Successful Management Of Osteoarthritis
- Written by Dr. Mangesh Mudgal
- Published in Case Studies
A 65 yrs female patient Known case of multiple joint osteoarthritis came with complaints of
- Excruciating lower back pain - On and off since 20 yrs
- Pain radiates form lower back in the Rt leg sometimes Lt leg
- Pain in both knee joints
- Pain in both wrist joints
- Pain in both ankles
- Pain at the back of the neck
- Early morning Stiffness in all joints
- Dizziness followed by vomiting
- Headaches
Associated complaints-
- Breathlessness after brisk walk or climbing stairs
- Tremors in body especially head
- Very low energy levels
History of present illness- Patient had been suffering on and off from above complaints since 20 yrs,for which she had been taking allopathic medication .In spite of this her condition was deteriorating day by day and been told ,she has to live with it.
Family History- Mother had osteoarthritis
Drug History- Glucosamine, Deslarwadine 5mg, Diclomal
Diagnosis-
After clinical examination and X rays, diagnosis was confirmed as
Osteoarthritis of multiple joints, Sciatica
Before starting treatment, to analysis pain RONALDS AND MORRIS (RM Q)- QUESTIONNARE which is use to analysis severity of lower back pain and NECK PAIN DISABILITY INDEX QUESTIONARY (NPDIQ) - for neck pain were taken.
Scores were- RMQ- 12 out of 24 & NPDIQ- 56 % disability
Treatment- Depending upon condition of the patient and disease, Medicated Enema ( Basti therapy ) for 8 days and Heat therapy for 7 days for lower back was given followed by oral medication and specific diet for 15 days .
Within period of 21 day Pain in both wrist joints and both Ankle joints was gone completely. No headache, Vomiting and dizziness. Pain in both knee joints also went down. No Radiating pain form lower back in the legs. Pain at upper back has also reduced remarkably.
Again, pain analysis was done – scores were, Lower back pain-RMQ- 1 and Neck pain -NPDIQ- 13 % disability
Patient was called for six consecutive follow-ups. After a gap of 3 months Medicated enema stage-II and nasal drop therapy for 8 days were given.
Again RMQ and NPDIQ were taken and scores were- RMQ- 0 and NPDIQ- 2%
Patient was free from all her symptoms. Now returned to work in her farm after 10 yrs., which she had stopped before because of sever osteoarthritis.
Conclusion- A crippling disease like Osteoarthritis can be easily treated effectively with comprehensive approach of Ayurvedic Therapies, Oral medication, Diet and exercise.
