Functional Recovery in Bilateral Knee Osteoarthritis (Azhal Keel Vayu) :A Siddha Nano Medicine Approach


Functional Recovery in Bilateral Knee Osteoarthritis (Azhal Keel Vayu) :

A Siddha Nano Medicine Approach

Mr ……x/73 years
Chief Complaints:
Bilateral knee joint pain with swelling, restricted mobility, difficulty in walking, inability to perform floor sitting and routine ADLs. Patient was walking-aid dependent (stick) for the past 8 years.
History revealed inability to attend family functions and inability to board public transport - “பேருந்து மற்றும் இரு சக்கர வாகனங்களில் ஏறி பயணம் செய்ய இயலாத நிலை”. Previously advised for surgical intervention for OA knee by Orthopedics, patient was unwilling for surgery and sought Siddha line of management for degenerative OA.

Diagnosis:

Azhal Keel Vayu correlated with Bilateral Osteoarthritis Knee - degenerative stage.

Management Plan :

Inpatient based integrated Siddha protocol:
Advised IPD admission for comprehensive care aiming at pain management and restoration of normal gait.
Therapeutic Protocol:
External & Palliative Care:

Siddha poly herbal combination oil application for pain & joint flexibility
•  Medicated oil massage (Thokkanam)
•  Hot oil fomentation (Ottradam)
•  Polyherbal analgesic paste application (Patru)
•  Siddha Varma therapy for joint stabilization
Vatha Management:
•  Strict Vatha reduction diet plan
Internal Medicine:
•  Mukkutra neutralizing oil bath (Mukutra Ennai Kuliyal)
•  Vatha-reducing purgative (Virechanam) for gut detoxification - considering Gut-Joint axis
•  Followed by Siddha Nano Medicine - BD dose for 3 days per course
Total 4 courses were given with 1-week drug holiday between courses.
Clinical Course & Outcome (35-day IPD observation):

•  After Course 1: Significant reduction in pain and swelling noted.
•  After Course 2: Complete resolution of joint swelling, moderate pain reduction.
•  After Course 3: Further improvement in pain, swelling; patient able to walk short distances without walking stick.
•  After Course 4: Remarkable functional improvement - able to walk without support, able to sit on floor, restored ADLs. Pain and swelling significantly reduced.

Discussion:

This case demonstrates the potential of Siddha system in managing chronic degenerative Azhal Keel Vayu. The combination of Vatha-diet plan purgation and oil bath ,External therapies, Varma, and targeted Nano medicine addresses not only pain but joint flexibility and systemic Vatha aggravation.

Individual results may vary. Non-surgical Siddha management can be explored in elderly patients unwilling/unfit for surgery.
With the blessings of Siddhars.


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