OSTEOARTHRITIS KNEE JOINT

Best Herbal Ayurveda Treatment

NEUROLOGY
NEUROLOGY
ORTHOPEDICS
ORTHOPEDICS
GENERAL DISEASES
GENERAL DISEASES

OSTEOARTHRITIS KNEE JOINT

Knee joint pain is a common condition most people suffer from once in their lifetime. It can be from an injury, infection, arthritis, or degenerative changes. In some cases, the knee joint pain can be from lumbosacral disease. Osteoarthritis of the knee joint is one of the major degenerative condition which is commonly seen among the aged people and in some cases middle-aged people too. The most common chronic disorder that affects the joints happens when the cartilage or cushion between knee joints breaks down. The cartilage becomes rough of breakdown, resulting in pain, swelling, difficulty in moving the joint.
In Ayurveda, few conditions come in related to the OA knee joint mainly – Sandhigata Vata, Vataraktham, and Kroshtukasheersha.
Common causes of knee joint pain
Injuries Mechanical problems Arthritis

Ligament injuries – especially anterior cruciate ligament

Fractures. The bones of the knee, including the kneecap (patella)

Torn meniscus.

Knee bursitis.

Patellar tendinitis

Loose body.

Iliotibial band syndrome

Dislocated kneecap

Hip/foot pain in many cases can alter the gait pattern leading to knee joint pain.

Osteoarthritis.

Rheumatoid arthritis.

Gout.

Pseudogout.

Septic arthritis

Other problems

Patellofemoral pain syndrome

Ayurvedic treatment for rheumatoid arthritis

Stages of Osteoarthritis

Grade 0 – No symptoms
Grade 1- Mild, early degenerative changes, reduction of joint fluid, cartilages starts to break down
Grade 2 – moderate, osteophytes joint space reduction
Grade 3 – severe, big osteophytes, joint space reduced significantly, cartilage destruction
Grade 4 – extreme, Joint mobility is lost in most of the cases with all symptoms, complete cartilage destruction, big osteophytes
The severity of symptoms increase in higher grades of OA and Grade 3, Grade 4 usually requires joint replacement treatments for fit cases.
Osteoarthritis Knee Joint Ayurvedic Treatment in Kerala

Ayurveda Treatment of Osteoarthritis/knee joint pain

Yes, Ayurveda treatment can cure Grade 1, 2, and grade 3 cases of Osteoarthritis. In grade 4 some cases which are not fit for surgery and unwilling cases can also try Ayurveda treatments as it can provide symptomatic relief and improves the quality of living.
The inflammatory stage is treated with internal medications, Lepanam of herbal pastes, Podikizhi, Dhanyamladhara, etc treatments. In physiotherapy pain modalities are used in this stage like ultrasound IFT etc, Heat and cold packs are also used.
Noninflammatory stage – herbal kashayam and tablets helpful to manage the vitiated Vata is used like maharasnadi kashayam, Nadi kashayam, etc. Mamsarasam is useful. Guggulu preparations, Thikthaksheera preparations are helpful. Janu vasthi, Patrapindaswedam, and shashtikashali pinda swedam are useful and in some cases, mamsa pinda swedam is also beneficial. Rakthamokshanam and Agnikarma can also be used if needed. In physiotherapy main aim of treatment is joint mobilization, to strengthen all the muscles related to the knee joint. Traction is useful in some cases where there is marked joint space reduction. Stretching of muscles is essential, the patient is trained for self exercises and stretches for better results.
Use of micronutrients like Calcium, Vit D3 supplementations are required in some cases. Vataraktha line of treatment is effective in cases where there is more burning sensation is present with redness.

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FREQUENTLY ASKED QUESTIONS

Why women are more prone to the OA knee joint?

By nature, women face a triple threat of risk factor, when it comes to arthritis:- biology, genetic predisposition of hormones, lot of women have added a fourth risk factor – Obesity
a) Biology:- women’s bodies are designed to give birth, which means the tendons in the lower body are more elastic than men’s. So, the joints probably move around a little more. When the joints have less stability, they are more prone to injury. Also because women’s hips are wider than their knees. The alignment of a women’s body leads to a higher rate of knee injuries and can lead to osteoarthritis
b) Genetics:- women whose mothers developed osteoarthritis will probably find that they will develop it in the same joint at around the same age.
c) Hormones:- female hormones have an effect on the cartilage between the bones of the joint to prevent pain and allow the joint to move about smoothly. The hormone estrogen protects the cartilage from inflammation. But after menopause, when women’s estrogen levels go down, they lose that protection and may have a risk of developing osteoarthritis. Postmenopause women will have more calcium reabsorption and tend to be more osteoporotic.
Also, women in the working-class family tend to stand more for household works without proper stretching or muscle strengthening exercises.

What is osteoarthritis?

Osteoarthritis is a degenerative joint disease caused by wear and tear of the cartilage in bones. Cartilage acts as a cushion for the bones in the joint. So when they break down, it causes inflammation, swelling, pain, and difficulty in moving the joints.

How can we prevent osteoarthritis?

Maintain a healthy weight- being overweight gives strain to joints and mainly to the weight-bearing joints such as knees, hips, etc. and causes the wear and tear of the cartilage.
Exercise-Exercises helps in strengthening muscles
Avoid injuries
Do warm-up exercises before sports
Wear properly fitted shoes
Eat proper and healthy food.
 

Diagnosis

Clinical diagnosis in most of the cases. Radiological investigations like Xray MRI CT ultrasound is helpful for accurate diagnosis

Does osteoarthritis get relieved by hot or cold application?

The application of heat and cold can be used for different purposes in osteoarthritis joints. The heat helps to relax muscles and helps lubricate the joint stiffness. The cold application can reduce inflammation, swelling, and pain. So, heat can be applied before exercise, and cold can be used after exercise in an arthritic joint.

What are the best exercises for osteoarthritis knees?

Exercises such as standing leg lifts, sit and stand, standing kickback, quadriceps strengthening, lying leg lifts, hamstring stretch, and half squats are good for osteoarthritis of the knee.
Lifestyle management of osteoarthritis knee
Lifestyle management of osteoarthritis includes necessary exercises such as aerobic conditioning exercises, range of motion exercises, weight reduction, diet control, and getting adequate sleep.

Risk factors of osteoarthritis knee.

Age: The risk of osteoarthritis increases with age.
Women: Women are more likely to develop osteoarthritis than men because the women who go through menopause may gain weight and it creates increased stress on the joint.
Obesity: Increases weight adds stress to weight-bearing joints, such as hips and knees.
Joint injuries: Injury that seemingly healed may also increase the risk of osteoarthritis.
Genetics: Some people may inherit a tendency to develop osteoarthritis.
Bone deformities: Some may have bone or cartilage deformity by birth.

Osteoarthritis causing foods?

Sugar rich carbohydrates, cakes, cookies and bakery items, excessive salt, fried foods, refined wheat products such as egg yolks and red meat, and alcohol should be avoided.

At what age is osteoarthritis more prevalent?

Most people over 60 years have increased chances of developing osteoarthritis. The severity of the disease’s chances also increases by other factors such as joint injury, obesity, genetics, and anatomical factors.

Which joints are affected in osteoarthritis?

The most affected lower limb joint is the knee joint. Since the body supports the knee and we use it repetitively through our daily chores more than any other joint, osteoarthritis of the knee is the most common. The other joints affected are the hip joint, cervical, lumbosacral spine. Other commonly affected joints include the distal interphalangeal, proximal interphalangeal, and metacarpal joints.

What are the symptoms of osteoarthritis?

Symptoms of osteoarthritis include joint pain, swelling, and pain during movement leading to difficulty in moving the joints, joint stiffness, bony outgrowth on small joints called a bone spur, joint deformity, tenderness of joints, and grating sensation while moving the joints.

What are the causes of Osteoarthritis?

Osteoarthritis can be caused genetically, due to being overweight, due to any injury to the ligaments or cartilage, overuse of the joints such as repetitive bending, heavy lifting, and athletic activities, and weakness of the muscles supporting the joints especially as in old age. Osteoarthritis can also be caused due to some joint disorders such as rheumatoid arthritis, acromegaly, etc. Any inflammation or injury if not managed properly will end up in a degenerative stage.

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