While treating patients using Viddhakarma and Agnikarma, usually there are patients with pain in joints. A person having pain is always restless. This is routine observation in practice. The patients always demand quick methods to relieve pain. Thus, comes idea of Viddhakarma and Agnikarma in Ayurved. Because there is not quick expected result of Ayurved medicine including Shuoolprashamana Gana. But extent of Viddhakarma and Agnikarma is not limited to pain management only. Both are useful in pain as well as disease management. It’s applied to ENT diseases also.