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ISSN (Online) : 2277-4572

AYURVEDIC MANAGEMENT OF CHRONIC RHEUMATOID ARTHRITIS WITH MULTIPLE DEFORMITIES AND POTT?S SPINE: A CASE REPORT

Abstract

Author(s): Kshama Gupta, Prasad Mamidi

Rheumatoid arthritis (RA) is an immunologically driven long term condition and characterized by persistent joint inflammation. Spinal Tuberculosis (TB) or Pott’s spine is the commonest extra pulmonary manifestation of TB, in which lower thorasic and lumbar vertebrae are the most common sites. Here we are reporting a chronic case of rheumatoid arthritis diagnosed as ‘Amavata’ (with 11 years history) with multiple deformities (boutonniere’s deformity, z deformity, hallux valgus deformity, secondary osteoarthritis with fusion of all large and small joints, pott’s spine), bed ridden, with no movement at any joint (unable to walk, sit, rotate and stand) and with no hope in conventional management, came for Ayurvedic treatment as last option. Continuous seven months of panchakarma treatment, patient was able to sit, relieved from pain and fever, improvement in general condition, reduced stiffness and initiation of movements at various joints (peripheral & central) and able to do her routine activities with minimum support along with improved quality of life. Even though deformities were not cured, there was marked improvement in the mobility of the joints and in stiffness. Ayurvedic panchakarma procedures, seems to provide tremendous relief even in chronic RA patients with deformities