In August, Maneesh from West Bengal consulted Dr Sanand from Sree Subramanya Ayurvedic Nursing Home with RA positive results. The diagnosis was made in April and revealed positive results for RA, CRP, anti-CCP, and ESR. In 2021, he tested positive for COVID-19 and had to isolate at home for 14 days. After that, he experienced pain and swelling in both of his wrist joints, which continued for 20 days. The pain was localized to a specific area in both wrist joints, but it later spread to other joints such as the elbow and shoulder. He neglected the pain as it was self-subsiding in nature. Later He started experiencing severe pain and swelling that seemed to move and change location, alternating between shoulder, elbow and wrist joints in the body which persisted for 3 weeks. When he began experiencing troublesome symptoms, he decided to seek medical attention and scheduled an appointment with a physician. The physician recommended conducting an RA factor and CRP test to diagnose the underlying cause of the symptoms. Both tests came back negative, and the physician prescribed medication for a month. The patient experienced symptomatic improvement.
However, after one year, the patient experienced unbearable swelling in his left ankle one night. Upon consulting with a doctor, an X-ray and USG were recommended, and it was determined that the patient had developed inflammatory arthritis. he used sulfasalazine continuously for 3 months Pain and selling decreased considerably. After a few months, the patient again experienced migratory pain in their ankle and wrist which persisted for a long time. During that time his RA and CRP tested positive. As per the doctors’ advice, he continued taking sulfasalazine. He gradually developed stiffness in his joints which persisted for 2-3 hours, especially in the morning. However, he noticed that the symptoms considerably reduced after 2-2.30 in the afternoon. Although his bowel and appetite were normal, his sleep was disturbed due to pain. During a physical examination, restrictions in joint movements and crepitus were noticed in both knee joints.
Past history
- In December, the patient had a heart attack and received a stent. Afterwards, he stopped taking sulfasalazine.
- History of cholecystectomy
Medical history
- Sulfasalazine
- Methotrexate-foletrex
- Folvite- thrice a week
- Ecospirine in alternate days since December 23rd
- Brilinta tablet
Treatment given:
- Internal medication
- Dashamoola katuthrayam kashaya
- Abhayarishta+madhukasavam
- Hinguvachadi choorna
- Raktavridhi sindhooram
- Procedure
- Choorna vasti for 3 days.
- Lepana with grihadhoomadi and tila for 4 days
- Pamanthaka choorna in nimbuswarasa
- Choorna pinda sweda with Rasna aswagandhadi choorna for 21 days
| Sl.No | Date of treatment | Medicine | No of days |
| 1. | 27/09/2023-06/10/2023 | Rasna aswagandhadi choorna pinda sweda | 10 days |
| 2. | 07/10/2023-10/10/2023 | Rasna aswagandhadi choorna kizhi+thepp /lepa with grihadhoomadi and tila | 4 days |
| 3. | 11/10/2023-17/10/2023 | Rasna aswagandhadi choorna pinda sweda | 7 days |
- Advised Regular Exercise and stress-managing pranayama
- Special Diet Recommendations:
- Buttermilk ,bitter guard,snake guard,moringa leaves
- Avoid curd,milk,black gram,meat
(Note*
- Here are Some of the medications prescribed to address the patient’s accompanying symptoms.
- This is a specialized plan for a person, please do not try it at home without the supervision of an Ayurvedic Doctor)
Investigation report
| Sl.
No. |
Investigation result | Before treatment | After 2 weeks of treatment |
| 1. | ESR
(at 1hr) (mm) |
85 | 80 |
| 2. | CRP (mg/L) | 31.6 | 25.9 |
| 3. | Hb | 9.6 | 10.2 |
Improvement chart-Symptoms
| Sl.
no. |
Symptoms | Before treatment | After treatment |
| 1. | Pain | Severe | Mild (80% reduced) |
| 2. | Morning stiffness | Severe for 2-3 hours | 80% reduced |
| 3. | Disturbed sleep | Disturbed due to pain | Sound |
| 4. | Restriction in joint movement | Restricted | flexible |
| 5. | Swelling in joints | Present | Absent |
Arthritis is a chronic and painful inflammatory disorder that affects the joints, bones, and muscles, causing stiffness and reduced mobility. The condition can impact people of all ages and genders. Arthritis can significantly reduce the quality of life of people who suffer from it, making even simple tasks like walking, bending, or holding objects challenging. Seeking assistance from a qualified healthcare professional is an essential and necessary step towards achieving optimal health. Receiving a thorough evaluation is most important to accurately identify underlying health issues. A well-crafted treatment plan can help you to achieve a successful recovery. It is crucial to ensure that the treatment plan is free from any side effects that may hinder your progress. This particular case demonstrates the efficacy of Ayurvedic treatment which does not result in any harmful side effects. For top-notch treatment of rheumatoid arthritis, look no further than SSANH – the best Ayurvedic hospital in Kerala. Contact us now for expert advice and superior care.
