The treatment involves the application of warm herbal poultices (kizhis) filled with medicinal leaves, which are heated and then gently massaged over the body. This process allows the medicinal properties of the herbs to penetrate deeply into the tissues, providing relief and rejuvenation.

During an Elakizhi session, specific herbal leaves are selected based on the individual's health condition and dosha imbalance. The leaves are then sautéed in medicated oils and tied into boluses, which are heated and applied to the body in rhythmic motions. This treatment not only soothes sore muscles and joints but also enhances the detoxification process by improving lymphatic drainage and blood circulation. Regular Elakizhi treatments can help in managing chronic pain, arthritis, and various musculoskeletal disorders.