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Effect of Sri Lankan traditional medicine and Ayurveda on Sandhigata Vata (osteoarthritis of knee joint).

Perera PK, Perera M, Kumarasinghe N - Ayu (2014 Oct-Dec)

Bottom Line: After treatment for 70 days, the Knee Society Rating System scores of pain, movement and stability were also improved up to good level and function score was improved up to excellent level.During the follow-up period, joint symptoms and signs and the knee scores were unchanged.In conclusion, this OA patient's quality of life was improved by the combined treatment of Sri Lankan traditional medicine and Ayurveda.

View Article: PubMed Central - PubMed

Affiliation: Department of Dravyaguna Vignana, Institute of Indigenous Medicine, University of Colombo, Rajagiriya, Sri Lanka.

ABSTRACT
Reported case was a 63-year-old female with end-stage osteoarthritis (OA) (Sandhigata Vata) of the left knee joint accompanied by exostoses. Radiology (X-ray) report confirmed it as a Kellgren-Lawrence grade III or less with exostoses. At the beginning, the Knee Society Rating System scores of pain, movement and stability were poor, and function score was fair. Srilankan traditional and Ayurveda medicine treatment was given in three regimens for 70 days. After 70 days, external treatment of oleation and 2 capsules of Shallaki (Boswellia serrata Triana and Planch) and two tablets of Jeewya (comprised of Emblica officinalis Gaertn., Tinospora cordifolia [Willd.] Millers. and Terminalia chebula Retz.), twice daily were continued over 5 months. Visual analogue scale for pain, knee scores in the Knee Society online rating system and a Ayurveda clinical assessment criteria was used to evaluate the effects of treatments in weekly basis. After treatment for 70 days, the Knee Society Rating System scores of pain, movement and stability were also improved up to good level and function score was improved up to excellent level. During the follow-up period, joint symptoms and signs and the knee scores were unchanged. In conclusion, this OA patient's quality of life was improved by the combined treatment of Sri Lankan traditional medicine and Ayurveda.

No MeSH data available.


Related in: MedlinePlus

Radiograph Findings: Kellgren-Lawrence grade III or less: (a) Degenerations, (b) spurs, (c) narrowing bone space (d) exostoses
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Figure 1: Radiograph Findings: Kellgren-Lawrence grade III or less: (a) Degenerations, (b) spurs, (c) narrowing bone space (d) exostoses

Mentions: Reported case was a 63-year-old female patient with end-stage OA of the left knee joint accompanied by exostoses. When patient was 49 years old, developed a pain in the left knee joint, and early-stage OA of the knee joint was diagnosed by X-ray. Therefore, patient took NSAIDs and received conservative therapies and steroidal injections to the knee joint. However, pain in the knee joint progressively increased; on the other hand, activities of daily living (ADL) decreased with age while patient continued to receive the conservative therapies. At the age of 62, she consulted to Department of Indigenous Medicine, requesting STM. Patient reported pain in the left knee joint while walking and showing a Kellgren-Lawrence[5] grade III or less in the radiographs with exostoses [Figure 1]. Patient gave a self-reported visual analogue scale (VAS) pain score of between 7 and 8, which was moderate to severe pain according to the scale. Also, knee had a clinically detectable joint effusion. According to online Knee Society clinical rating system,[67] final grading score of pain and stability was 43 (i.e., poor) and knee function score was 60. Pateint was diagnosed as having OA of the knee.


Effect of Sri Lankan traditional medicine and Ayurveda on Sandhigata Vata (osteoarthritis of knee joint).

Perera PK, Perera M, Kumarasinghe N - Ayu (2014 Oct-Dec)

Radiograph Findings: Kellgren-Lawrence grade III or less: (a) Degenerations, (b) spurs, (c) narrowing bone space (d) exostoses
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4492026&req=5

Figure 1: Radiograph Findings: Kellgren-Lawrence grade III or less: (a) Degenerations, (b) spurs, (c) narrowing bone space (d) exostoses
Mentions: Reported case was a 63-year-old female patient with end-stage OA of the left knee joint accompanied by exostoses. When patient was 49 years old, developed a pain in the left knee joint, and early-stage OA of the knee joint was diagnosed by X-ray. Therefore, patient took NSAIDs and received conservative therapies and steroidal injections to the knee joint. However, pain in the knee joint progressively increased; on the other hand, activities of daily living (ADL) decreased with age while patient continued to receive the conservative therapies. At the age of 62, she consulted to Department of Indigenous Medicine, requesting STM. Patient reported pain in the left knee joint while walking and showing a Kellgren-Lawrence[5] grade III or less in the radiographs with exostoses [Figure 1]. Patient gave a self-reported visual analogue scale (VAS) pain score of between 7 and 8, which was moderate to severe pain according to the scale. Also, knee had a clinically detectable joint effusion. According to online Knee Society clinical rating system,[67] final grading score of pain and stability was 43 (i.e., poor) and knee function score was 60. Pateint was diagnosed as having OA of the knee.

Bottom Line: After treatment for 70 days, the Knee Society Rating System scores of pain, movement and stability were also improved up to good level and function score was improved up to excellent level.During the follow-up period, joint symptoms and signs and the knee scores were unchanged.In conclusion, this OA patient's quality of life was improved by the combined treatment of Sri Lankan traditional medicine and Ayurveda.

View Article: PubMed Central - PubMed

Affiliation: Department of Dravyaguna Vignana, Institute of Indigenous Medicine, University of Colombo, Rajagiriya, Sri Lanka.

ABSTRACT
Reported case was a 63-year-old female with end-stage osteoarthritis (OA) (Sandhigata Vata) of the left knee joint accompanied by exostoses. Radiology (X-ray) report confirmed it as a Kellgren-Lawrence grade III or less with exostoses. At the beginning, the Knee Society Rating System scores of pain, movement and stability were poor, and function score was fair. Srilankan traditional and Ayurveda medicine treatment was given in three regimens for 70 days. After 70 days, external treatment of oleation and 2 capsules of Shallaki (Boswellia serrata Triana and Planch) and two tablets of Jeewya (comprised of Emblica officinalis Gaertn., Tinospora cordifolia [Willd.] Millers. and Terminalia chebula Retz.), twice daily were continued over 5 months. Visual analogue scale for pain, knee scores in the Knee Society online rating system and a Ayurveda clinical assessment criteria was used to evaluate the effects of treatments in weekly basis. After treatment for 70 days, the Knee Society Rating System scores of pain, movement and stability were also improved up to good level and function score was improved up to excellent level. During the follow-up period, joint symptoms and signs and the knee scores were unchanged. In conclusion, this OA patient's quality of life was improved by the combined treatment of Sri Lankan traditional medicine and Ayurveda.

No MeSH data available.


Related in: MedlinePlus