UNVEILING THE POTENTIAL OF MARMA CHIKITSA IN PAIN MANAGEMENT OF KNEE OSTEOARTHRITIS: A CASE STUDY
Dr. Rahul Ratan Uikey*, Rita Marwaha, Pankaj Gupta and Nisha Bhalerao
ABSTRACT
Purpose: Janu Sandhigatavata is a disease of Vata Vyadhi described in Ayurveda nearly correspond to osteoarthritis of knee joint. Its symptoms include Shoola (pain), Shotha (swelling) Stabdhata (stiffness). Osteoarthritis (O.A.) is the second most common rheumatologic problem and is most frequent joint disease. As Pain is the major symptom which affects the person’s day to day activities, so pain management is major target. Nowadays, therapeutic interventions normally used for its treatment are physiotherapy, hot fomentation, analgesics, steroids, etc. Using analgesics, NSAIDS, steroids doesn’t necessarily show satisfactory effect and also have adverse effect. Therefore, Marma Chikitsa can be a nonmedicinal and non-invasive approach in pain management of Janu Sandhigatavata. Methodology: The present case study is subjected to assess the efficacy of Marma Chikitsa in pain management of Janu Sandhigatavata. A 51 years old male patient came to our institute with the complaint of pain in bilateral knee joint, swelling, Tenderness, crepitation. It is aggravated by walking and climbing stairs and relieved by rest. The pain is associated with limited range of movement. Patient had been under allopathic treatment but symptoms aggrevated since past 6 month. Result: After Marma Chikitsa significant improvements were noticed in subjective parameter (Sandhi Shoola, Sandhi Shoth, Grah, Asahatvam, Sphutan) and objective parameters (range of motion, VAS scale, walking time) analysed during study illustrating the efficacy of therapeutic intervention. Conclusion: showed encouraging results in pain management of Knee Osteoarthritis in short duration of time.
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