Rheumatoid arthritis is a chronic painful inflammatory autoimmune disorder and with progression of disease causes the inflamed synovium to invade and damage the cartilages and bones of joints in turn leads to deterioration in quality of life and shortened life expectancy. Here, the symptoms may be either intermittent or progressive in RA patients. The main moto of RA management is to get pain relief, prevention of joint damage and functional loss. In Ayurveda, RA is correlated to Ama vata based on the symptoms produced in RA. Panchakarma is an effective therapy in managing musculo skeletal disorders. Due to alpaagni, apaaka of rasa dhatu occurs and got accumulated in amasaya produces aama leads to Amavata. Panchakarma is the best treatment to bring back Agni to normalcy by digesting Ama, and eliminate out vitiated doshas. Among Panchakarma procedures swedana, virechana, snehapana and kshara basti are told as treatment modes. Also, physiotherapy and rehabilitation application significantly augments the medical therapy by improving the RA management there by reducing the difficulties faced by RA patients for doing their routine activities. The modalities of physiotherapy such as cold/heat application, electrical stimulation, hydrotherapy and rehabilitation treatment techniques such as joint protection strategies, massage, exercise patient education are used after assessing patient’s physical state. Amavata is a challenging disease for the doctors due to its features. So, Panchakarma along with physiotherapy will provide a greater relief from RA afflictions.
Rheumatiod arthritis, Ayurveda, Panchakarma, Physiotherapy, Amavata
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