Ayurvedic Management of Janu Sandhigata Vata W.S.R to Knee Osteoarthritis: A Case Report

Background: Janu sandhigata Vata is an important Vataja disorder, characterized predominantly by pain, stiffness, swelling, crepitus and restricted movement of the knee joint. Its clinical presentation shows considerable similarity with knee osteoarthritis, a common age-associated degenerative joint disorder. Classical Ayurvedic texts describe SandhigataVata under Vatavyadhi with characteristic involvement of the Sandhi and impairment of joint function.[1-5] Case presentation: A 58-year-old female presented with bilateral knee pain, stiffness, crepitus and difficulty in walking and climbing stairs for approximately two years. The symptoms were aggravated by prolonged standing, walking and stair climbing and partially relieved by rest. Clinical assessment demonstrated tenderness, painful restriction of knee movements and crepitus. Radiological evaluation of the knee was suggestive of osteoarthritic changes.