International Research Journal of Engineering and Technology (IRJET)
e-ISSN: 2395-0056
Volume: 11 Issue: 02 | Feb 2024
p-ISSN: 2395-0072
www.irjet.net
Efficacy of Shreshta Knee Expert Treatment Strategy (SKETS) in a case of early-onset knee osteoarthritis with Grade 4 severity: A case report Anuradha Goyal1, Anjali Menon2, Dipak Patil3 1Dr.Anuradha Goyal, M.D. (Kayachikitsa), BAMS, Clinic Head, Shreshta Knee Expert Clinic, Kalyan, Mumbai,
Maharashtra, India.
2Dr. Anjali Menon, M.D. (Rasashastra & Bhaishajyakalpana), B.A.M.S, Researcher, Tech Clinic Connect Pvt. Ltd, Navi
Mumbai, Maharashtra, India.
3Dipak Patil, Founder & Managing Director TechClinic Connect Pvt. Ltd., Navi Mumbai, Maharashtra, India.
---------------------------------------------------------------------***---------------------------------------------------------------------
Abstract - We present a case of early onset knee osteoarthritis, in a female patient, with BMI of 29.4 (overweight), who came seeking treatment at Shreshta Knee Expert Clinic, Kalyan. X Ray revealed Grade 4 severity Osteoarthritis with complete obliteration of Joint space in bilateral knee joints for which she had been advised Total Knee Replacement. Presenting complaints were - excruciating bilateral knee pain, joint stiffness and swelling. Her treatment module involved dietary and lifestyle changes along with Shreshta Knee Expert Treatment Strategy (SKETS), comprising of Oral medication, local therapy and Shodhana treatment with Basti. She showed significant change in Knee range of motion, Vas Pain score, joint stiffness and KOOS scale. She rated the effect of treatment as +7 on Global Rating of Change. Post treatment X RAY of bilateral knee joint in weight bearing (standing) position also revealed increase in Joint space width depicting regeneration of meniscus and cartilage, reduction in osteophytes and overall reversal of Osteoarthritic changes. Key Words: Knee Osteoarthritis, Early Onset Osteoarthritis, Cartilage, Meniscus, Ayurveda, Regeneration
1.INTRODUCTION Early onset of knee arthritis has been linked to many causes including Obesity, lack of physical activity in childhood 1; with traumatic injury to the knee, varus alignment, hyaluronic acid and tumour necrosis factor playing a major role in the disease prognosis2. Osteoarthritis, specifically knee and hip are seen to have higher prevalence in Asian countries 3 and severity in the female gender4,5, it has also been associated with oestrogen deficiency 6. In the present scenario there was no evidence of any auto-immune influence, hereditary factor, traumatic injury, or history of any other major medical or surgical illness that might have contributed to the fast progression of the disease. Osteoarthritis has been synonymous to Sandhigat Vata in Ayurveda and in the modern pursuit of DMOADs (Disease Modifying osteoarthritis Drugs) the natural remedies for treatment of Sandhigat Vata show great potential7,8,9, without the involvement of unpleasant and invasive procedures. Natural regeneration of meniscus and cartilage is delayed due to the lack of vascularity but with the use of Vatahara, Bruhan and Agnideepan dravyas the process is hastened causing regeneration of cartilage in-situ possible. SKETS is a holistic approach to deal with Osteoarthritis inculcating the use of local therapies with oral medication targeting the Knee joint as a complete organ10. Formulations have been crafted (proprietary medicines of TechClinic Connect) using the principles of Ayurveda dealing with Agnideepan, Pachan, Shodhan and Bruhan with focus on Asthi- Majja Dhatu Pachak and Bruhan and Rasayan Dravyas.
2. CASE PRESENTATION: A 41 years old female patient, weighing 80 kilograms, height 165 centimetres, came seeking treatment for the following complaints - Bilateral knee pain, stiffness and swelling of the joint. She sought treatment after having seen testimonials of previous patients of Shreshta Knee Expert Clinic on Facebook. She reported no history of any other major surgical or medical illness till date. She had not been diagnosed with any other comorbidities till date. In 2013 she gave birth to a female child, FTND (Full Term Normal Delivery) post which she started facing health issues related to weakness and joint aches. She joined her workplace 4 months later, for which she had to travel for 4 hours on a daily basis which included ascending three flight of stairs, riding on unpaved roads, and standing for more than 2 hours in crowded transport.
© 2024, IRJET
|
Impact Factor value: 8.226
|
ISO 9001:2008 Certified Journal
|
Page 681