AN INTEGRATIVE APPROACH TO FOOT HEALTH: AYURVEDIC PRINCIPLES AND CONTEMPORARY MANAGEMENT

Foot-related problems such as Padadari (Padasphutana), Vipadika, excessive sweating, unpleasant foot odour, itching, skin infections, nail disorders, burning sensation of the soles, and chronic wounds can cause considerable discomfort and may interfere with walking and daily activities. Ayurveda approaches these conditions through the concepts of Dosha, Dhatu, Srotas, and Twak Vikara; Padadari, characterized by dryness, cracking, and fissuring of the feet, may be associated with the predominance or aggravation of Vata Dosha, whereas Vipadika, described among Kshudra Kushta, may present with painful fissures and lesions involving the palms and soles. Disturbances of Swedavaha Srotas and Dosha imbalance, particularly Pitta involvement, may also contribute to excessive sweating, foul smell, and itching. Management should be individualized according to the patient's clinical presentation and the severity of tissue involvement and may include Bahya Chikitsa such as Prakshalana, Abhyanga, Lepa, herbal foot soaks, and appropriate local care to maintain cleanliness and support skin health. In suitably selected cases, Panchakarma and other Shodhana measures may be considered based on Dosha predominance, patient strength, and overall clinical condition, while Ropana therapies may support healthy tissue repair in chronic lesions and wounds. Internal Ayurvedic medicines may also be prescribed following proper clinical assessment. Preventive care remains equally important and includes regular foot and nail hygiene, adequate hydration, a balanced diet, appropriate footwear, and protection of the feet from prolonged dampness or excessive dryness. Thus, an integrated approach based on Ayurvedic principles, supported by careful clinical evaluation and timely referral for complicated conditions such as severe infections, chronic wounds, and diabetic foot lesions, may help improve foot health, mobility, and overall quality of life.