Skip to main content
  • Original article
  • Open access
  • Published:

Added advantage of ayurvedic management in a series of 100 cases of osteoarthritis of the knee joint: a shared experience between Orthopaedic and Ayurvedic Faculty

Abstract

Osteoarthritis of the knee joint is a disease due to the uncoupling of balance between cartilage degeneration and regeneration in the elderly, causing knee joint pain, deformity and limp. About half of the population after the fifth decade of life have symptoms of osteoarthritis of the knee. The treatment of osteoarthritis varies from conservative to operative procedures. As yet, no long-term definitive conservative management has been described. We compared the results of osteoarthritis among 100 patients in the Orthopaedic outpatient department who either underwent (42 patients) or did not undergo (58 patients) added ayurvedic panchakarma (snehan and swedan) therapy. Patients’ visual anologue scores and satisfaction scores were assessed before the treatment and after 2 and 4 weeks. Patients with early to moderate grade of osteoarthritis treated with added ayurvedic therapy showed better improvment in terms of pain and mobilization compared with the patients treated with analgesics only.

References

  1. Witt CM, Michalsen A, Roll S, Morandi A, Gupta S, Rosenberg M, et al. Comparative effectiveness of a complex ayurvedic treatment and conventional standard care in osteoarthritis of the knee –study protocol for a randomized controlled trial. Trials 2013; 14:149.

    Article  Google Scholar 

  2. Klop C, de Vries F, Lalmohamed A, Mastbergen SC, Leufkens HG, Noortvan der Laan WH, et al. COX-2-selective NSAIDs and risk of hip or knee replacements: a population-based case-control study. Calcif Tissue Int 2012; 91:387–394.

    Article  CAS  Google Scholar 

  3. Bennell KL, Hunter DJ, Hinman RS. Management of osteoarthritis of the knee. BMJ. 2012; 345:e4934.

    Article  Google Scholar 

  4. Kędzierski T, Stańczak K, Gworys K, Gasztych J, Sibiński M, Kujawa J. Comparative evaluation of the direct analgesic efficacy of selected physiotherapeutic methods in subjects with knee joint degenerative disease –preliminary report. Ortop Traumatol Rehabil 2012; 14:537–544.

    Article  Google Scholar 

  5. Sharma MR, Mehta CS, Shukla DJ, Patel KB, Patel MV, Gupta SN. Multimodal ayurvedic management for sandhigatavata (osteoarthritis of knee joints). Ayu 2013; 34:49–55.

    Article  Google Scholar 

  6. Chopra A, Saluja M, Tillu G. Ayurveda-modern medicine interface: a critical appraisal of studies of ayurvedic medicines to treat osteoarthritis and rheumatoid arthritis. J Ayurveda Integr Med 2010; 1:190–198.

    Article  Google Scholar 

  7. Ringdahl E, Pandit S. Treatment of knee osteoarthritis. Am Fam Physician 2011; 83:1287–1292.

    PubMed  Google Scholar 

  8. Chopra A, Saluja M, Tillu G, Sarmukkaddam S, Venugopalan A, Narsimulu G, et al. Ayurvedic medicine offers a good alternative to glucosamine and celecoxib in the treatment of symptomatic knee osteoarthritis: a randomized, double-blind, controlled equivalence drug trial. Rheumatology (Oxford) 2013; 52:1408–1417.

    Article  CAS  Google Scholar 

  9. Peniston JH, Gold MS, Wieman MS, Alwine LK. Long-term tolerability of topical diclofenac sodium 1% gel for osteoarthritis in seniors and patients with comorbidities. Clin Interv Aging 2012; 7:517–523.

    Article  CAS  Google Scholar 

  10. Mody S, Jolly M, Kwasny MJ, Block JA. Patient reported outcomes and analgesia use in osteoarthritis of the knee. Osteoarthritis Cartilage 2008; 16:1294–1299.

    Article  CAS  Google Scholar 

  11. Argoff CE. Topical analgesics in the management of acute and chronic pain. Mayo Clin Proc 2013; 88:195–205.

    Article  CAS  Google Scholar 

  12. [No authors listed]. Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update. American College of Rheumatology Subcommittee on Osteoarthritis Guideline. Arthritis Rheum 2000; 43:1905–1915.

    Google Scholar 

  13. Turajane T, Chaweevanakorn U, Sungkhun P, Larbphiboonpong V, Wongbunnak R. Cost-utility analysis and economic burden of knee osteoarthritis treatment: the analysis from the real clinical practice. J Med Assoc Thai 2012; 95:S98–S104.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Akash Saoji MD.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Saoji, A., Mahajan, S. & Deshpande, S. Added advantage of ayurvedic management in a series of 100 cases of osteoarthritis of the knee joint: a shared experience between Orthopaedic and Ayurvedic Faculty. Egypt Rheumatol Rehabil 42, 7–10 (2015). https://doi.org/10.4103/1110-161X.155623

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.4103/1110-161X.155623

Keywords