Abstract

AYURVEDIC MANAGEMENT OF ANKYLOSING SPONDYLITIS W.S.R TO ASTHIMAJJAGATA VATA: A CASE STUDY

Dr. Vaishali Shrilal Kokani* and Dr. Raman Ghugaralekar 

Abstract

Ankylosing spondylitis (AS) is a chronic systemic, inflammatory disease which affects primarily sacro-iliac joints and spine. It belongs to a group of rheumatic diseases with various skeletal and extra skeletal manifestations known as spondyloarthritis (SpA), which show a strong association with the genetic marker HLAB27. Inflammatory back pain and stiffness are prominent early in the diseases whereas chronic, aggressive disease may produce pain and marked axial immobility or deformity. The treatment of Ankylosing Spondylitis typically involves use of medications to reduce inflammation, suppress immunity to stop progression of the disease. Treatment is limited in modern medicine i.e. non steroidal anti inflammatory drug (NSAID), corticosteroids and various disease modifying anti rheumatic drugs (DMARDS) are used to treat or manage Ankylosing Spondylitis. In present study, 25 year old male patient having Reg no.43944 reported to kayachitisa OPD of M.A Podar Hospital with chief complaints low backache (felt deep in the lower region), multiple joint pain, restricted movements accompanied by early morning stiffness and mild weakness. Based on clinical examination and blood investigations, diagnosis of Asthimajjagata Vata i.e Ankylosing Spondylitis was made and Vaitaran Basti[1] followed by Panchatikta Ksheera Basti and Shaman treatment was given. Assessment was done by taking consideration of the both subjective and objective parameters. There was substantially significant improvement and patient felt relieved in pain and inflammation of the joints after the treatment. Thus case study reveals the potential of Ayurvedic treatment in management of Ankylosing Spondylitis.

Keywords: Ankylosing spondylitis, Spondyloarthritis, Asthimajjagata Vata, Vaitaran Basti, Pachatikta Ksheera Basti, Shaman Chiktisa.