According to Ayurveda, Acharayas have also explained in a type of Vatavyadhi as a Janu Sandhigata Vata (knee osteoarthritis), which is dominating role in old age, commonly due to Vata Prakupita and Dahtaukshaya. In the present realm of is a difficult task for the therapist because of their chronicity (according to the nature of the disease or according to patient ignorance in the initial stage of the disease), uncorrectable in the late phase. Today, numerous treatments are available in modern medicine, including pain relievers, anti-inflammatory drugs, muscle relaxants, calcium and vitamin D supplements, steroids, and physical therapy. However, these treatments can have limited success and may cause side effects if used for an extended period. Janushool is the commonest form of articular disorder. It is a type of Vatavyadhi which mainly occurs in Vriddhavastha due to Dhatukshaya, which limits everyday activities such as walking, dressing, bathing, etc., thus making the patient disabled/handicapped.
2Vd. Chitra Karekar *1Vd. Vinodini Payghan (Wed,) studied this question.