Doctor-led Ayurvedic treatment for joint, knee, spine and neck pain at Dr. Era Ayurveda, Sector 51 Gurgaon
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✦  Pain & Joint Health · Dr. Era Ayurveda

Told you need surgery for your knee, back or neck? There's a non-invasive path to try first.

The Orthiva Protocol — Dr. Era Ayurveda's doctor-led, 180-day programme for joint, knee, spine and neck conditions. Treat the cause — without daily painkillers, without rushing to surgery.

16,000+ patients · 4.9★ Google · BAMS doctors · Sector 51, Gurugram

Why joints fail

Why joints fail — and where the usual path leads

Healthy joint

Intact cartilage, open joint space

Osteoarthritic joint

Narrowed space, worn cartilage, bone spurs

Illustration placeholder — joint-degeneration cross-section image to be added.

How a joint degenerates — the same process drives knee, spine and neck pain.

Chronic joint pain isn't simple “wear and tear.” Beneath the pain, the joint environment degrades — cartilage thins, the joint space narrows, inflammation becomes self-sustaining, and the tissue's nourishment is disrupted[1][2]. The conventional path manages this in stages: painkillers, then anti-inflammatories, then injections, then — eventually — surgery. Each step targets the pain or replaces the part. None asks the question that decides everything: what is driving the breakdown, and can it be slowed and managed before it gets to the operating table?

In Ayurvedic terms, these are Vata disorders at their root — and that is exactly where the Orthiva Protocol works.

↳ The Orthiva Protocol — the non-invasive path to try first

The conventional path

PainkillersAnti-inflammatoriesInjectionsSurgery

The Orthiva Protocol branches off earlier — a doctor-led attempt to treat the cause and manage the condition before the operating table. It complements your medical care; it does not replace it.

The Orthiva Protocol

The Orthiva Protocol — how we treat the cause

A doctor-led, 180-day programme. Six clinically-sequenced phases, customised to your body, delivered and tracked by our doctors.

1

Clinical Assessment

Root-cause diagnosis — why the joint is failing, not just where it hurts — combined with your MRI, X-ray and blood reports.

2

Calming the Cause

Settle the underlying inflammation and metabolic imbalance driving the condition.

3

Preparing the Body

Improve circulation and tissue readiness so treatment takes effect and lasts.

4

Targeted Ayurvedic Therapy

The core: hands-on, doctor-administered therapy delivered directly to the affected joint or region.

5

Rebuilding Strength

Reinforce the joint's strength, stability and movement so the result holds.

6

Sustaining the Result

A maintained protocol over the following months turns short-term relief into a lasting result — the step most treatments skip.

Tracked, every step. Pain, mobility and function are measured in the Era app and your protocol is adjusted to how your body responds. Never a black box.

What the research shows

What the research shows

The therapies and formulations in the Orthiva Protocol have been studied in peer-reviewed clinical research — including randomized controlled trials — using the same internationally recognized measures modern medicine uses: the WOMAC osteoarthritis index, the Visual Analog Scale (VAS) for pain, and the Oswestry Disability Index (ODI) for back pain.

View all references
  1. Hall J, et al. Change in knee structure and tibiofemoral joint space width: a 5-year longitudinal study. BMC Musculoskelet Disord, 2016. View source ↗
  2. Beattie KA, et al. Minimum joint space width and tibial cartilage morphology in healthy knees. BMC Musculoskelet Disord, 2008. View source ↗
  3. Comparative study of Janu Basti & Matra Basti with Sahachara Taila + Adityapaka Guggulu, knee osteoarthritis. AYU, 2023 (NIA-funded).
  4. Janu Basti with / without Upanaha in Janu Sandhigata Vata (knee osteoarthritis). 2024.
  5. Eranda Muladi Yapana Basti in Kati Graha (Lumbar Spondylosis). AYU. View source ↗
  6. Yoga with add-on Kati Basti for chronic low back pain: a randomized controlled trial. View source ↗
  7. Greeva Basti + Laghu Vishgarbha Taila + Manual Cervical Traction in Cervical Spondylosis. Afr J Biomed Res, 2024. View source ↗
  8. Kimmatkar N, et al. Boswellia serrata extract in knee osteoarthritis — randomized, double-blind, placebo-controlled trial. Phytomedicine, 2003. View source ↗
  9. Boswellia serrata (Boswellin) pilot randomized controlled trial, knee osteoarthritis. View source ↗
  10. Boswellia serrata (BOSMAX) in early knee osteoarthritis — randomized controlled trial. 2025. View source ↗
  11. Triphala Kashaya vs Allopurinol in Vatarakta (Gout). J Prev Med Holist Health.
  12. Multimodal Ayurveda for Knee Osteoarthritis: Protocol for an Open-Label Randomized Controlled Trial. JMIR Res Protoc, 2025. CTRI/2022/05/042792. View source ↗

The hands-on difference

Hands-on, doctor-administered — not medicines in a box

The Orthiva Protocol is delivered through in-clinic Ayurvedic therapies administered by Kerala-trained therapists under doctor supervision — localised medicated-oil therapies for the affected spine, knee or neck, therapeutic fomentation, full-body oleation, and classical Panchakarma procedures. Your specific therapies, their sequence, and your medicines are determined at consultation — customised to your case, never a fixed kit.

Treatment room at Dr. Era Ayurveda, Sector 51 Gurgaon
Classical Ayurvedic therapy equipment at Dr. Era Ayurveda
Doctor consultation room at Dr. Era Ayurveda

Symptom Assessment

Do you experience these symptoms?

Select every symptom that applies to you — then check your results instantly.

Select at least 3 symptoms to unlock your assessment

Patient Story

I had been living with rheumatoid arthritis for 6 years. A few weeks into treatment at Dr. Era Ayurveda, my morning stiffness dropped from about 3 hours to under 20 minutes. I have reduced my medication — with my rheumatologist's guidance.

Meena R., 52

Rheumatoid arthritis — treated 2024

An individual patient's experience. Results vary from person to person.

Why Dr. Era Ayurveda

Honest, doctor-led, evidence-informed care

Research supports these therapies for managing joint conditions — reducing pain and stiffness, improving mobility. We don't promise cures or guaranteed results. Our doctors will tell you honestly what the evidence supports for your case. Every study we cite is real, published, and linked — read them yourself.

4.9★

on Google, across 16,000+ patients

18 years

of clinical practice

Doctor-led

qualified physicians · Kerala-trained team

What to expect in your free consultation

A detailed discussion of your pain history and symptom pattern — not a rushed appointment

Classical Ayurvedic diagnosis combined with a review of your MRI, X-ray and blood reports

A clear explanation of what is driving your condition — and whether the non-invasive path suits your case

A recommended 180-day protocol with realistic, honestly-stated expectations

No pressure. No commitment required after the consultation.

Questions & Answers

Frequently asked questions

Explore More

Other conditions we treat

Before you accept that surgery date, talk to our doctors.

Your first consultation is free — worth ₹1,500. Bring your MRI and reports. Our doctors will tell you honestly whether the non-invasive path can help your case.

The Orthiva Protocol complements, and does not replace, your existing medical care. We never advise stopping prescribed treatment. Treatment is doctor-led and outcomes vary by individual; we make no claims of cure or guaranteed results.

Disclaimer: Dr. Era Ayurveda is a leading Ayurvedic clinic in Gurgaon. Treatments are doctor-prescribed and outcome-tracked. Results vary by individual. Any change to existing medication occurs only under doctor supervision. The "Book Free Consultation" offer applies only to the first in-clinic consultation. It does not apply to consultations with Dr. Era Bakshi Sharma, which are chargeable.