. Commonly used oils include Dhanwantharam Tailam, Ksheerabala Tailam, Mahanarayana Tailam, and Sahacharadi Tailam, selected according to the patient’s condition.

Takra Dhara is a specialized Ayurvedic therapy in which a continuous stream of medicated buttermilk (takra) is gently poured over the forehead or affected body area in a rhythmic manner, producing a cooling, calming, and anti-inflammatory effect. It is particularly beneficial in conditions involving Pitta and Vata imbalance, such as stress-related musculoskeletal pain, cervical spondylosis with burning sensation, tension headaches, insomnia, anxiety, psoriasis, scalp disorders, and inflammatory joint conditions with heat and irritation. Takra Dhara helps reduce inflammation, calm the nervous system, relieve mental and physical fatigue, improve sleep quality, and support faster recovery when combined with orthopedic treatments like Abhyanga, Swedana, Basti, chiropractic care, and rehabilitation therapies.

Bandhana is a classical Ayurvedic therapeutic bandaging technique in which medicated pastes, oils, or herbal powders are applied to the affected area and secured using bandages to provide support, compression, warmth, and sustained medicinal action. It is especially useful in orthopedic conditions such as joint pain, ligament and tendon injuries, muscle strain, swelling, fractures (supportive care), sprains, and post-traumatic inflammation. Bandhana helps reduce pain and edema, stabilize joints, improve circulation, promote healing of soft tissues, and maintain the effect of treatments like Lepana, Upanaha, Abhyanga, and Swedana for a longer duration. Materials commonly used include medicated oils, herbal pastes like Dashanga Lepa or Kolakulathadi Choorna, cotton bandages, and supportive wraps, selected according to the condition. Bandhana may be applied for several hours or overnight, as advised by the physician, and is often combined with rehabilitation exercises and supportive orthopedic care for optimal recovery.