Orthiva — a personalised programme for gout and raised uric acid
Physician-led Ayurvedic care for gout — the sudden, intense joint attacks driven by uric acid. It begins with an Orthiva Assessment, then a programme of classical therapy, diet and lifestyle to ease symptoms and reduce attacks.
16,000+ patients · 4.9 Google · 18 years of clinical practice · Sector 51, Gurgaon
Understanding gout
Gout is a form of arthritis caused by tiny crystals of uric acid that build up in a joint, triggering sudden, intense attacks of pain and swelling — classically in the big toe, but also in the ankle, knee or other joints. It happens when there is too much uric acid in the blood. Unlike osteoarthritis (a gradual wear) and rheumatoid arthritis (an autoimmune disease), gout is a metabolic problem — which means diet, hydration and lifestyle play a large part, and attacks can often be reduced.
Common symptoms
Gout is best known for sudden, severe attacks — but there is often a bigger picture of raised uric acid behind them. Most people notice a mix of these.
Who it affects
Gout is strongly linked to uric-acid levels, diet and lifestyle. It tends to affect:
Why it happens
Gout comes down to uric acid — a normal waste product that, in excess, can form crystals in a joint. Understanding what is raising yours is the first step.
When the body makes too much uric acid, or the kidneys clear too little, levels in the blood rise — the underlying driver of gout.
Excess uric acid can form sharp crystals in a joint. The body reacts to them, producing the sudden, intense pain and swelling of a gout attack.
Certain foods and drinks, dehydration and extra weight can push uric acid up and set off attacks — which is why lifestyle is central to managing gout.
The options
There are several ways to approach gout — settling attacks and, separately, lowering uric acid over time. The right mix depends on your case. Orthiva is one path, and part of the Assessment is helping you understand where it fits alongside the others.
Diet changes, hydration, weight management and reducing alcohol lower uric acid and reduce attacks. These are central to managing gout and are part of almost any plan.
Medication can settle an acute attack and, separately, lower uric acid over the long term to prevent future attacks. These are prescribed and monitored by your doctor.
Between attacks, gentle movement and rehabilitation help restore a joint affected by repeated gout. Useful as part of overall care.
Rarely needed — surgery is only considered for large tophi or joint damage from long-standing, untreated gout. Most gout is managed without it.
A physician-led Ayurvedic programme that looks at what is driving your uric acid, then combines classical therapy, medicines and diet and lifestyle guidance to ease symptoms and reduce attacks — personalised to your case, and recommended only after an assessment.
How we approach treatment
A few principles guide how chronic joint and spine conditions are approached — general ideas, not a specific plan. Your own plan is always decided after an assessment.
Chronic pain rarely has a single cause. Structure, inflammation, muscle support, load and lifestyle often act together — so care usually addresses several at once.
For most chronic conditions, the right guided movement helps more than prolonged rest. What is right, and when, is judged for your case.
Improvement tends to come in stages — settling symptoms, rebuilding strength and range, then protecting the gains. It is gradual, not immediate.
Daily load, activity, weight, sleep and diet all affect a joint or spine. Small, sustainable changes often make a real difference over time.
There is no one-size-fits-all plan. What helps you depends on your cause, severity and goals — which is exactly why the assessment comes first.
Why Orthiva
Orthiva is not against any other form of care. It simply starts in a different place — with the cause of your pain, not just the pain itself.
Every programme begins with an Orthiva Assessment that looks for what is actually driving your pain — not just where it hurts.
You are assessed and treated by our qualified Ayurveda doctors, who examine you, read your reports and stay with your case.
Nothing is a fixed package. What your programme includes is decided for your condition, your history and your goals.
For many chronic joint and spine conditions, a structured programme can improve pain and movement without surgery.
Classical Ayurvedic therapy, chosen with an eye on the published clinical research and measured against recognised scores.
Progress is reviewed through the programme, and the plan is adjusted to how your body responds.
Assessment first
The same gout can have very different causes. So Orthiva never starts with a treatment — it starts with understanding. A programme is recommended only after a physician-led assessment of what is driving your pain.
By the end of your assessment you will understand:
A clear explanation of what is driving your pain.
The factors — physical and lifestyle — behind the problem.
An honest view of whether this is the right path for your case.
A grounded picture of what recovery could involve — no over-promising.
The Orthiva Assessment is the starting point — a structured, physician-led evaluation of your condition, and whether an Orthiva programme is right for you.
The recommended programme
If an Orthiva programme suits your case, your doctor recommends one after your assessment. For gout, that is usually the:
A physician-led, personalised programme for chronic joint conditions — designed to reduce pain, ease stiffness and restore movement.
Knee pain · Osteoarthritis · Rheumatoid arthritis · Gout · Frozen shoulder
Programmes are recommended after your Orthiva Assessment, never chosen from a menu. What a programme includes is decided by your doctor, for your condition — there is no fixed package.
Evidence-informed care
The therapies and formulations used for gout in an Orthiva programme have been studied in peer-reviewed clinical research, including direct comparison with standard medication, using symptoms and serum uric acid as measures.
Clearing up confusion
Some widely-held beliefs about pain and recovery can point people the wrong way. Here is a calmer, more accurate view — general education, not advice for your specific case.
ActuallyNot always. Pain is a signal that something needs attention, but its intensity does not always match the amount of harm. Chronic pain can persist even when tissues are settling — which is why the cause matters more than the loudness of the alarm.
ActuallyFor many chronic joint and spine conditions, prolonged rest can stiffen and weaken the area. The right, guided movement is often part of recovery. When rest is genuinely needed, and for how long, is a clinical judgement — not a default.
ActuallyImaging is useful, but findings do not always match symptoms — many people with normal scans have pain, and many with changes on a scan have none. Scans inform the picture; they rarely tell the whole story on their own.
ActuallyChronic conditions usually improve gradually, in stages, not overnight. Anyone promising an instant fix is over-promising. Honest care sets realistic expectations and reviews progress over time.
ActuallyFor many chronic conditions, a structured, physician-led, non-surgical programme can meaningfully reduce pain and improve movement. Where surgery is the better option, honest care says so — the two are not the only choices.
Your Orthiva doctors
Your assessment and programme are led by our qualified Ayurveda physicians — Dr. Era Ayurveda operates as a team, so care never depends on a single doctor.
Founder & Senior Ayurvedic Physician
18 years of clinical practice
Senior Ayurvedic physician with 18 years of clinical practice, treating chronic joint and spine conditions through classical Ayurveda. Under her clinical direction, the team has treated over 16,000 patients — with a consistent focus on restoring movement and function.
Senior Ayurvedic Physician
8 years of practice · Kerala-trained
Ayurvedic physician with 8 years of clinical practice, including 6 years in Kerala — the home of classical Ayurveda. Trained at Government Ayurveda College, Kannur, with a clinical focus that includes joint and orthopaedic conditions.
An honest fit
Orthiva is built for chronic, ongoing conditions. It is not the right starting point for everyone — and we would rather say so, and point you toward the right care.
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Questions & Answers
A physician-led programme aims to ease symptoms and reduce how often attacks happen, using classical therapy together with diet and lifestyle changes that lower uric acid. Research has even compared a classical preparation directly with standard medication. Whether it suits you is what the Orthiva Assessment is for, and we make no guarantees of a specific result.
Common triggers include red meat, organ meats, certain seafood, sugary drinks and alcohol — especially beer. Staying well hydrated and managing your weight also help. Your assessment includes personalised diet guidance rather than a generic list.
Gout is caused by uric-acid crystals and comes in sudden, intense attacks, often in the big toe. Osteoarthritis is a gradual wear of the joint, and rheumatoid arthritis is an autoimmune disease. Because the causes differ, so does the care — which is why an accurate assessment matters.
No. Please do not stop any prescribed medication on your own — uric-acid-lowering medicines work over the long term, and stopping can bring attacks back. Any change is a decision for you and your treating doctor.
Yes. Orthiva is physician-led — you are assessed and treated by one of our doctors, who examines you, reviews your reports and explains what they find.
Yes. Please do not stop any prescribed medication on your own. Any change to your medication is a decision for you and your treating doctor.
No. Whether any particular therapy is appropriate is decided only after your assessment, and only if it suits your case. The assessment comes first; recommendations follow from it.
If you have an MRI, X-ray or recent blood reports, please bring them — they help our doctors understand your condition. If you do not, your doctor will advise whether any imaging is needed after examining you.
This page is educational and does not provide a diagnosis, a treatment plan, or medical advice for your individual case. It does not replace a consultation with a qualified doctor. A programme is only ever recommended after a physician-led Orthiva Assessment. Please do not stop or change any prescribed medication on your own, and seek prompt in-person care for any urgent symptom.
Book an Orthiva Assessment for a clear, physician-led picture of what is driving your gout — and whether an Orthiva programme is right for you.
Disclaimer: Treatments are doctor-prescribed and outcome-tracked. Results vary by individual. Any change to existing medication occurs only under doctor supervision.