Citation Information :
Patil RP. Ayurvedic Management of Osteoarthritis Knee with Grade IV Severity and Obesity (Avaranajanya Janu-Sandhigatavata with Sthoulya). J Res Ayurvedic Sci 2018; 2 (4):240-246.
This case illustrates the effective mode of Ayurvedic therapeutic intervention in a chronic osteoarthritis (OA) knee patient with Grade IV severity and obesity, where the regular use of analgesics was reported and surgery was advised. A 60-year old male presented with complaints of severe pain in both the knee joints for the past 11 years, associated with swelling, difficulty to walk, limited movement of knee joints with deformity, loss of sleep due to pain, being unable to perform major activities of daily living with an increased dependency for personal care, and loss of income. The present case was diagnosed as OA knee and the severity was graded as Grade IV. The patient was diagnosed as associated with obesity. On Ayurvedic parlance, the present case was diagnosed as Avaranajanya Janu- Sandhigatavata with Sthoulya based on the etiology and signs and symptoms. The patient was treated with a combination of Ayurvedic oral medications and treatment procedures. After the course of treatment, the patient felt much better with knee joint pain, swelling, and stiffness, and was able to walk without support and without pain for 500 m, able to climb stairs, and do minor household work. Improvement was noted on the Western Ontario and McMaster Universities (WOMAC) OA index score from 78 to 27 (right knee) and 73 to 29 (left knee); the activepain visual analog scale (VAS) score from 10 to 5, body weight from 76 to 65 kg, waist circumference from 112 to 100 cm, and body mass index (BMI) from 28.6 to 24.5 kg/m2. Furthermore, the patient was able to withdraw the use of analgesics and avoid surgery.
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