MANAGEMENT OF KNEE OSTEOARTHRITIS THROUGH AYURVEDA: A CASE REPORT
Keywords:Ayurveda, Āyurvedic Abhyaṅga, Jānu Sandhigatavāta, knee osteoarthritis, Sandhigatavāta
Background: Osteoarthritis (OA) is a degenerative disorders of joints that substantial influence on both the patient's quality of life and financial well-being. It begins in the 3th and 4th decades of life, due to influence of environmental and genetic factors. However, despite the fact that OA normally advances slowly, the presence of pain causes considerable damage even before joint loss occurs. This case study aimed to successfully manage Jānu Sandhigatavāta by utilizing Āyurvedic formulations. Aim: The purpose of this study was to determine the effectiveness of Āyurvedic therapeutics in Sandhigatavāta. Material and methods: It is a single case study of a 60 years old female patient diagnosed on the basis of revised American college of rheumatology) 2016 criteria as case of Osteoarthritis (Sandhigatavāta) associated with Sandhiśūla (pain), Sparśasahyatā (tenderness), Sandhisphuṭana (crepitus), Sandhigraha (stiffness) difficulty while walking since 1 year. There was a significant joint space reduction with osteophytes in X‑ray of left knee joint. She was advised Sahacarādi taila for local Abhyaṅga (massage) and Trayodaśāṅga guggulu for internal use, along with knee cap and knee strengthening exercise. During the course of study, not dietary interventions were enforced. Results: Relief in Sandhiśūla (pain), Sparśasahyatā (tenderness), Sandhisphuṭana (crepitus), Sandhigraha (stiffness) were assessed at three-week, six-week, and nine-week intervals throughout therapy. The Western Ontario and McMaster Universities Arthritis Index, the visual analogue pain scale, and range of motion were also measured and reported significant changes. In terms of clinical alleviation, the patient received satisfactory results. The clinical symptoms such as Sandhiśotha had alleviate from grade 4 to 1; Sandhiśūla and Sparśasahyatā from grade 3 to grade 0; Sandhisphuṭana grade 2 to 1; Sandhistambha Grade 2 to1. Conclusion: Patients having knee osteoarthritis can benefit with current Āyurvedic approach combined with knee strengthening exercises and the use of a knee cap.
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Copyright (c) 2022 rashmi kathait; Dr. Ajai Kumar Pandey
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