Ayurveda evam Samagra Swasthya Shodhamala 2019;1(1):1

Simultaneous Management of Symptoms of Osteopenia and Osteoarthritis of Knee Through Panchakarma Therapy: Concept and Application

Alka Mishra*, Lalima Batham*, Saurabh Mishra**, Vandana Shrivastava*


* Department of Ayurveda and Holistic Health, Dev Sanskriti Vishwavidyalaya, Gayatrikunj-Shantikunj, Haridwar, Uttarakhand, India

** Dev Sanskriti Vishwavidyalaya, Gayatrikunj-Shantikunj, Haridwar, Uttarakhand, India


Corresponding Author: Saurabh Mishra - Email: sau.dsvv@gmail.com

Abstract

Background: Osteoarthritis of knee (Janu sandhigata vata) is a major cause of mobility impairment, particularly among females. Osteopenia (Asthi kshaya) is a common musculoskeletal disorder, characterized by below normal bone mineral density, resulting in an increased risk of fragile fractures, and associated physical disability, pain, degradation in quality of life, etc. Effective and simultaneous management of symptoms associated with these disorders, in a short duration of time, is not readily achieved. Panchakarma therapy of Ayurveda has shown noticeable effectiveness in the individual management of these disorders.

Methodology: Panchakarma therapy was administered for 14 days to a female patient suffering from multiple musculoskeletal disorders including Osteoarthritis of knee and Osteopenia of spine. According to Ayurveda, both these complaints are associated with Vata imbalance. Hence, Vata pacifying herbal medicines, that also provide nourishing effect to the degenerative tissues of the knees, spine, etc. were used. Later, herbal medicines were also prescribed for self-management at home.

Results: The patient experienced relief in pain and swelling in B/L knee joints, relief in pain in lower back, neck and B/L shoulder joints. Overall, the patient reported a good experience. In a followup taken after about three and a half months, the patient reported noticeable relief in knee and back pain as compared to that in previous winters.

Conclusion: Panchakarma therapy showed encouraging results in simultaneous management of symptoms associated with multiple musculoskeletal disorders, in short duration of time.

Keywords

Asthi kshaya, Ayurveda, Janu sandhigata vata, Osteoarthritis of knee, Osteopenia, Panchakarma

Cite this research article as follows:

Mishra A, Batham L, Mishra S, Shrivastava V. Simultaneous management of symptoms of osteopenia and osteoarthritis of knee through panchakarma therapy: concept and application. Ayurveda evam Samagra Swasthya Shodhamala. 2019;1(1):1. [cited date]. Available from: https://sites.google.com/dsvv.ac.in/shodhamala-dahh/asssm11/asssm111

Published Online: 5th September 2019

References

1. Rajoria K, Singh SK, Sharma RS, Sharma SN. Clinical study on laksha guggulu, snehana, swedana & traction in osteoarthritis (knee joint). Ayu. 2010; 31(1): 80-7.

2. Long L, Soeken K, Ernst E. Herbal medicines for the treatment of osteoarthritis: a systematic review. Rheumatology. 2001; 40: 779-93.

3. Prasanth D. A Comparative study on janu basti and janu pichu with murivenna in janu sandhigata vata. Dissertation for the degree of Ayurveda Vachaspati (Doctor of Medicine (Ayu)) in Panchakarma. Bengaluru, Karnataka, India: Rajiv Gandhi University of Health Sciences; 2010. [cited 2019 March 2]. Available from: 52.172.27.147:8080/jspui/bitstream/123456789/4492/1/Prashanth%20D.pdf

4. Eriksen EF. Treatment of osteopenia. Reviews in Endocrine and Metabolic Disorders. 2012; 13: 209-23.

5. Friedlander AH, Chang TI, Aghazadehsanai N, Berenji GR, Harada ND, Garrett NR. Panoramic images of white and black post-menopausal females evidencing carotid calcifications are at high risk of comorbid osteopenia of the femoral neck. Dentomaxillofacial Radiology. 2013; 42(5): 20120195. doi: 10.1259/dmfr.20120195.

6. Maria S, Swanson MH, Enderby LT, D’Amico F, Enderby B, Samsonraj RM, et al. Melatonin micronutrients Osteopenia Treatment Study (MOTS): A translational study assessing melatonin, strontium (citrate), vitamin D3 and vitamin K2 (MK7) on bone density, bone marker turnover and health related quality of life in postmenopausal osteopenic women following a one year double blind RCT and on osteoblast osteoclast co-cultures. Aging. 2017; 9(1): 256-85.

7. Kadlimatti SM, Maheshwari KS, Chandola HM. Critical Analysis of the concept of asthi kshaya vis-a-vis osteoporosis. Ayu. 2009; 30(4): 447-58.

8. Murthy KRS. Susruta Samhita - Vol. I, II, III. Varanasi, Uttar Pradesh, India: Chaukhambha Orientalia; 2008.

9. Nagral KS. Ayurved for modern medical practitioners. Delhi, India: Chaukhamba Sanskrit Pratishthan: 2008.

10. Shastri K, Chaturvedi GN. Charak samhita – elaborated vidyotini hindi commentary. Part-I. Varanasi, Uttar Pradesh, India: Chaukhamba Bharati Academy; 2001.

11. Shastri K, Chaturvedi GN. Charak samhita – elaborated vidyotini hindi commentary. Part-II. Varanasi, Uttar Pradesh, India: Chaukhamba Bharati Academy; 2003.

12. Kumar S, Debnath P, Banerjee S, GR AR, Rao PN. Clinical investigations on the ayurvedic management of allergic rhinitis (vataja pratishyaya) by pratimarsha nasyaas nasal drug delivery system. Exploratory Animal and Medical Research. 2014; 4(2): 194-205.

13. Sharma MR, Mehta CR, Shukla DJ, Patel KB, Patel MV. Multimodal ayurvedic management for sandhigata vata (osteoarthritis of knee joint). Ayu. 2013; 34(1): 49-55.

14. Gupta KA. Ashtanga hrdyam of vagbhata - vidyotini hindi commentary. Varanasi, Uttar Pradesh, India: Chaukhamba Sanskrit Sansthan; 2005.

15. Shastri S. Madhava nidanam of sri madhavakara. Part-1. 30th ed. Varanasi, Uttar Pradesh, India: Chaukhamba Sanskrit Sansthan; 2000.

16. Akhtar B, Mahto RR, Dave AR, Shukla VD. Clinical study on sandhigata vata w.s.r. to osteoarthritis and its management by panchatikta ghrita guggulu. Ayu. 2010; 31(1): 53-7.

17. Yadaiah P. Clinical panchakarma. Akola, Maharashtra, India: Jaya Publications; 2008.

18. Kadlimatti S, Chandola HM, Maheshwari KS. Therapeutic potentials of ayurvedic rasayana in the management of asthi kshaya vis-à-vis osteopenia/osteoporosis. Sri Lanka Journal of Indigenous Medicine. 2011; 1(1): 39-43.

19. Acharya GS. Panchakarma illustrated. 1st ed. Delhi, India: Chaukhamba Sanskrit Pratishthan; 2006.

20. Kadus PA, Vedpathak SM. Anuvasan basti in escalating dose is an alternative for snehapana before vamana and virechana: trends from a pilot study. Journal of Ayurveda and Integrative Medicine. 2014; 5(4): 246-50.

21. Gundeti MS, Raut AA, Kamat NM. Basti: does the equipment and method of administration matter?. Journal of Ayurveda and Integrative Medicine. 2013; 4(1): 9-12.

22. Das B, Ganesh RM, Mishra PK, Bhuyan G. A study on apabahuka (frozen shoulder) and its management by laghumasha taila nasya. Ayu. 2010; 31(4): 488–94.

23. Chaudhari V, Rajagopala M, Mistry S, Vaghela DB. Role of pradhamana nasya and trayodashanga kwatha in the management of dushta pratishyaya with special reference to chronic sinusitis. Ayu. 2010; 31(3): 325-31.

24. Gupta DP, Rajagopala M, Dhiman KS. A clinical study on Akshitarpana and combination of akshitarpana with nasya therapy in timira with special reference to myopia. Ayu. 2010; 31(4): 473-7.

25. Shailajan S, Menon SN, Tiwari BR, Singh AS. Standardization of shadbindu taila: an ayurvedic oil based medicine. Ayu. 2013; 34(1): 103-7.

26. Kundu C, Shukla VD, Santwani MA, Bhatt NN. The role of psychic factors in pathogenesis of essential hypertension and its management by shirodhara and sarpagandha vati. Ayu. 2010; 31(4): 436-41.

27. Pokharel S, Sharma AK. Evaluation of insomrid tablet and shirodhara in the management of anidra (insomnia). Ayu. 2010; 31(1): 40-7.

28. Dudhamal TS, Gupta SK, Bhuyan C, Singh K. The role of apamarga kshara in the treatment of arsha. Ayu. 2010; 31(2): 232-5.

29. Lekurwale PS, Pandey K, Yadaiah P. Management of amavata with ‘amrita ghrita’: a clinical study. Ayu. 2010; 31(4): 430-5.

30. Sharma PV. Dravyaguna vijnana - volume II (vegetable drugs) (hindi). Varanasi, Uttar Pradesh, India: Chaukhambha Bharati Academy; 2001.

31. Misra B, Vaisya R. Bhavaprakasa of shri bhava misra (including bhavaprakasa nighantu portion) - edited with the 'vidyotini' hindi commentary, notes and appendix - first part. Varanasi, Uttar Pradesh, India: Chaukhambha Sanskrit Bhawan; 2013.

32. Radhika C, Kumar GV, Mihirjan K. A randomized controlled clinical trial to assess the efficacy of Nasya in reducing the signs and symptoms of cervical spondylosis. Ayu. 2012; 33(1): 73-7.

33. Srivastava P, Shanker K. Pluchea lanceolata (rasana): chemical and biological potential of rasayana herb used in traditional system of medicine. Fitoterapia. 2012; 83: 1371-85.

34. Malhotra V, Goel N, Dhar U, Garg R, Tripathi Y. Comparison of mind control techniques: an assessment of reaction times. Bangladesh Journal of Medical Science. 2016; 15(4): 596-600.

35. Pradhan B, Derle SG. Comparison of effect of gayatri mantra and poem chanting on digit letter substitution task. Ancient Science of Life. 2012; 32(2): 89-92.

36. Sharma S. Super science of gayatri. revised ed. translation by Pandya SN, Shambhudas. Mathura, Uttar Pradesh, India: Yug Nirman Yojana Vistar Trust, Gayatri Tapobhumi; 2010. [cited 2019 Mar 2]. Available from: http://literature.awgp.org/book/Super_Science_of_Gayatri/v1.1

37. Brahmavarchas. Yagya - ek samagra upachar prakriya (hindi). Pandit Shriram Sharma Acharya samagra vangamaya. volume 26. revised ed. Mathura, Uttar Pradesh, India: Akhand Jyoti Sansthan; 2012.

38. Brahmavarchas. Shabda brahma - nad brahma (hindi). Pandit Shriram Sharma Acharya samagra vangamaya. volume 19. 2nd ed. Mathura, Uttar Pradesh, India: Akhand Jyoti Sansthan; 2012.

39. Sharma S. Gayatri mahavigyan - sanyukta sanskaran (hindi). revised ed. Mathura, Uttar Pradesh, India: Yug Nirman Yojana Vistar Trust, Gayatri Tapobhumi; 2010. [cited 2019 Jun 6]. Available from: http://literature.awgp.org/book/Super_Science_of_Gayatri/v2

-------------------------------------------------------------------------------------------------------------

License information for readers:

The original contents published in this research publication, which include research articles, case reports, etc., are published under the Creative Commons Attribution (CC BY 4.0) License. Anyone may reproduce, distribute, translate and create derivative works of this original content, subject to full attribution to the original research publication (Ayurveda evam Samagra Swasthya Shodhamala) and authors. The full terms of this license may be seen at https://creativecommons.org/licenses/by/4.0/

-------------------------------------------------------------------------------------------------------------