Abstract
Osteoarthritis of the knee joint is a disease due to the uncoupling of balance between cartilage degeneration and regeneration in the elderly, causing knee joint pain, deformity and limp. About half of the population after the fifth decade of life have symptoms of osteoarthritis of the knee. The treatment of osteoarthritis varies from conservative to operative procedures. As yet, no long-term definitive conservative management has been described. We compared the results of osteoarthritis among 100 patients in the Orthopaedic outpatient department who either underwent (42 patients) or did not undergo (58 patients) added ayurvedic panchakarma (snehan and swedan) therapy. Patients' visual anologue scores and satisfaction scores were assessed before the treatment and after 2 and 4 weeks. Patients with early to moderate grade of osteoarthritis treated with added ayurvedic therapy showed better improvment in terms of pain and mobilization compared with the patients treated with analgesics only.
Highlights
Osteoarthritis of the knee joint is a degenerative condition and is inevitable in old age
Materials and methods We studied 100 patients with primary osteoarthritis of the knee joint in Aacharya Vinoba Bhave Rural Hospital over a period of 1 year from April 2012 to April 2013
Patients with early to advanced osteoarthritis of the knee joint were included in the study group, diagnosed on the basis of criteria of American College of Rheumatology
Summary
Osteoarthritis of the knee joint is a degenerative condition and is inevitable in old age. The process of degeneration of cartilage can be delayed with some precautions and physiotherapy. Ayurvedic massage with medicated oil helps in the improvement of knee joint range of movement and decreases pain because of its anti-inflammatory and soothing effect [1]. Joint cartilage cannot be regenerated naturally.Delaying the degenerative process is the mainstay of treatment. No long-term definitive conservative management has been proven [3]. Patients treated with a combination of analgesic medication and ayurvedic local treatment showed better improvement compared with the patients treated with analgesic medication only. Ayurvedic panchakarma therapy adds to the improvement of the patients’ condition in terms of pain management, mobilization and delaying of joint replacement surgery [4]
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