Sports medicine focuses on the prevention, management, and rehabilitation of injuries related to physical activity. Ayurveda, the ancient system of Indian medicine, offers a comprehensive and holistic framework that aligns well with the modern requirements of sports medicine. Ayurvedic sports medicine emphasises not only the treatment of injuries but also the maintenance of physical fitness, enhancement of strength, and prevention of injury through lifestyle regulation and Rasayana therapy. The core principles are based on Swasthavritta (preventive healthcare), Chikitsa (curative management), and Rasayana (rehabilitation and rejuvenation). Common sports injuries such as acute trauma, overuse injuries, and chronic musculoskeletal disorders are addressed through external therapies like Lepa, Bandhana, Swedana, and Marma Chikitsa, along with internal medications including Balya and Asthi- sandhana formulations. Panchakarma therapies such as Basti, Nasya, and Raktamokshana play a significant role in pain management, tissue healing, and functional recovery. Integration of Yoga, physiotherapy, diet, and lifestyle modification further enhances recovery and long-term physical resilience. This article reviews the scope, principles, and therapeutic modalities of Ayurveda in sports medicine and highlights its role as a safe, natural, and holistic approach for athletes and physically active individuals.