Management strategies for Janu Sandhigata Vata vis-a-vis osteoartheritis of knee: A narrative review

Abstract

Introduction:Ayurveda has described about the pathogenesis and the treatment of various disorders, the incidence of some of which have increased in the present scenario. Janu Sandhigata Vata correlated with osteoarthritis (OA) of the knee joint is one such chronic, degenerative, inflammatory disease which has a great impact on the quality of the life of an individual. Different modalities of treatment have been explained in the classics to tackle the condition effectively.Methodology:In the present study, an attempt has been made to review the various clinical research works done in the management of OA of the knee, which are registered in various research portal. In AYUSH Research Portal using the keywords Ayurveda-clinical research-musculoskeletal disorders-osteoarthrosis of knee-Janu Sandhigata Vata and in PubMed using clinical research – Ayurveda-OA. The studies reviewed were categorized depending on the treatment used in the management of the condition.Results:Fifty three research works were registered under AYUSH Research Portal with 34 full papers. There were 12 research papers in PubMed, out of which 6 papers which dealt with OA of the knee were reviewed. Among these six, three already existed in AYUSH Research Portal. The results were discussed by categorizing the studies as per the treatment used.Conclusion:Among the papers reviewed, most of them dealt with few modalities of treatment rather than the complete classical line of the treatment. The evidence-based research involving multimodality treatment with long-term follow-up covering various aspects of prevention and cure has to be conducted which is the need of the hour.

A Case Study: Effect of Ksheerbala Taila Janubasti in Ja-Nusandhigatavata (Osteoarthritis)

“…The modalities of preventive and curative healthcare have been well expounded in this science and may offer comprehensive solutions for the multifactorial diseases of humanity. 1 Vata Dosha increases as age increases and results in increasing Vata Dosha, which accelerates Dhatu Kshaya (depletion of tissue), and Bala Kshaya (diminished strength), which results in degenerative disorders. 2 Ayurvedic classics highlight degenerative diseases under the concepts of "Dhatu saithilya" and "Dhatu kshaya."…”

Effects of Boswellia species on viral infections with particular attention to SARS-CoV-2

“…Nowadays, a wide range of brand formulations composed of Boswellia species, including 5-Loxin ® , Aflapin ® , and Sallaki ® , are exerted for different purposes such as hepatoprotective, antiarthritic, antihyperlipidemic, antiinflammatory, antiatherosclerotic, and analgesic activities (Sengupta et al 2010 ; Knaus and Wagner 1996 ; Sharma et al 2016 ). This review presented a summary on the antiviral effects of Boswellia species with a focus on its potent beneficial abilities against COVID-19 for the development of an alternative therapy in near future.…”

A Study on the Role of Asraya-Asrayee Bhava Sambandha in the Genesis of Sandhivata w.s.r Shleshaka Kapha

“…Sandhi,gata and vata. Sleshaka Kapha which is present in Sandhi's and it does the Anugraha 7 i.e, it provides Snigdhata to the Sandhi's for lubrication and proper movement of the joint. Osteoarthritis is by far the most common form of arthritis.…”