Introduction
Have you ever wondered why some people’s arthritis flares up in cold weather, while others suffer from morning stiffness all year round? The answer is in understanding two separate conditions that are often lumped together under the umbrella term “Arthritis”. Symptoms of OA and RA may be similar, but they are not the same. Think of your joints as the hinges of an old door. In OA, these hinges are like years of use have worn them down – a story of time and wear. But RA is more like having an overenthusiastic security system that attacks the very joints it’s meant to protect, mistaking your own door for an intruder. Ayurveda views them as unique imbalances of your body’s fundamental energies – Vata dosha in OA and Vata and Kapha dosha in RA.One size doesn’t fit all when it comes to arthritis.
In this blog, we will take apart these two conditions, and see how Ayurveda helps to manage your joint health better.
What is the difference between osteoarthritis and rheumatoid arthritis?
| Aspect | Rheumatoid Arthritis (RA) | Osteoarthritis (OA) |
|---|---|---|
|
Cause |
Autoimmune condition where the immune system attacks joint tissue |
Wear and tear of joints, aging process |
|
Age of Onset |
Can occur at any age, often between 30-60 |
Usually develops after age 50 |
|
Symptom Onset |
Can develop rapidly, within weeks |
Gradual development |
|
Pathogenesis – How the disease manifests |
The joints covering becomes hot, swollen, and angry, producing too much fluid and swelling. This inflammation destroys the joint cushion and can eventually damage the bone itself. The joint becomes painful, swollen, and difficult to move, becoming stiff and changing shape |
The joints wear and tear due to years of walking, bending, and movement, causing the smooth cartilage to become rough and thin. This can lead to the body growing extra bone spurs, which can make movement more difficult. The end result is less cushioning between bones, rough surfaces rubbing together, and painful movements. This is the normal aging of joints, caused by use, injury, or genetics |
|
Symptoms |
Symmetrical joint pain Morning stiffness >1 hour Systemic symptoms like fatigue and fever |
Joint pain worsening with activity and improving with rest
|
|
How to Diagnose it |
Serological tests: Rheumatoid Factor (RF), Anti-Citrullinated Protein Antibodies (ACPA)
Clinical criteria |
Clinical evaluation and imaging studies like X ray showing joint space narrowing and osteophytes |
|
Treatment Focus |
Nourishing joints Reducing Vata Improving lubrication |
Improving digestion Removing toxins (Ama) Reducing inflammation |
|
Treatment Type |
Warm oil treatments (Snehana) Nourishing therapies |
Detoxification (Ama pachana) Digestive enhancing medications |
|
Lifestyle Tips |
Warm oil massage Gentle exercise Avoid cold exposure, food and beverages Nourishing diet |
Light, easily digestible diet Regular meal times Avoid heavy, fried, junk food |
| Stage of Disease | Symptoms in Rheumatoid Arthritis (RA) | Symptoms in Osteoarthritis (OA) |
|---|---|---|
|
Early/Minor |
Synovial Inflammation |
Minimal bone spur growth |
|
Moderate/Mild |
Cartilage damage |
Noticeable bone spurs |
|
Severe |
Bone damage |
Cartilage loss and joint space narrowing |
|
End Stage |
Joint deformity |
Significant cartilage loss, bone-on-bone contact |
Though their names contain the word “arthritis”, Osteoarthritis and Rheumatoid Arthritis are very different in their origins and progression. OA is a disease of wear and tear, while RA is an autoimmune disease in which the body’s immune system attacks healthy joint tissue. The table below explains the difference between these conditions.
Understanding Arthritis Through Ayurveda Wisdom: Sandhigata Vata (OA) vs Amavata (RA)
Osteoarthritis (OA) and Rheumatoid Arthritis (RA) are caused by the body’s energy of movement and circulation, Vata and Kapha (functioning as lubricant) getting vitiated in the joint region. In OA, aggravated Vata causes dryness, lack of lubrication, cartilage wear, stiffness, and pain inturn causing Kapha depletion. Vata in RA causes joint pain, stiffness, while Kapha causes a sticky, inflammatory environment that results in immune system dysregulation and more persistent inflammation. Other difference in these conditions are
| Aspect | Sandhigata Vata (OA) | Amavata (RA) |
|---|---|---|
|
Root Cause |
Vata dosha imbalance |
Both Vata & Kapha (with Ama) involvement with digestive disturbance |
|
Basic Nature |
Dry, degenerative condition |
Inflammatory, toxic accumulation |
|
Main Doshas |
Primarily Vata |
Multiple doshas (Vata, Kapha) |
|
Formation |
Natural aging process, wear and tear |
Poor digestion leading to toxin formation |
|
Pain Nature |
Pain improves with warmth Worse with cold Better with rest |
Pain with stiffness Worse in morning Not much relief with rest |
|
Joint Involvement |
Usually, one or few joints (Weight-bearing joints mainly) |
Multiple joints (Symmetrical pattern) |
|
Treatment Focus |
Nourishing joints Reducing Vata Improving lubrication |
Improving digestion Removing toxins (Ama) Reducing inflammation |
|
Treatment Type |
Warm oil treatments (Snehana) Nourishing therapies |
Detoxification (Ama pachana) Digestive enhancing medications |
|
Lifestyle Tips |
Warm oil massage Gentle exercise Avoid cold exposure, food and beverages Nourishing diet |
Light, easily digestible diet Regular meal times Avoid heavy, fried, junk food |
Apollo AyurVAID approach for RA and OA
Apollo AyurVAID offers a personalized and whole person care approach for treating rheumatoid arthritis (RA) and osteoarthritis (OA). RA is an autoimmune disease that is caused by diet, stress, genetics, and your unique body type. Treatment is more than just reducing pain and swelling; it is about calming the immune system with detoxification treatments and lifestyle changes. The balance of two important energies in the body, Vata and Kapha are taken special care of, to decrease inflammation and to prevent further damage. This approach not only helps keep RA under control and delays its progression, but it also lessens the requirement for strong medications and surgery.
Wear and tear of joints over time causes osteoarthritis (OA). Therapies tailored to the individual’s needs are used to restore joint function and strength, rejuvenate muscles and bones and address imbalances in Vata energy. The goal is to increase mobility without further degradation of that key joint, without resorting to invasive surgeries.
For both conditions detailed health assessments, tailored diet and lifestyle plans and continuous monitoring by experienced Ayurveda doctors and therapists are catered.
Conclusion
Joint OA and RA are two different conditions with different causes. Natural wear and tear cause OA, while RA is an overactive immune system attacking healthy joints. It’s important to know these differences to help with proper treatment and manage. Both conditions have modern medicine targeted interventions, and Ayurveda has complementary wisdom through dosha imbalances. By combining these perspectives, the patient in conjunction with healthcare providers can develop personalized treatment strategies. Better joint health depends on understanding the specific condition and choosing the right combination of treatments for each unique situation.
REFERENCES
- Kumari, A (2020). A Rheumatoid Arthritis: A literary review based on Ayurved classics: International Journal of Research, 4. https://doi.org/10.52482/
AYURLINE.V4I05.428 Meenu, M et al. (2021). Vivid Action of Simhanada Guggulu in the Management of Amavata (Rheumatoid Arthritis): A Review. International Journal of Health Sciences and Research, 11, 126-129. https://doi.org/10.
52403/IJHSR.20210617 - Jethava, N et al. (2015). Role of Agnikarma in Sandhigata Vata (osteoarthritis of knee joint) Ayu, 36, 23 – 28. https://doi.org/10.
4103/0974-8520.169017 Waghadkar, D R et al. (2022). Critical Appraisal of Osteoarthritis in AyurvedaA Review. International Journal of Research in Medical Sciences and Technology. https://doi.org/10.
37648/ijrmst.v13i01.009 - S., T C, Khan, A (2021). REVIEW ARTICLE ON AYURVEDIC APPROACH SANDHIGAT VATA W.S.R. TO OSTEOARTHRITIS. International Ayurvedic Medical Journal. https://doi.org/10.
46607/iamj04409072021 - Singh, A et al. (2022). AN ETIOPATHOLOGICAL REVIEW OF SANDHIGATA VATA. International Journal of Research in Ayurveda and Pharmacy. https://doi.org/10.
7897/2277-4343.130497 - Gupta, D et al. (2024). A REVIEW ON ROLE OF VIRECHANA IN AMAVATA. International Journal of Research in Ayurveda and Pharmacy. https://doi.org/10
.7897/2277-4343.154128 - Saroch, S et al. (2023). A REVIEW ARTICLE ON AMAVATA. International Ayurvedic Medical Journal. https://doi.org/10.
46607/iamj1711092023 - Panda, D R et al. (2024). A LITERATURE REVIEW OF AMAVATA. EPRA International Journal of Multidisciplinary Research (IJMR) https://doi.org/10.
36713/epra17344 - Rag, P, Gou, P (2012). T HE EFFECT OF AYURVEDIC DRUGS WHEN USED AS DISEASE MODIFYING ANTI REUMATIC DRUGS (DMARD’S) IN AMAVATA ( RHEUMATOID ARTHRITIS) https://www.semanticscholar
.org/paper/54ac8c2cb2227b64
dcc11851b8202f1a6fc521a7 - Lee, J et al. (2019). Comparative Analysis of Fecal Microbiota Composition Between Rheumatoid Arthritis and Osteoarthritis Patients. Genes, 10. https://doi.org/10.
3390/genes10100748 - Anderson, J et al. (2018). 1H NMR Metabolomics Identifies Underlying Inflammatory Pathology in Osteoarthritis and Rheumatoid Arthritis Synovial Joints. Journal of Proteome Research, 17, 3780 – 3790. https://doi.org/10.
1021/acs.jproteome.8b00455
2. Moderate Stage: Cartilage starts getting damaged, inflammation increases
3. Severe Stage: Bone damage occurs, joints become painful and stiff
4. End Stage: Joints may become deformed, loss of mobility and function
2. Arthritis affecting 3 or more joint areas
3. Arthritis of hand joints
4. Symmetric joint involvement
5. Presence of rheumatoid nodules
6. Positive rheumatoid factor in blood test
7. Radiographic (X-ray) changes typical of RA
2. Moderate/Mild Stage: Noticeable bone spurs, joint space begins narrowing
3. Severe Stage: Significant cartilage loss, joint space narrowing becomes obvious
4. End Stage: Almost complete loss of cartilage, bone-on-bone contact causing severe pain
