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Rheumatic diseases are more than just aches and pains. They can affect all age groups and vary in severity. They often involve

body-wide immune dysregulation

and systemic inflammation, in addition to specific flares.”


Rheumatic diseases are inflammatory, autoimmune, and degenerative diseases that can affect the whole body. RA is a systemic disease and can affect major body organs such as the eyes, lungs, skin, heart, kidneys, and nervous and gastrointestinal systems. It can also affect the blood and cause anemia.

Unlike the wear-and-tear damage of osteoarthritis, rheumatoid arthritis affects the lining of your joints, causing a painful swelling that can eventually result in bone erosion and joint deformity.

CICRS is an independent centre at Chidambaram reflecting on the progress of Rheumatology in the research, diagnosis and treatment of the various rheumatic diseases.

It serves now as an international, interdisciplinary group of workers involved in problems of rheumatic diseases. Coverage includes the management and treatment of rheumatic diseases, and extends to all modern trends in clinical research.

CICRS also looks into skin conditions associated with rheumatic diseases and ensures accurate diagnosis and management working with clinician familiarity with the dermatological manifestations of rheumatic conditions and providing such needed treatments based on ancient Citta systems of treatment and therapy.

The most common finding in patients with rheumatoid arthritis is rheumatoid nodules. These typically present as skin-coloured, firm, painless subcutaneous nodules of varying size over the extensor surface of the peripheral limbs and trauma-related areas. Internal organs, such as the lungs, can also be involved. Histopathology is distinctive, with granulomatous tissue changes within the dermis with surrounding histiocytes, lymphocytes and giant cells. Rheumatoid nodules are closely associated with severe disease, rheumatoid factor positivity and titre. Lesions may progress to infection or ulceration.

We address the skin manifestations of lupus erythematosus, rheumatoid arthritis, psoriatic arthritis, dermatomyositis and scleroderma, including their implications in diagnosis, prognosis and treatment.

Several skin manifestations have been described in the progression of various rheumatic diseases. In addition to their medical implications, these skin manifestations can be a source of patient distress as a result of symptomatology and cosmesis. Cutaneous features may precede, co-exist with or follow development of the rheumatic disease. Cutaneous manifestations allow diagnosis of rheumatological disorders. An understanding of skin conditions associated with rheumatic diseases ensures accurate diagnosis and management. Cutaneous manifestations of rheumatological disease are legion.



For those who wish to join our work and movement to bring about much needed relief, should contact us and let us know how they would like to participate. For those who have a Rheumatology or skin disease or even knee osteoarthritis can contact 'THE CITTER CLINIC' directly to speak with our doctors.


We are working on ancient formulations born from the Tamil tradition to bring about relief for people who have issues in RHEUMATOLOGY & SKIN DISEASE amongst other specialties such as treating Osteoarthritis.

We are constantly researching and testing out products we make to bring relief where ever possible.

We welcome other researches interested in what we do to join in and take it to the world at large as a nature-based therapy, treatment & diet – it comes down to lifestyle management and treating the needs of the body and mind.

An ancient tradition that is still practiced and being brought out by CICRS.

We provide our therapy & treatments through our ‘THE CITTER CLINIC’ based on the our doctor’s prognosis.


The ‘wear-and-tear’ effect and knee pain!

  • Is knee osteoarthritis slowing you down?

  • Do you find it difficult to walk long distances or climb stairs?

  • Have you been suffering from chronic knee pain?

If you answered 'YES' to these questions, you’re not alone.

Knee osteoarthritis is a common condition for millions of people all over the world.

  • Daily walking, bending and standing is hard on your joints and can cause damage. Most of the time, the body system repairs this damage before it affects the cartilage. But once the cartilage is damaged, it cannot repair itself. This is why people with osteoarthritis experience progressive worsening of their joints.

  • Damaged cartilage results from the ‘wear-and-tear’ effect and causes the pain and stiffness that many experience with osteoarthritis.

  • Current treatments available for knee osteoarthritis only focus on symptomatic relief.

In some cases, knee replacement surgery is required.

However, these options don’t target the root cause of osteoarthritis.

A different approach to treating the condition is needed.

This is where the Citter System comes in.


Osteoarthritis of the knee is a very common musculoskeletal disease affecting over 10 percent of the adult population and is a leading cause of disability within the United States alone! Osteoarthritis causes pain, stiffness, and loss of joint function.


If the disease progresses, the joint may become completely useless.


Osteoarthritis of the knee can trip you up, literally and figuratively.

At The Citter Clinic we have ancient methods to bring relief.


We offer Non-Surgical Treatments & Therapies for Osteoarthritis of the Knee at our Centre in Tamil Nadu, INDIA.

All International Patients can contact us by mail to arrange a consultation to begin with.


This will enable us to take the right decision and system of treatment and therapy that is needed for the individual patient and his or her needs.


Osteoarthritis can occur in any joint, but it's very common in the knees. Also known as degenerative joint disease, osteoarthritis develops over time, when the cartilage that lines the weight-bearing surfaces of the joints begins to break down and wear away.

For some individuals, the wearing away of the cartilage of the knee will result in pain, stiffness and swelling. These symptoms can range from mild to debilitating.

Knee osteoarthritis is the most common form of osteoarthritis in the United States. This condition is caused by progressive degeneration of the cartilage in the knee joint, which protects bones in this area from rubbing against each other. While there is no cure for osteoarthritis, also referred to as wear-and-tear arthritis or degenerative joint disease, treatments can help reduce pain and inflammation.


There is no cure for osteoarthritis in the wester system of medicine and treatment. Gel injections are meant to mimic the knee joint's own natural lubricating properties and provide temporary relief for an undetermined period of time only.

Future Arthritis Burden

The prevalence of doctor-diagnosed arthritis is expected to increase in the coming decades. By the year 2040, an estimated 78.4 million adults aged 18 years and older (25.9% of the projected total adult population) will have doctor-diagnosed arthritis, compared with the 58.5 million adults in 2013–2015. Two-thirds of those with arthritis are expected to be women.


Also, by 2040, an estimated 34.6 million adults (43.2% of adults with arthritis or 11.4% of all US adults) will report arthritis-attributable activity limitations!


Driven by the huge impact of this chronic, complex condition, the Citter Clinic is now addressing through the expertise of our doctors using the ancient Citta formulations and practices for Non-Surgical Treatments & Therapies that are totally nature based for treating Osteoarthritis of the Knee and also to bring in evidence-based, multimodal approach that aims to transform osteoarthritis prevention, management, policy and provide actionable practices to bring about the best results for our patients.


Our work aims for the benefits people can be provide with in this treatment and therapy, and a roadmap to a world free from osteoarthritis-related disability.


Our work is in the ancient system of Citter healing practices.

Patients who book to come, follow a strict lifestyle which includes diet that is a part of the treatment & therapy given.

Inertial consultation will be over the internet to analise the patients condition by us after which time our doctor will advice the course of action. The steps are as follows.

Screening  - We’ll carry out some tests to see if you’re eligible for out treatment & therapy and set up your dates to be treated at The Citter Clinic at Chidambaram, Tamil Nadu, INDIA.

Treatment & Period - Depending on your condition, you will be assigned to receive the necessary treatment & therapy designed for you specifically. Our doctor will explain more in detail when you are beginning and also during your treatment & therapy. 

Follow Up Period - We’ll continue to monitor your health and condition.



For those who wish to consult us, please feel free to mail us below and be a part of the roadmap to a world free from osteoarthritis-related disability.

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