Ayurveda Management of Janu Sandhi Marma Kshatha wsr to Traumatic Knee Injury- A Case Report

Abstract

Pain, an unpleasant sensation, drives individuals to seek medical attention and hinders daily activities, particularly when it affects mobile joints like the knee. Injuries to knee joints often result from indirect forces, causing pain, swelling, and impacting quality of life. Modern treatments include analgesics and, in severe cases, surgery. Ayurveda offers holistic approaches to managing joint disorders, providing relief, and promoting overall well-being. A case study involving 58-year-old female with a history of a fall, experiencing pain, and swelling, in the right knee joint with limping. The probable diagnosis based on clinical presentation is Janu Sandhi Marma Kshatha. In this case, Ayurvedic treatment includes the administration of Classical medications like Mahayogaraja guggulu and proprietary medications like Flex eaze having the extracts of Rasna Panchaka formulation, Digestea brew dip tea [Shunti, Amalaki, Musta, and Guduchi] for 45 days twice daily with warm water as Anupana. Bahya Chikitsa includes Abhyanga using Dhanwantara taila followed by Swedana starting from the 3^rd day to 45^th day. Assessment, using KOOS questionnaires, Walking distance parameters, and Visual analog scale [VAS] revealed significant improvements in symptoms, emphasizing the delay of osteoarthritis onset. This case highlights Ayurveda's role in effectively addressing knee joint issues, providing a comprehensive alternative to conventional treatments.