31/12/2020
RHUEMATOID ARTHRITIS
Rheumatoid arthritis is a chronic disease of the joints that can cause a disabling degree of pain and significantly interfere with an individual’s day to day activities.
RA is a worldwide health issues and its chronic inflammatory disease it causes progressive joint damage and even leads to disability .its onset is closely related to environmental and genetic factors.
Over the past 2 decades the treatment of RA has been revolutionized by advances in its pathological mechanism and development of drug which target them.
RA mainly attack the joints usually, many joints at once. RA commonly affects in the hands,wrist and knee .In a joint with RA,the lining of joint become inflamed,causing damage to joint tissue.This tissue damage can cause long lastin or chronic pain unsteadiness and deformity.
Causes
RA is an autoimmune disease .your immune system is supposed to attack foreigners in your body like bacteria,viruses by creating inflammation. In an autoimmune disease ,the immune system mistakenly send inflammation to your own healthy tissue. The immune system creates a lot of inflammation that is sent to your joints causing joint pain and swelling. If the inflammation remains present for a long period of time ,it can cause damage to joint. This damage typically cannot be reversed once it occur.The cause of RA is unknown.
Signs and symtoms
When the disease is active ,RA symptoms and sign includes.
• Fatigue
• Low grade fever
• Loss of energy
• Joint redness
• Joint pain and warmth
• Deformity
• Loss of range of motion
Complications
• Anorexia
• Bad taste in mouth
• Polyurea and burning micturition
• Colicky pain
• Thirst ,fainting,giddiness and pericardial discomfort
Deformities:
Early in the disease, RA tends to attack the small joints of your hands and feet. This can lead to several types of deformities, including:
Ulnar drift. Your fingers lean away from your thumb and toward your pinky.
Boutonnière deformity. Also called a buttonhole deformity. Your middle finger joint bends downward (toward your palm), while your top finger joint bends away from the palm.
Swan-neck deformity. The base and top joint of your finger bend downward, but the middle joint is straight.
Hitchhiker’s thumb: Also called a z-shaped deformity. Your thumb flexes at the joint where it meets your palm, then bends backward at the joint below your thumbnail.
Bunion. The base of your big toe (where it attaches to the foot) gets larger and sticks out. This may force your big toe to press against the second toe, forcing it to overlap the third.
TREATMENT
Rheumatoid arthritis has been described as Amavata in ayurveda,in which the vitiated vata and ama afflicts the lining f joints ,causing shula and s***a
The treatment module for amavata includes shamana and shodana chikitsa .Depending upon the stages and doshas involved ,many measures are advised such as langana(a method of depletion of body tissues),deepana(increase digestive fire),pachana(digestion of food) for accumulated ama snehapana(oleation),swedana (fomentation),virechana(purgation) and basti (e***a) for elimination of doshas from the body.
Basic principles of treatment
1. Abyanagam :
Is a form of ayurvedic medicines that involves massage of body with dosha specific warm herb infused oil.
2.Patra pinda swedanam :
Swedanam done with the fresh leaves of vata pacifying herbs .This bundle of vata pacifying herbs and choornas is rubbed on the affected part gently. Circular motion with gentle pressure is given over the joints and rubbed vertically and give fomentation over muscles on back, shoulder and hand.
3.upanaham: Ekanga sweda done with preapared vatahara leaves and mix with medicated choornas and decoction of herbs. The affected part cleaned and mild abyanga should be done locally and part covered with this medicated paste and tie with bandage cloth and usually done in the night.
4.Dhara :Stream pouring of medicinal liquids mainly dhanyamla dhara.