Effect of selected treatment regimen in management of Sandhigatavata (osteoarthritis of knee joint) - Short Communication

Abstract

Sandhigatavata, a Vata Roga can be correlated with osteoarthritis. Some Ayurveda physicians treat Sandhigatavata successfully using decoction of Rasnavishva Vidangadi Kashaya, Simghanada Guggulu, Kubjaprasarani Taila, Nadi Sweda and Satakuppaadi Lepa. No known scientific study has been conducted to evaluate the effects of these medicines. Hence, present study was undertaken. Twenty Sandhigatavata patients were selected and treated for 90 days. On Day-1, Virechana Karma was performed with 30ml of Eranda Taila. Day-2 to Day-90 patients were treated with Rasnavishva Vidangadi Kashaya, and Simghanada Guggulu twice a day given orally. Additionally, from Day-2 to Day-15, Kubjaprsarani Taila was applied in the morning followed by Nadi Sweda. Satakuppaadi Lepa was applied on affected joints.  From Day-16 to Day-30, Pichudharana was carried out for one hour using Kubjaprsarani Taila. From Day-2 to Day-15 and Day-31 to Day-90, Kubjaprsarani Taila was applied on affected joints. Efficacy of treatment was assessed throughsymptomatic relief and through Algo functional Lequesne Index. Statistically significant reduction of symptoms was observed after completion of treatment. Handicap severity (Algo functional Lequesne Index) of knees was significantly reduced from the median value score of 20 to 5, after 90 days of treatment. It is concluded that this treatment regime is effective in the management of Sandhigatavata (osteoarthritis).