A personalised, physician-led programme for chronic joint conditions
For chronic knee and other joint conditions — osteoarthritis, arthritis and joint stiffness. A structured, non-surgical programme to reduce pain and restore movement — recommended after an Orthiva Assessment and built around you.
16,000+ patients · 4.9 Google · 18 years of clinical practice · Sector 51, Gurgaon
Program overview
The Joint Restoration Program is Orthiva’s personalised, non-surgical path for chronic joint conditions. It is recommended only after an Orthiva Assessment — never chosen from a menu — and it is designed to reduce pain, ease stiffness and restore the movement a joint has lost over time.
Orthiva is educational first. This page explains the programme so you understand the approach before anything is recommended — because a programme is only ever suggested after a physician-led Orthiva Assessment, and is always built around your case, never chosen from a menu.
Our clinical philosophy
Orthiva rests on a simple idea: lasting relief comes from understanding the whole person and the cause of a problem — not just quietening a symptom. That belief shapes how every programme is designed.
A painful knee or back sits within a whole body and a whole life. We look at posture, movement, daily load and general health — not the sore spot alone.
The goal is to move better and do more, not simply to feel less for a while. Function — walking, stairs, sleep, work — is what we aim to restore.
The same pain can have very different drivers. We try to understand what is actually behind it, so care addresses the cause rather than the alarm.
Chronic conditions are managed over time, not switched off overnight. We plan for durable improvement and maintenance, and we are honest about the pace.
Who it's for
The Joint Restoration Program is for people with a chronic joint condition — especially when earlier treatment has not held, and movement has narrowed over time.
Conditions it treats
This program is recommended for chronic conditions including:
Osteoarthritis, stiffness, and pain on the stairs.
Learn more →The gradual "wear-and-tear" arthritis of the joints.
Learn more →The autoimmune arthritis that inflames the joints.
Learn more →The uric-acid arthritis of sudden, intense attacks.
Treated under a shorter Focused Program (typically 30–45 days).
Learn more →Painful, restricted shoulder movement.
Treated under a shorter Focused Program (typically 30–45 days).
Learn more →How it works
Every Joint Restoration Program follows the same staged arc over about 90 days — with a lighter Care Plan beyond it. Your doctor sets the exact lengths for your condition; here is the structure.
Your Day-0 baseline: the Orthiva Score, measured by a physician. Fully credited toward your program.
The intensive in-clinic stage — typically 3–4 weeks (your doctor sets the exact length for your condition, 2–5 weeks): doctor-administered classical therapies, personalised medicines, diet protocol. Day-30 progress check.
Clinic visits taper; your home protocol and medicines continue, with scheduled reviews — building toward Day 90.
Your Orthiva Score is re-measured on the same instruments as Day 0. Progress is measured against your own baseline — never assumed. This is also the Dr. Era Ayurveda Assurance checkpoint.
After Day 90: a lighter maintenance layer — home protocol, periodic reviews, and a Day-180 re-measure — so the result holds. The stage most treatments skip.
Personalised, not packaged
Every plan is personalised — the exact combination is decided only after your assessment, never chosen in advance. At a high level, a Joint Restoration Program may draw on:
Where appropriate for your joint, physician-selected classical therapies — chosen for your case, not from a fixed menu.
Internal Ayurvedic formulations matched to your condition and reviewed as you progress.
Practical changes to reduce load on the joint and support recovery — food, activity and daily habits.
Guided movement to rebuild the support around the joint and restore range, at a pace that suits you.
Scheduled reviews so the plan keeps pace with how your joint responds.
This is not a fixed package or a menu to choose from. What your programme actually includes is decided by your doctor, for your condition, only after your Orthiva Assessment.
The Orthiva Assessment comes first — a structured, physician-led evaluation of your condition. Only then does your doctor recommend a programme and design your plan.
Measured, not assumed
Progress is measured, not assumed. Through the program your recovery is reviewed in three ways — and we are honest about what is, and isn’t, changing.
Your doctor reviews your symptoms and examination at intervals, and adjusts the plan to what they find.
We track how your joint works in daily life — movement, stiffness and the activities that matter to you.
A realistic view of progress over time, with honest conversations about what to expect. We do not promise a specific result.
Your Orthiva Score
Progress is measured on your Orthiva Score — the WOMAC/ODI, pain, range-of-motion and function baseline recorded at your assessment — re-measured at Day 90 and Day 180.
Straightforward
Your program fee is quoted in writing at your assessment — standard rates, the same for everyone, with the program length and everything included stated upfront. Your assessment fee is fully credited toward your program. EMI options are available. There is no pressure to decide on the day — and no price that changes depending on who's asking.
Our written commitment
Your Day-0 Orthiva Score report carries a printed improvement threshold — the number we hold ourselves to. If your Score has not meaningfully improved by your Day-90 re-measure, and you have kept your side of the plan — attendance and home protocol, visible to you throughout — we repeat your program's treatment stages at no cost. One repeat, in writing, from Day 0.
We don't promise a result. We promise what we'll do if the numbers don't move.
‘Meaningful improvement’ uses the published thresholds of the medical instruments themselves (WOMAC/ODI/NDI/VAS), printed on your own report — never our judgement after the fact.
Evidence-based care
Evidence-informed care is more than following studies. Research points the way, but experience, your individual situation and honest reassessment decide what actually helps you.
We read classical practice against peer-reviewed research — including randomized controlled trials — measured with the same validated scores modern medicine uses.
Evidence is applied through 18 years of physician-led practice and 16,000+ patients — what the research suggests, tested against what actually helps people.
Studies describe groups; you are an individual. Your cause, severity, other health factors and goals shape what is appropriate for you.
Evidence-informed care is not set-and-forget. Progress is reviewed honestly and the plan is adjusted to how you actually respond — including what is not changing.
Evidence-informed care
The classical therapies and formulations a Joint Restoration Program may draw on have been studied in peer-reviewed clinical research — including randomized controlled trials — measured with the same tools modern medicine uses: the WOMAC osteoarthritis index and the Visual Analog Scale (VAS) for pain.
Real cases
Real, anonymised examples of patients treated for conditions this programme supports — shared for education. Each is one patient's experience; results vary from person to person.
No names, photographs or identifying details are shared. Presented for patient education, not as a promise of results.
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.
Care begins with a physician-led evaluation, not a treatment chosen from symptoms.
Recommendations are shaped by your case and goals, never a fixed package.
Classical practice read against published clinical research and validated measures.
Assessed and treated by our doctors, who stay with your case throughout.
An honest fit
This program 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.
Your safety comes first
An honest programme is also a safe one. Some situations need urgent, in-person medical attention — and some need a professional assessment before any self-guided step. Here is how to tell.
This self-guided information cannot assess an emergency. If any of the following apply, please seek urgent medical attention rather than waiting:
Self-management is not the right starting point for every situation. A physician-led assessment is the safer first step when:
Medical disclaimer: 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.
Explore more
Programs follow the assessment. Start by understanding your condition, or see everything Orthiva treats.
Questions & Answers
No. Programs are recommended after an Orthiva Assessment, not chosen from a menu. Your doctor assesses your joint first and only recommends the program if it genuinely suits your case.
That is decided only after your assessment, and it is personalised to your joint, your history and your goals. There is no fixed package — which is why the assessment comes first.
For many chronic joint conditions, a structured, physician-led program can reduce pain and improve movement without surgery — which is why exploring it first is often worthwhile. Where surgery is the better option for your case, our doctors will tell you honestly. We do not promise a specific result.
The core programme runs about 90 days: an intensive in-clinic stage — typically 3–4 weeks, though your doctor sets the exact length for your condition — then a Rebuild stage of tapering clinic visits with your home protocol, to a Day-90 re-measure of your Orthiva Score. A lighter Care Plan continues to a Day-180 re-measure. Timelines are personalised, and we do not promise a specific result.
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.
The Joint Restoration Program begins with an assessment. Book an Orthiva Assessment for a physician-led picture of your joint — and whether this 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.