An Observational study to explore the outcome of multimodal Ayurveda treatment in the management of Rheumatoid Arthritis a Prospective Cohort study.

Rheumatoid Arthritis is a multi-system Polyarthritis connective tissue disorder causing inflammation and erosion of symmetrical smaller and larger joints characterised by pain and stiffness of synovial joints.The worldwide prevalence of the disease is approximately 1%.The disease most often affects the ages between 30 and 50 but recent studies suggests that the disease can begin in any age group.The prevalence of Rheumatoid Arthritis in India is 0.5- 3.8% in women and 0.15 - 1.35 % in men, the ratio of occurrence is 3:1.Ayurveda has mentioned classical signs and symptoms similar to RA along with various treatment principles and procedures using Panchkarma therapies and various formulations .These methods should be observed appropriately and employed in the present time to decrease the burden of disease and prevent related complications of this dreadful disease using holistic approach.Hence this study is planned to observe and document the treatment given by the Physicians in All India Institute of Ayurveda.Observation of change in subjective and objective parameters in the current clinical practise will be documented .This study provide scope for further research areas by paving a way to develop treatment protocols to tackle this dreadful Autoimmune disorder.