A Randomised Open Labelled Comparative Clinical STudy to Evaluate the Efficacy of Janu Basti with Mahanarayana Taila in Comparison to Ultrasound Therapy in the Management of Janu Sandhigata Vata vis-a-vis Osteoarthritis of Knee Joint.

•      Sandhigatavata is compared with osteoarthritis in contemporary medical science due to the similarities in their symptoms. Janu Sandhigatavata is characterized by symptoms such as pain, stiffness, swelling, crepitus, and reduced range of motion in the knee joint. These symptoms are believed to arise due to an imbalance of Vata Dosha, leading to the accumulation of Ama  and the deterioration of cartilage and synovial fluid in the knee joint The procedures like, Snehana, Swedana, Lepa, Upanaha, Agnikarma are indicated in the cure of Sandhigatavata .Swedana is one of the important Upakrama mentioned for Vata Dosha. As Pradhana Karma, Swedana can be adopted according to the disease condition.

•      Ultrasound therapy is used as a complementary treatment in physical therapy regimens focused on managing pain and aiding in the healing of soft tissue injuries. The treatment exerts therapeutic effects through thermal (continuous UST) and non-thermal (pulsed UST) modalities. Continuous UST achieves the thermal effect and is purposed to produce analgesia through temperature elevation, which increases capillary permeability and tissue metabolism, thereby enhancing fibrous tissue extensibility and pain thresholds. Non-thermal effects are achieved by modulating cell membrane permeability, increasing protein synthesis, and activating immune response near the injury site, which may stimulate regeneration of damaged tissue.  Hence for an effective solution, an attempt is made to evaluate and compare Janu Basti with Mahanarayana Taila and ultrasound therapy in the management of Janu Sandhigatavata.