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Ayurvedic Management of Ankylosing Spondylitis


Ankylosing Spondylitis (AS) is a chronic inflammatory condition that primarily affects the spine. It causes pain, stiffness, and inflammation in the joints, leading to the fusion of vertebrae over time. Ayurveda, the ancient Indian system of medicine, offers a comprehensive approach to manage Ankylosing Spondylitis by addressing the underlying imbalances in the body.

What is Ankylosing Spondylitis?

Ankylosing Spondylitis is a form of arthritis that predominantly affects the spine and sacroiliac joints. It is characterized by chronic inflammation and progressive stiffness in the affected joints, leading to limited mobility and deformity. In severe cases, the fusion of spinal vertebrae can result in a stooped posture and decreased flexibility.

Ayurvedic View:

According to Ayurveda, Ankylosing Spondylitis is primarily caused by an imbalance in the Vata and Pitta doshas. The aggravation of Vata dosha leads to dryness, inflammation, and degeneration of the joints. Pitta dosha aggravation contributes to inflammation and pain. Ayurvedic treatment aims to balance these doshas and rejuvenate the affected tissues.


The exact cause of Ankylosing Spondylitis is unknown, but certain factors may contribute to its development, including:

  1. Genetic predisposition
  2. Autoimmune factors
  3. Environmental triggers
  4. Inflammation in the gut
  5. Chronic infections


The symptoms of Ankylosing Spondylitis may vary from person to person. Common symptoms include:

  1. Lower back pain and stiffness, often worse in the morning or after periods of inactivity
  2. Pain and stiffness in the neck and hips
  3. Limited mobility and reduced flexibility in the spine
  4. Fatigue and lack of energy
  5. Inflammation in the joints and tendons
  6. Eye inflammation (uveitis)
  7. Chest pain and difficulty breathing in severe cases

Ayurvedic Treatment Approach:

Ayurvedic management of Ankylosing Spondylitis focuses on balancing the doshas, reducing inflammation, and improving joint mobility. The treatment approach includes:

  • Panchakarma Therapy: Panchakarma, a set of Ayurvedic detoxification procedures, can help eliminate toxins and restore balance in the body. Specific treatments like Abhyanga (oil massage), Swedana (herbal steam therapy), and Basti (enema) may be recommended to reduce pain, inflammation, and stiffness.
  • Herbal Medicines: Ayurvedic herbs like Guggul (Commiphora mukul), Shallaki (Boswellia serrata), Ashwagandha (Withania somnifera), and Nirgundi (Vitex negundo) are commonly used to reduce inflammation, alleviate pain, and improve joint mobility.
  • Diet and Lifestyle: Following an anti-inflammatory diet is crucial in managing Ankylosing Spondylitis. Including fresh fruits, vegetables, whole grains, lean proteins, and healthy fats can help reduce inflammation. Avoiding processed foods, fried foods, and excessive consumption of dairy and meat is recommended. Regular exercise, such as gentle stretching, walking, and swimming, is beneficial for improving joint flexibility and reducing stiffness.
  • Yoga and Meditation: Specific yoga asanas and meditation practices can help alleviate pain, improve posture, and increase joint mobility. Some beneficial practices include Tadasana (mountain pose), Bhujangasana (cobra pose), and Shavasana (corpse pose).

Home Remedies:

In addition to the above approaches, certain home remedies can provide relief in Ankylosing Spondylitis. These include:

  1. Applying warm sesame oil or castor oil on the affected joints to reduce pain and inflammation.
  2. Consuming a mixture of turmeric powder and honey to reduce inflammation and improve joint health.
  3. Drinking ginger tea or consuming ginger in various forms to alleviate pain and promote digestion.
  4. Taking warm baths with Epsom salt to relax the muscles and relieve pain.


Ankylosing Spondylitis can significantly impact a person’s quality of life. Ayurveda offers a holistic approach to manage this condition by addressing the underlying imbalances in the body. By balancing the doshas, reducing inflammation, and improving joint mobility through Panchakarma therapies, herbal medicines, diet and lifestyle modifications, and home remedies, Ayurveda aims to provide relief and improve the overall well-being of individuals with Ankylosing Spondylitis. It is advisable to consult with a qualified Ayurvedic practitioner for personalized treatment and guidance in managing this condition.

Dr. Ram Mani Bhandari
Dr. Ram Mani Bhandari


Registered Member of AAA

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