A Comprehensive Case Study on Ayurvedic Management of Sandhi Shoola (Joint Pain) and Associated Conditions: An Integrative Approach
Author : Acharya Manish, Dr. Gitika Chaudhary, Dr. Richa, Dr. Yogesh Kumar and Dr. Tanu Rani
Abstract :
This case study examines the Ayurvedic management of a 59-year-old male patient presenting with Sandhi Shoola (joint pain), Asthigata Vata (a condition analogous to osteoarthritis), and associated systemic conditions, including obesity and hypertension. The primary complaints were pain and swelling in the right knee joint, difficulty walking, and general joint stiffness. Diagnostic investigations, including an MRI, revealed a Grade III horizontal meniscal tear in the posterior horn of the medial meniscus, ligamentous sprain, and marginal osteophytes indicative of early osteoarthritis. Elevated uric acid levels were also noted, contributing to the inflammatory process. A comprehensive treatment plan rooted in Ayurvedic principles was implemented, incorporating Panchakarma therapies such as Abhyanga (therapeutic massage), Swedana (sudation therapy), Janu Basti (medicated oil retention therapy), and Shirodhara (oil dripping therapy). Additionally, ayurvedic formulations like Maharasnadi Kwatha, Yograj Guggulu, and dietary modifications emphasizing anti-inflammatory and Vata-pacifying properties were prescribed. The intervention was complemented by lifestyle adjustments, including mild physical activity and stress management techniques like yoga and meditation. Post-treatment, the patient exhibited significant clinical improvements, including reduced joint pain and swelling, improved mobility, and normalization of vital parameters. Uric acid levels decreased from 7.80 mg/dl to 3.10 mg/dl over the treatment course, reflecting metabolic stabilization. The patient's overall quality of life was enhanced, with a marked reduction in pain scores from 7/10 to 4/10 and improved physical function. This case highlights the efficacy of integrative Ayurvedic treatment in addressing chronic musculoskeletal disorders and associated comorbidities. It emphasizes the potential of Ayurveda as a holistic, patient-centered approach that not only manages symptoms but also improves systemic health and well-being. Further studies and controlled trials are recommended to validate these findings in a broader population.
Keywords :
Sandhi Shoola, Asthigata Vata, Ayurvedic Management, Panchakarma Therapies, Joint Pain Treatment, Osteoarthritis, Maharasnadi Kwatha, Yograj Guggulu.
