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CASE REPORTS
Year : 2019  |  Volume : 7  |  Issue : 4  |  Page : 249-253

Comprehensive Ayurvedic management of Sandhigatavata: a case report


Department of Panchakarma, Mahatma Gandhi Ayurved Medical College Hospital and Research Centre, Salod, Wardha 442001, Maharashtra, India

Correspondence Address:
Dr. Poonam Ashtankar
Department of Panchakarma, Mahatma Gandhi Ayurved Medical College Hospital and Research Centre, Salod, Wardha 442001, Maharashtra.
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JISM.JISM_71_19

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Background: Osteoarthritis (OA) is the most common musculoskeletal abnormality. In Ayurveda, it is correlated with Sandhigatavata. Many studies have been conducted for the Ayurvedic management of Sandhigatavata but only with respect to clinical feature. Not a single evidence on their efficacy in radiological findings was available. So through this paper, efforts were taken for the successful Ayurvedic management of Sandhigatavata, evidenced over radiological findings. Aim: The aim of this study was to access the efficacy of Ayurvedic management including Shodhan (purification) and Shaman Chikitsa (palliative therapy) in Sandhigatavata. Materials and Methods: It is a single case study of a 50‑year‑old male patient who was diagnosed as case of Sandhigatavata with pain, stiffness, and swelling in right knee joint, difficulty while walking since 1 month. There was a significant joint space reduction with osteophytes in X‑ray of left knee joint. He was advised for local Abhyanga (massage), Swedana (hot fomentation), Niruha Basti (enema of herbal decoction), Janudhara (oil batch at knee joint), along with Lepa (local application of medicament) and palliative treatment. Results: After 1 month, changes were observed in symptoms, and reduction was seen in gross joint space in X‑ray of right knee joint. Conclusion: Patient got satisfactory relief in clinical features as well as in maintaining joint space, no overlapping of lateral epicondyle of femur and tibia, also no osteoporotic changes were observed in X‑ray after 1 month.


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