Vata is the governing factor in the maintenance of equilibrium in the universe as well as in the body. As age advances, the influence of Vata Dosha progresses, resulting in the process of gradual degeneration of the body. Sandhigatavata (Osteoarthritis) is one of the consequences of this process, which is common in the elderly people. This is one of the major causes of chronic disability, affecting the quality of life. Ayurveda treatment procedure at Sanjeeva Ayurveda provide better options to Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) as far as osteo arthritis treatment concern. Osteoarthritis patients have been given Mriduvirechana, Snehana, Svedana Matrabasti, Kashya Vasthi and along with oral ayurveda medications.