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Ayurveda Osteoarthritis Treatment

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Overview

Osteoarthritis (OA), known in Ayurveda as Sandhigata Vata (sandhi=joint), occurs due to degeneration of protective cartilage at the ends of bones over time. It is characterized by joint pain, stiffness, swelling, and restricted mobility.

Ayurveda attributes OA to a predominantly Vata dosha imbalance and depletion of Shleshak Kapha (synovial fluid). Aggravated Vata, caused by factors like aging, obesity, poor diet, stress, or lifestyle, accumulates in the joints, leading to dryness, stiffness, and pain.

Although osteoarthritis can affect any joint, it is predominantly seen in weight-bearing joints such as the knees, hips, and spine.

Apollo AyurVAID offers a holistic, highly individualized, and protocol-driven approach (Precision Ayurveda) to managing arthritis. This approach targets the root causes of the disease rather than merely addressing symptoms, offering a natural path toward osteoarthritis cure in ayurveda.

Our whole-person health assessment identifies the underlying root cause of the condition. Based on this assessment, a specially trained team of Ayurveda physicians develops a personalized protocol comprising classical Ayurveda medications and therapies, targeted functional rehabilitation, and customized diet and lifestyle adjustments.

An integrative and multidisciplinary approach to arthritis potentially avoids the need for surgical interventions.

Ayurveda scope

Key benefits

Who Can Benefit and Who May Not: Ayurvedic Treatment Scope in Osteoarthritis

Who Benefits from Ayurveda Treatment?

  • Patients indicated for Total Knee Replacement (TKR) Surgery: These individuals may benefit from conservative management by Ayurveda to delay/avoid surgery.
  • Patients with early to moderate stages of Osteoarthritis: Ayurveda therapies can help reduce inflammation, restore joint function, and slow disease progression in these individuals.
  • Patients for whom surgery is contraindicated: These include patients with severe/ multiple comorbidities (e.g., uncontrolled diabetes, cardiovascular issues) where surgery risks outweigh benefits. Individuals with compromised immunity, poor healing capacity, or anesthesia contraindications can also benefit.
  • Patients looking for whole-person management: Individuals looking for an approach that addresses not only joint pain but also other comorbidities and quality of life can benefit from AyurVAID’s whole-person-based treatments.
  • Post-TKR Surgery: Individuals who suffer from pain and inflammation after TKR can seek Ayurveda therapy as a rehabilitation program.

Who May Not Benefit from Ayurveda Treatment?

While Ayurveda aims for root cause reversal for OA patients, the scope may be restricted to pain and symptom management in some cases, as below:

  • Patients with advanced stage OA: Very little cartilage remains, which causes constant pain, swelling, and stiffness. Furthermore, the muscles appear smaller and weak, indicating a balding tyre.
  • Obese patients with Grade 4 OA
  • Extremely fragile patients: Patients who are debilitated or extremely weak and cannot withstand Panchakarma procedures.
  • OA associated with a complete ligament tear and unhealed knee fractures

Freedom from Surgery and Steroids with Our Precision Ayurveda Medical Care

9 out of 10 patients avoided elective surgery for an extended period of upto 48 months
*Based on a survey done on 50 random patients who took treatments with Apollo AyurVAID over the last 5 years

Freedom from Surgery and Steroids with Our Precision Ayurveda Medical Care

9 out of 10 patients avoided elective surgery for an extended period of upto 48 months
*Based on a survey done on 50 random patients who took treatments with Apollo AyurVAID over the last 5 years

What Osteoarthritis Patients Can Expect from AyurVAID’s Approach

Modern medicine defines osteoarthritis (OA) as a degenerative joint disease caused by the progressive breakdown of cartilage, the tissue that cushions the joints. This leads to symptoms such as joint pain, stiffness, swelling, and reduced mobility. OA primarily affects weight-bearing joints like the knees, hips, and spine, and risk factors include age, obesity, joint overuse, and genetic predisposition. Ayurveda for osteoarthritis offers a comprehensive approach that focuses on balancing doshas, reducing inflammation, and improving joint function through natural therapies, diet, and lifestyle modifications.

Conventional treatment strategies focus on managing symptoms and improving joint function. These include:

  • Pain relief medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids.
  • Physical therapy to enhance joint mobility and muscle strength.
  • In advanced cases, surgical interventions like total knee or hip replacement (TKR/THR).

However, challenges arise as OA progresses. Pain becomes more severe, and prolonged use of NSAIDs or corticosteroids often leads to side effects like gastrointestinal discomfort, cardiovascular risks, or dependency. Moreover, surgical options, while effective, come with their own risks, costs, and long recovery periods.

While conventional medicine can provide immediate symptomatic relief and structural interventions, Ayurveda has a significant role in the comprehensive management of Osteoarthritis. Patients can expect substantial relief from pain and stiffness, improved mobility, and reduced inflammation and joint swelling, along with the following unique benefits by complementing conventional therapies:

  • Delay Disease Progression and Prevent Further Degradation– Ayurveda Panchakarma treatments, diet, lifestyle modifications, and internal medicines help to delay disease progression. Further, in many cases, Ayurveda interventions help reverse etiopathogenesis and address underlying risk factors such as inflammation to provide long-term relief.
  • Improve Joint Stability and Strength- Ayurveda therapies focus on nourishing bone tissue, rejuvenating joints, slowing cartilage degeneration, improving joint function, reducing noise during movement, and enhancing posture. They also improve blood circulation and strengthen and stabilize muscles and joints.
  • Reduce Side Effects of Conventional Therapy– Ayurveda remedies can reduce side effects of conventional therapies like NSAIDs and other pain-relieving drugs by treating the root cause of joint problems without masking symptoms, thus reducing dependency on these drugs and promoting natural alternatives for managing inflammation and pain.
  • Avoid/ Delay Surgery and Other Invasive Procedures- Ayurveda therapies can manage joint conditions in their early stages. This approach helps patients avoid or delay surgical interventions by managing symptoms and addressing the root cause.
  • Whole-Person Management, Including Comorbidities and Overall Well-Being- Ayurveda therapies also ensure better digestion, improved sleep, reduced stress, and effective management of comorbidities like hypertension, diabetes, triglycerides, chronic inflammation, and obesity to obviate key risk factors.

Causes

Causative Factors (Nidanas) for Osteoarthritis

The disease develops through a complex chain of physiological events involving the aggravation of Vata dosha and the depletion of Kapha dosha. Various dietary, lifestyle, and environmental factors can contribute to the imbalance of Vata dosha, which varies from one individual to another.

Dietary Factors (Ahara): Irregular eating patterns, imbalance in diet, timing, or quantity have an impact on metabolic dysfunctions, which over a period of time is a key contributing factor for inflammation and progression of disease.

Lifestyle Factors (Vihara): Erratic lifestyle patterns, including overexertion/ overuse of joints, can lead to progressive degradation. Further disturbed sleep patterns/ day sleep, etc., can break the circadian rhythm, thereby increasing risk factors for OA. Further exposure to cold and dry climates for an extensive period can also build body imbalances.

Psychological Factors (Manasika): In Ayurveda, the mind plays a significant role in many non-communicable diseases, including OA. Chronic stress, anxiety, grief, anger, etc., can lead to build-up of ama progressively.

Physiological Changes: Aging, hormonal differences, menopause, and hereditary factors also contribute to disease progression.

Assured relief from joint pain, stiffness and numbness with Precision Ayurveda

*PROM Patient Reported Outcome Measures

Assured relief from joint pain, stiffness and numbness with Precision Ayurveda

*PROM Patient Reported Outcome Measures

Symptoms

Symptoms (Rupa) of Osteoarthritis

Pathogenesis

Samprapti (Pathogenesis) of Osteoarthritis

Vitiation (Imbalance) of Vata Dosha:

The primary cause of osteoarthritis (OA) is the aggravation of Vata dosha. OA is a gradual and progressive condition, often triggered by a continuous imbalance in diet, lifestyle, and poor environmental factors, as mentioned earlier.

Weakened Digestion:

Weak digestion, or Agni Dushti, leads to the formation of Ama (toxins). These toxins circulate through the body and accumulate in the joints, triggering an immune response that causes inflammation.

Channel Obstruction:

Ama or metabolic wastes block the bone-nourishing channels (Asthivaha Srotas), hindering the proper flow of nutrients and causing waste products to accumulate. This imbalance disrupts the body’s systems and leads to further complications.

Inflammatory Stages of OA:

In this stage, inflammation becomes more pronounced, tissue degeneration accelerates, and warmth or redness appears around the affected areas—indicating the involvement of Pitta dosha.

Depletion of Shleshak Kapha:

An imbalance in Vata disrupts the balance of Kapha dosha, particularly Shleshak Kapha, the natural lubricant for the joints. This results in dryness, increased friction, reduced cushioning, and structural vulnerability in the joints.

Bone Tissue Depletion (Dhatukshaya):

As the channels remain blocked, nutrient deficiencies weaken the bones and joints.

Joint Inflammation and Damage:

The aggravated Vata lodges in the joints (Sthana Samshraya), interacting with weakened tissues (Dosha-Dushya Sammurchhana). This triggers inflammation, cartilage degradation, bone damage, and symptoms such as pain, swelling, stiffness, and reduced mobility.

While osteoarthritis is primarily a Vata disorder, two distinct types of pathogenesis can occur:

Osteoarthritis with Age (Tissue depletion-related OA): This form occurs primarily in old age, where Vata dosha dominance leads to the depletion of Sleshaka Kapha (joint lubrication) and impaired tissue nourishment. The result is poor-quality tissue formation and joint weakness.

Osteoarthritis in Obesity (Obstruction-related OA): This form occurs in individuals with excess body fat (obesity). Excess fat (Medas) obstructs the flow of nutrients to tissues like bones (Asthi) and marrow (Majja) while also contributing to the accumulation of toxins (Ama). This obstruction leads to tissue depletion and further obstructs the natural pathway of Vata Dosha.

AyurVAID’s Approach

Our Clinical Care, Outcomes and Service are highly rated by patients

Patients expressed high satisfaction with their Osteoartritis treatment, highlighting significant improvements in their conditions

Our Clinical Care, Outcomes and Service are highly rated by patients

Patients expressed high satisfaction with their Osteoartritis treatment, highlighting significant improvements in their conditions

AyurVAID’s 4-Step Approach to Determine Root Cause and Create Individualized Treatment Plan

  1. Whole-Person Health Assessment
    Conducted by our specially trained doctors, this assessment includes an in-depth evaluation of presenting complaints, past complaints, underlying causative factors (Nidana Panchaka), and disease pathways using clinical methods such as Ashta Sthana Pariksha (an 8-fold examination), Dasha Vidha Pariksha (10 factors), and Srota Pariksha. Relevant blood tests (CBC, CRP, Vitamin D) and imaging (X-rays, CT scans, and MRIs) are used for complete evaluation.
  2. Disease Tree
    A comprehensive disease tree, from root cause to all signs and symptoms, is derived from causative factors, imbalance in doshas, involved sub-systems, and progression.
  3. Personalized Protocol-Based Care Plan
    This enables us to create an individualized protocol-based end-to-end treatment plan to improve mobility, reduce pain and inflammation, and effectively reverse disease pathogenesis. The plan includes classical Ayurveda medication, therapies, and targeted functional rehabilitation, complemented by personal diet and lifestyle adjustments. It tracks all orthopedic and health parameters to focus on correcting mobility and reducing pain and inflammation.
  4. Disease Monitoring Using Standardized Scales
    Standardized scales, such as the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the Knee Injury and Osteoarthritis Outcome Score (KOOS), help monitor pain, stiffness, joint function, and disease progression.

Treatment Plan

AyurVAID’s Protocol-Driven Treatment for Osteoarthritis (Precision Ayurveda)

The Apollo AyurVAID’s protocol-driven approach (Precision Ayurveda) focuses on controlling symptoms and aims to prevent disease progression, minimize disability, and enhance the quality of life.

Ayurvedic osteoarthritis treatment takes a holistic approach. It aims to balance the doshas, eliminate toxins, nourish the joints, and improve overall vitality. The type of treatment and its duration are tailored to the severity of the disease.

Reducing Pain / Inflammation (Poorvakarma Stage): 

Objective: The Poorvakarma stage prepares the body for treatment by loosening toxins and balancing excess doshas. It addresses acute symptoms like pain and stiffness, reduces inflammation and metabolic toxins (Ama), and improves digestive fire (Agni).

Duration: ~ 7-8 days

Treatment Approach:

Internal Medications: These are prescribed based on the dosha imbalance to boost the bio-fire, aid digestion, and expel ama, providing immediate relief.

External Therapies: Lepa (application of herbal paste), Churna Pinda Sweda (massage of medicated powder over the affected site), and Kashaya or Dhanyamla Dhara (pouring warm decoction over the site) are used to reduce localized Ama, swelling, and pain and reduce the inflammatory response.

Reversing the pathogenesis: Panchakarma Therapies and Nourishing Phase

Panchakarma Therapies 

Objective: Panchakarma focuses on cleansing the body of toxins and restoring dosha balance. Specific therapies have been proven highly effective in managing arthritis.

Duration: ~ 10-12 days

For Sthoola (Overweight) Patients:

Comorbidity Management: Obesity, diabetes, or other comorbidities (hormonal issues) that may directly impact OA pathogenesis are addressed as required through dietary adjustments and the integration of safe therapies such as Udwarthanam, Bashpaswedam, etc.

Detoxification: It is initiated with Snehapana (internal oleation) and Virechana (therapeutic purgation) to eliminate toxins and mitigate aggravated Pitta dosha. Further, Yoga Vasti or Kala Vasti is done for Vata vitiation to reverse the disease pathways and to improve the strength of bone and bone marrow.

For Krisha Patients:Abhyanga (oil therapy) lubricates joints, strengthens bones, and regenerates joint tissues. It is followed by Yapana Vasti to reverse etiopathogenesis.

External Therapies: Therapies such as Pinda Swedam are done for both patients to rectify any residual issues and strengthen joints.

Diet: Warm, digestible foods are recommended.

These two steps are done under the surveillance of doctors on an IP basis.

Nourishing and External Therapies

Duration: 3-6 months

Nourishing Therapies: Localized, external therapies, such as Kati Basti and Janu Basti (oil retention therapies), Taila Dhara (pouring warm oil over the site), and Ksheera Seka (pouring medicated milk over the site), nourish and relieve pain in the affected areas.

Rasayana Therapy: To strengthen the joint and prevent degeneration, lehyams, thailam, or gruthams are administered, and external therapies such as shashtika shali pinda swedam and ksheera sekam are done.

Lifestyle Changes: Dietary modifications, yoga, light exercise, weight management, and stress reduction to revive joint health, arrest disease progression, and prevent a recurrence. These measures can be taken at home (on an OP basis).

For the advanced OA Stage, the above approach is done for maintenance and slowing the progression, as etiopathogenesis reversal may not be possible.

NOTE: The duration of the treatment may vary depending on the stage of the disease, severity, and comorbidities involved.

Outcomes Delivered

AyurVAID follows a structured, protocol-driven approach to ensure effective treatment and sustainable recovery. 

To ensure effective treatment and track progress, baseline values are taken using: 

  1. Disease Standard Scales: International scales like WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) and KOOS (Knee Injury and Osteoarthritis Outcome Score) to help evaluate pain, stiffness, and joint function.
  2. Biomarkers and Imaging Techniques: To assess progress and improvements.
  3. Patient-Reported Outcomes: To track improvement while maintaining transparency and avoiding bias.
Key Performance Highlights1
  • 45% improvement on WOMAC2 scales for patients who took treatment with AyurVAID (16% improvement considered significant in conventional approach3)​
  • Patient reported improvements from Poor (1.3/5.0) to Good (3.3/5.0) in Pain, Stiffness and Numbness​
  • 94% of recent patients who took Ayurveda treatment could avoid TKR4​
  • 93% of patients expressed satisfaction with AyurVAID treatment of OsteoArthritis; 90% of patients are willing to recommend others for OA treatment​

 

1. Based on 212 recent patients who took treatment across AyurVAID centers; The shared data is for representative purpose only; the actual outcomes may vary from patient to patient
2. WOMAC-Western Ontario and MacMaster Universities OA index – Standard Scale used to globally to assess the severity of OA
3. https://pmc.ncbi.nlm.nih.
gov/articles/PMC3283484/#F2

4. Based on a survey done with 50 random patients who took treatment with AyurVAID between 2019 and 2024

Scientific Publications

45% improvement as per WOMAC Scales

90% of patients are willing to recommend others for Osteoarthritis Treatment
*By WOMAC The International Standard for Osteoarthritis Assessment

45% improvement as per WOMAC Scales

90% of patients are willing to recommend others for Osteoarthritis Treatment
WOMAC – Western Ontario and MacMaster Universities OA index – Standard Scale used to globally to assess the severity of OA

Case Studies

Scientific Publications

  1. Antiarthritic Activity of a Standardized, Multiherbal, Ayurvedic Formulation containing Boswellia serrata: In Vitro Studies on Knee Cartilage from Osteoarthritis Patients; 2011, Research Article: This study explores how an Ayurvedic herbal blend featuring Boswellia serrata (Indian frankincense) could help manage osteoarthritis, a common joint condition. The research shows that this natural formulation may protect cartilage by reducing harmful enzymes, lowering joint inflammation, and offering a safer alternative to traditional painkillers.
  2. Ayurvedic medicine offers a good alternative to glucosamine and celecoxib in the treatment of symptomatic knee osteoarthritis: a randomized, double-blind, controlled equivalence drug trial; 2013, RCT: This randomized, double-blind, controlled study compares the effectiveness of an Ayurvedic formulation to glucosamine and celecoxib in managing symptomatic knee osteoarthritis. The results show that Ayurvedic medicine is as effective as standard treatments in reducing pain and improving joint function. The Ayurveda formulation also demonstrated fewer gastrointestinal side effects than celecoxib. Patients reported improvements in overall well-being beyond symptom control, likely due to the formulation’s multi-target approach.
  3. Ayurvedic interventions for osteoarthritis: a systematic review and meta-analysis; 2014, Systematic review and meta-analysis: This study explores Ayurvedic therapies for managing osteoarthritis, highlighting their potential to improve pain, mobility, and quality of life through natural and holistic approaches. The findings emphasize the effectiveness of therapies and herbal formulations in pain relief, improved mobility, and reduced inflammation, with minimal side effects. These therapies are particularly beneficial for patients seeking noninvasive, natural therapies.
  4. Effectiveness of an Ayurveda treatment approach in knee osteoarthritis; 2018, RCT: This study examines the effects of Ayurveda on chronic pain in patients with osteoarthritis (OA), focusing on its potential as a complementary or alternative treatment. The findings support Ayurveda’s role in reducing pain and improving joint function without the need for pharmaceuticals.
  5. Critical Appraisal of Osteoarthritis in AyurvedaA Review; 2022, Review Article: This review critically evaluates the management of osteoarthritis (OA) through Ayurveda, emphasizing its holistic approach and the use of traditional therapies. The study assesses various Ayurvedic treatments, their mechanisms, and their potential to improve OA symptoms. Ayurvedic therapies provide a promising complementary approach to managing osteoarthritis, particularly for patients seeking natural, non-pharmacological treatments.
  6. Therapeutic Potential of Ayurveda Management in Osteoarthritis; 2024, Systematic Review: This study explores various Ayurvedic interventions for managing osteoarthritis (OA), focusing on the effectiveness of herbal remedies, detoxification therapies, and lifestyle modifications in alleviating symptoms and improving joint function. The research highlights the holistic and integrative nature of Ayurveda as a viable alternative or complement to conventional OA treatments with minimal side effects.

Hear from one of our patients!

My pain has reduced by 50% after just 10 days of treatment! I am glad I chose Apollo AyurVAID for my treatment.”

Mr. R, Age- 62

Pre and Post AyurVAID’s Protocol-Based Treatment

FAQs

Frequently Asked Questions (FAQs)

Does Ayurveda help in Osteoarthritis?
Yes, Ayurveda can be highly effective in managing osteoarthritis. The Ayurvedic approach is holistic, focusing on whole-person health assessment to identify the root cause of your condition rather than just alleviating symptoms.
What is the best ayurvedic treatment for osteoarthritis?
Ayurveda offers several natural remedies, external therapies, diet, and lifestyle recommendations to reduce inflammation, arrest disease progression, nourish degenerated tissues, and prevent further complications and disease episodes. Before starting any new treatment, it's important to consult with a qualified Ayurvedic practitioner to ensure it's appropriate for your specific condition and needs.
Can Ayurveda cure Osteoarthritis?
Ayurveda can significantly relieve symptoms, reverse disease pathways, address the underlying risk factors, and improve quality of life. While reversal is possible in the early stages, advanced conditions may need long-term health management to arrest further progression and improve overall conditions.
Are there side effects or risks associated with ayurvedic treatments?
Most Ayurveda treatments have no side effects when administered. While most medicines are safe, some may interact with conventional medications. Additionally, certain external therapies and procedures may not suit everyone; thus, one should only undergo these treatments only if prescribed.
How long will it take to see improvements in mobility and pain?
Initial improvements in pain and stiffness can be seen within 1-2 weeks of treatment. Improved mobility and long-term effects can be achieved with 3-6 months of dedicated treatment and lifestyle changes. The results depend on the severity of the condition and the patient's compliance.
How does Ayurveda address inflammation in OA?
Ayurveda reduces inflammation through certain internal medications and external therapies, such as Lepa (herbal pastes), churna pinda sweda (Medicated powder massage), and kashaya or dhanyamla dhara (pouring warm decoction over the site). Additionally, detox therapies like Snehapana (internal oleation) and Virechana (therapeutic purgation) help cleanse toxins (Ama) that cause inflammation.
Does Ayurveda address muscle damage in OA?
Yes, Ayurveda strengthens surrounding muscles through tailored exercises and herbal remedies. Medicated ghee and Abhyanga (oil massage) nourish tissues, improve blood circulation, and restore muscle strength.
Is Ayurveda safe for OA?
When administered by a qualified Ayurvedic practitioner, treatments are generally safe and free of side effects. However, it is essential to inform your physician about any ongoing medications or conditions.
Can Ayurveda regenerate knee cartilage?
Ayurvedic treatments for restoring knee cartilage are highly potent. They can significantly help manage symptoms, improve joint health, and prevent further degeneration. Ayurveda may also be effective in avoiding knee replacement surgery.
What joints are most often affected by Osteoarthritis?
Although osteoarthritis can affect any joint, it most commonly affects the hands, knees, hips, and spine (either at the neck or lower back).

References

References

  • World Health Organization 2013. WHO Traditional Medicine Strategy; WHO traditional medicine strategy: 2014-2023icon
  • Mayo Clinic. Arthritis. August 29, 2023icon
  • Healthline. What Type of Arthritis Do You Have?. July 26, 2021icon
  • WebMD. Types of Arthritis. January 08, 2025icon
  • Namayush. Osteoarthritisicon
  • Apollo Ayurvaid. Ayurveda Approach to Managing Osteoarthritis. December 6, 2023icon
  • Journey of Ayurveda and Integrated Medical Sciences. Ayurvedic management of Sandhivata (Osteoarthritis). December 12, 2023icon
  • Science Direct. Effectiveness of an Ayurveda treatment approach in knee osteoarthritis – a randomized controlled trialicon
  • Govardhan Ecovillage. Unlock the Ancient Secrets of Ayurveda at Govardhan Ecovillageicon
  • Ayushdhara. A Comprehensive Review Article on Sandhigatavata with Special Reference to Osteoarthritisicon
  • International Journal of Ayurveda and Pharma Research. Integrative Approach in the Management of Janusandhivata w.s.r. Osteoarthritisicon
  • ResearchGate. Ayurveda Treatment Outcomes for Osteoarthritis. April 2014icon
  • Ayush. Ayurvedic Whole System effective in Managing Rheumatoid Arthritis: Study. August 29, 2024icon
  • IJHSR, International Journal of Health Sciences and Research. Pathya & Apathya in Sandhigata Vata: A Bird’s Eye Viewicon

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Disclaimer

The information provided in this blog is for general informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician, Ayurvedic practitioner, or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment.

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Medically reviewed by
Dr. Sanila K
Written by
Dr Shobitha Madhur

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