OSTEOARTHRITIS KNEE JOINT

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NEUROLOGY
NEUROLOGY
ORTHOPEDICS
ORTHOPEDICS
GENERAL DISEASES
GENERAL DISEASES

OSTEOARTHRITIS KNEE JOINT

Osteoarthritis is a degenerative disease affecting millions of people worldwide. This usually happens when the protective cartilage of the joints which cushions them wears down with time. It is considered as a degenerative disease of the joint due to wear and tear and is very common in elderly.
Though it can affect any joint, mainly major joints of hip, knees, spine etc are affected.

Ayurveda and osteoarthritis

In ayurveda, osteoarthritis can be correlated as sandhigata vata which is mentioned under vata vyadhis. The symptoms of sandhigata vata are almst similar to osteoarthritis and includes pain, swelling and stiffness mainly.

Osteoarthritis Symptoms

Osteoarthritis symptoms often develop slowly and worsen by time. Signs and symptoms of osteoarthritis include:
• Pain: OA causes severe pain in the affected joint
• Stiffness: Morning stiffness or stiffness after inactivity is very common symptom
• Tenderness. The joint affected is felt tender when you apply light pressure to or near it.
• Loss of flexibility. Movement may not be possible though its full range of motion.
• Grating sensation.crepitus may be herald which is felt as cracking sound or grating sensation
• Bone spurs. These are extra bits of bone, which feel like hard lumps which form around the affected joint.
• Swelling. It can be caused by soft tissue inflammation around the joint.

OSTEOARTHRITIS KNEE JOINT

Ayurveda treatment for osteoarthritis

Ayurveda has broad spread treatments based on severity and stages of the disease ranging from mild to severe in ayurveda.
Ayurvedic cure for osteoarthritis and its duration depends solely on the basis of severity of the disease.
Ayurvedic remedy for osteoarthritis includes panchakarma treatments which make the tissues surrounding the joint strong i.e. the muscles, ligaments and tendons that are responsible for the joint stability.

Panchakarma session include

• Abhyanga (oleation therapy) with medicated oils
• Svedana Modalities
a. Bashpasvedana (includes fomentation therapy with evaporation).
b. Patrapinda sveda (includes fomentation therapy with bolus of various medicinal herbs)
c. Shasitka Shali Pinda (includes fomentation therapy with Herbal rice along with various medicinal herbs)
d. UpanahaSweda (includes fomentation therapy with application of Herbal paste)

Ayurvedic treatment for osteoarthritis of the knee

Osteo arthritis of the most common form of arthritis found in elderly. It is common as it is part of aging and degeneration. Janu Basti is the main treatment modality adopted for OA knee along with internal medications and exercises. How to cure osteoarthritis of the knee includes factors like timely diagnosis, correct treatment, dietary modifications and adequate exercises.
• Bahu Basti
• Greeva Basti
• Lepa
• Ayurveda Panchakarma
• Rasayana
• Internal medications

Can osteoarthritis be cured by ayurveda

Osteoarthritis is a degenerative disease which progresses by aging. The correct treatment at correct time will prevents the disease from progressing to further stages. Degenerated tissues including joint capsule or synovial membrane can’t be regenerated. So treatment at the earliest is the key for OA from progressing.

How to treat early osteoarthritis

As mentioned early treatment can help a lot from progressing OA. So initial management is treating the inflammation of the joint and there by retarding the progression. This can be achieved by anti inflammatory drugs like guduchi etc. Once the inflammation is treated the swelling subsides by its own. Internal medications can also be be given which are anti inflammatory and analgesic in nature. Many combinations of sallaki is proven very effective in pain management.

OA due to other primary factors

 

Factors like obesity, Rheumatoid arthritis etc. are more likely to develop osteoarthritis. In such cases, treatments will be planned as to treat primary conditions along with osteoarthritis treatment.

Diet and lifestyle modifications

A healthy BMI and intake of Vitamin D supplements can help in reducing development of OA. Intake of monounsaturated fatty acids can also help.

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FREQUENTLY ASKED QUESTIONS

What are the causes of osteoarthritis?

A cushion like structure which is found at the ends of the bone called cartilage helps in easy gliding of the joint is degenerated in osteoarthritis. This is slow but a progressive in nature and the firm and slippery nature of the cartilage is gradually lost due to wear and tear. Once the cartilage is degenerated the frictionless motion of the joint is affected and the bones will rub against each other.

This is why osteoarthritis is often called  “wear and tear” disease. But besides the breakdown of cartilage, osteoarthritis can affect the entire joint. It causes changes in the bone and degeneration of the connective tissues that hold the joint together and attach muscle to the bone. This causes signs of inflammation in the joint capsule. 

What are the risk factors involved in osteoarthritis?

Risk of osteoarthritis is increased by

  • Old age: The risk increases with age.
  • Sex: Women are more prone to  osteoarthritis
  • Obesity: extra calories contributes to osteoarthritis, the more you weigh, the greater is the risk. Hip and knee are regarded as the weight bearing joints increasing weight adds stress to these joints. Again increased weight produces fat tissues which inturn produces a type of proteins that can cause harmful inflammation in and around your joints.
  • Joint injuries: Injuries, such as those that occur during sports or from an RTA, can increase the risk of osteoarthritis. Even injuries that have occured in the past and seemingly healed can increase the risk of osteoarthritis.
  • Genetics: inheritance is another reason for OA.
  • Certain metabolic diseases: diseases like diabetes and a condition in which your body has too much iron.

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Which is the most prevalent sex of OA?

OA is more common in women than men. Menopause also triggers this condition.

What are the stages of osteoarthritis?

There are four stages of OA

  • Stage 1 – Minor wear and tear of the affected area.
  • Stage 2 – Mild visible spur and pain
  • Stage 3 – Moderate with small joint space reduction 
  • Stage 4 – Severe space reduction and severe pain

What are the main cause of OA Knee?

The primary cause of osteoarthritis of the knee is progressing age. It is evident that everyone eventually develops some degree of osteoarthritis. But some factors increase the risk of developing significant arthritis at an earlier age.

What is the difference between arthritis, rheumatoid arthritis and osteoarthritis?

OA and RA are two of the most common forms of arthritis. Though the symptoms of both can be similar, it’s  important to distinguish between them in order to determine the proper treatment. 

OA occurs when the smooth surface of the joint cartilage wears out due to overuse.  

RA is an autoimmune disease, which means that the immune system attacks its own body instead of intruders. Here the synovial membrane of the joint is affected.

What is the diet to be followed for osteoarthritis?

  • Maintain a healthy BMI
  • If overweight, reduce it to normal
  • Exercise daily to preserve muscle strength
  • Take vitamin D supplements
  • Use oils rich in mono-unsaturates 
  • Decrease the blood cholesterol if  elevated
  • Always intake healthy balanced diet  rich in antioxidants, vitamin K, A, C, E

8. What is the relation between vitamin D and osteoarthritis?

Vitamin D intake is inversely proportional to the cartilage degeneration among patients with osteoarthritis (OA), and supplementation may have a protective effect, suggests an analysis of data from the Osteoarthritis Initiative.

 

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