** 1. Since you are a diagnosed case thus following points are worth mentioning: 2. The condition mostly affects people of Age 40 or older 3. make sure to rule out diabetes, overactive or under active thyroid, heart disease, tuberculosis or Parkinson’s disease, rheumatoid arthritis [check with routine examination/investigation] 4. since condition is/are reversible but can initially limit your ADL [activities of daily living] due to associated painful symptoms, thus management is directed towards: . controlling pain [remove or reduce the causing force or stress] . preserving ROM [range of motion] as much as possible 5. In Ayurveda we treat on the line of Avabahuka: . Initially dry heat. . successful and result oriented prescription is: I. vatakulantak ras, rasraj ras,panchamrit lauha guggulu. II. rason sura,dashmoola arishta. III. erand pak IV. Lehsun ksheer pak V. Because there is inflammation resulting in thickening thus shotha har chikitsa [anti inflammatory measures] . avoid eating spicy, fried, pungent and oily foods.