Table of Contents
Table of Contents

Osteoarthritis

Sputters! Grinds! snapping! and the pain…!

Have you been recently recommended with a Total Knee replacement surgery?

Know more about Osteoarthritis

OsteoArthritis is a degenerative joint disease resulting in loss of cartilage in the joints.It is the most common form of Arthritis considered as the wear and tear of the flexible tissues at the end of joints. Osteoarthritis affects the joints near the finger tips, the base of the thumb, the neck, lower back, hips, knees, and spine. The joints on one side of the body are frequently impacted more than the joints on the other side.

As the degenerated bones rub against each other, it causes severe pain, inflammation, swelling and stiffness. The condition, with its aetiology being multifactorial, is susceptible for episodical progression affecting multiple synovial joints of the body.

Signs and symptoms of Osteoarthritis

Osteoarthritis is one among the diseases caused when synovial joints are subjected to  biochemical, genetic or external stresses as per conventional studies.

Symptoms and their severity is based on the joint affected and the number of joints involved. Most commonly the observed symptoms in OA are as follows:

  • Joint pain ( In the affected joints especially during or after an activity)
  • Stiffness of Joints ( Especially in the morning and after a period of inactivity)
  • Instability in Joint movements.
  • Crepitation (palpable cracking sounds of joints).
  • Restricted range of movements of joints (Both active and passive movements).
  • Joint deformity with bony changes.
  • Muscular atrophy (Peri-articular wasting).
  • Inflammation
  • Tenderness of joints.

 

Osteoarthritis may first appear between ages 30 and 40, and is present in almost everyone by age 70. It occurs equally in both sexes up to the age of 55; after 55, the incidence is higher in women. It is estimated that approximately 4% of people are affected and in India the incidence of osteoarthritis in India is as high as 12 per cent. 45% of women over the age of 65 have symptoms of osteoarthritis, while radiological evidence shows OA in 70% of women above the age of 65.

Ayurvedic Treatment for Osteoarthritis

The unwholesome practises including incompatible food administration, and improper daily regimen in due course leads to an impaired bio-fire and towards the endotoxic accumulation( Ama) within the tissues. This will result in tissue disintegration, Vata aggravation and deterioration of Sleshaka Kapha.

The vitiated vata spreads across the body subtle and gross body channels and due to the light and dry properties of Vata, it gets lodged in the joints and leads to painful movements and stiffness, causing Sandhigata Vata.In chronic and severe Sandhigata Vata, deformity sets in and surgical interventions will be the only way advocated.

Ayurveda is the science of life. While the conventional treatment methodologies impart adverse side effects and only moderate results in OA treatment, natural and evidence based therapies work best for chronic conditions like this. The outcome focused herbal medications, personalised panchakarma protocols , diet and lifestyle Consultations altogether brings an appreciative level of cure in most of the patients.

The Ayurveda approach basically corrects underlying etiopathogenesis thereby leaving no stone unturned to prevent the recurrence and to ensure complete cure. For an Ayurvedic treatment for Sandhigata Vata, we need to primarily correct the following factors :

  • Balance the impaired Agni.
  • Balance the provoked Vata dosha and normalise Kapha.

 

For the treatment of OA, the following methods can be administered based on internal or external applications.

The external applications are focussed in bringing about a balance in Vata dosha which is present in the aggravated state in OA, and aims in bringing about normalcy in Kapha dosha which is responsible for the lubrication and cartilaginous actions on joints. Procedures like Abhyanga, Swedana, Seka, and Udvartana are aimed at following this treatment protocol.

While the external applications curb Vata and support healthy levels of Kapha, the internal applications are aimed at boosting up the bio-fire and bringing a balance in different tissue systems of the body. The bio-fire which is the basic substrate for the nourishment of tissues when maintained at normalcy, will help the Tridoshas (three basic elements) along with the tissues associated with them to remains in their natural equilibrium aiding health and wellness. Snehapana and Rasayana therapies are designed in the medication of Sandhigata Vata with this motive.

External applications(Bahya chikitsa)

  • Abhyanga : Herbal oil massage, using medicated unctuous herbal formulations like Tila taila, Kottamchukkadi Thailam etc, is done to curb the vitiated Vata dosha and relieve the pain. This also helps to provide an external aid in fixing the Kapha dosha.
  • Swedana : Fomentation therapy, which is done via sweating to eliminate the endotoxin content out of the cells and to restore the metabolism making the body feel at ease (oil dipped churna pinda swedana is most suitable).
  • Dhara, Janu-vasti, udvartana and seka are also administered to bring about balance in dhatu-dosha.

 

Internal applications (Abhyantara chikitsa).

  • Personalised Herbal medications :The herbs administered at different stages include anti-inflammatory, pain relieving, Agnideepana and Tridoshahara in their action.
  • Snehapana along with Deepana-Pachana drugs followed by virechana(purgation) : As the foundation culprits are always an impaired Agni and metabolism, in OA, we administer drugs which are deepana (appetizers) and pachana (carminative) along with ghee for boosting up the bio-fire. Virechana also helps to get rid of metabolic toxins and help maintain normalcy of Tridoshas.
  • Rasayana therapy : To overcome the dhatu kshaya ( tissue depletion) and to restore the balance in dhatu-dosh levels.

AyurVAID Approach

AyurVAID has pioneered evidence based, award winning Precision Ayurveda based protocols for OsteoArthritis treatment. Following the fundamental principles of Ayurveda, our physicians perform an in-depth assessment of the key symptoms and health factors of each patient to diagnose the root causes around your diet, individual constitution, lifestyle, work pattern and genetic predisposition.

Based on the assessment, we arrive at the optimal ayurveda Osteoarthritis treatment protocol for Samprapti Vikhatan or breaking the etiopathogenesis, considering the extent of disease progression, risk factors ,individual constitution ( Prakriti) and the disease prognosis. This approach bridges the gap between the patient’s individualistic factors and the standard treatment protocols thereby making the therapy effective and safe.

Our whole person centric approach will help you regain your happiest and healthiest state of life.Our rehabilitation specialists will also give you advice on ergonomics, nutrition, and lifestyle changes to help you better manage Osteoarthritis.

Patient centricity is at the core of AyurVAID approach, and we have been widely recognized for our breakthrough approach. Some of them include:

  • The first NABH accredited hospital in India, Quality Council of India.
  • Winner of prestigious National award for Best Ayurveda Centre of the year 2017 from Ministry of Commerce and Industry, Government of India
  • Industry best customer satisfaction score of 92%, rated by our patients

Key Outcome

When the condition is particularly chronic or severe, Ayurveda treatment for OsteoArthritis can greatly reduce its debilitating effects and help prevent it from getting any worse.

If its severity is mild/moderate, Ayurveda OsteoArthritis treatment helps to reverse the process, leading to a state of remission. In many cases, Ayurveda can offer a cure.

  • Lesser dependence on NSAIDs or on similar Anti-inflammatory drugs.
  • Improved quality in lifestyle via Hita Aahara-Vihaara seva.
  • Asthi-Marutha balance restoration.
  • Pillars better locomotion and potential herbs imparts pain relieving effects.

In many cases, we have also been able to either delay or avoid the Surgical interventions in Rheumatoid Arthritis through personalised medical management programs.

Frequently Asked Questions

What are the activities that increase the risk of osteoarthritis?
Activities includes Jerky movements, Prolonged standing, squatting, Twisting of the joints
What are the do's for Osteoarthritis?
Regular exercises, maintain optimum body weight, drink enough water, maintain proper postures while sitting, lying, etc.
How common is Osteoarthritis?
More than 12% of the population have OA. Age above 65 and women are more prone to this disease.

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