Purvakarma
Before Janu Pichu, an Ayurvedic physician selects a suitable medicated oil based on your dosha imbalance. The oil is gently heated until lukewarm, while the knee area may be cleaned before therapy. Sometimes mild Swedana (herbal steam) is applied to relax the joint and open the channels, helping the tissues absorb the oil more effectively.
Pradhanakarma
A cotton pad, called a pichu, is soaked in warm medicated oil and placed directly over the knee joint. The oil temperature is maintained throughout the session to ensure continuous warmth. The pichu is kept in place for a specific duration, allowing the oil to deeply nourish muscles, ligaments, cartilage, and joint spaces.
Paschatkarma
After removing the pichu, the knee is gently wiped and covered to retain warmth. The patient is advised to rest and avoid strain, cold exposure, or sudden movements. Light diet and joint-friendly routines help maintain the therapy’s effects.