Osteoarthritis (OA) is a the most common type of arthritis affects in all joints of the body especially in weight bearing joints like hips, knee and spine more prevalence in elder people. It is the second most common rheumatologic problem and is most frequent joint disease with prevalence of 22% to 39% in India.

Many pharmacological therapies like non-opioid analgesics, non-steroidal anti-inflammatory drugs (NSAIDs), topical analgesics, opioid analgesics, and intra-articular steroid and hyaluronate injections are used in OA which gives more side effect Still no curative therapies exist for osteoarthritis Current recommendations for the management of OA, including guidelines published by the American College of Rheumatology, focus on the relief of pain and stiffness and maintenance or improvement in functional status and quality of life as important goals of therapy.

Osteoarthritis is chronic degenerative disorders mostly affect the elderly people in globally and its prevalence is nearly 40% in India. China and India were ranked the top two countries in the absolute number of people aged 65 and over. Siddha Medicine dealing with this disease and called as Azhal keel vayu (AKV). AKV is hardly treatable disorder and which corrected rehabilitations  approach.  Varmam is the

existing significant therapeutic method even though it is defense and fighting art. This study evaluates the effectiveness of varmam therapy on AKV. The selected 10 patients with the AKV, 6 have the Knee injury

and Osteoarthritis Outcome Score (KOOS) above 81% and 4patients has below 80%. After the therapy 7 patients got significance relieve.