Housemaid’s knee is caused due to inflammation of the prepatellar bursa. It is called prepatellar bursitis. It occurs in people who spend a long time kneeling. It is included under musculoskeletal diseases. In musculoskeletal diseases, pain is associated with bone, muscle, nerves, tendons, and ligaments.
- SIGNS AND SYMPTOMS OF HOUSEMAID’S KNEE
- CAUSES OF HOUSEMAID’S KNEE
- PATHOPHYSIOLOGY OF HOUSEMAID’S KNEE
- DIAGNOSIS OF HOUSEMAID’S KNEE
- TREATMENTS FOR HOUSEMAID’S KNEE
- PROGNOSIS OF HOUSEMAID’S KNEE
- COMPLICATIONS OF HOUSEMAID’S KNEE
- HOUSEMAID’S KNEE AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF HOUSEMAID’S KNEE
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF HOUSEMAID’S KNEE
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF HOUSEMAID’S KNEE
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF HOUSEMAID’S KNEE
- AYURVEDIC PROGNOSIS OF HOUSEMAID’S KNEE
- CHIKITSA- AYURVEDIC TREATMENT FOR HOUSEMAID’S KNEE
- AYURVEDIC LOCAL TREATMENT FOR HOUSEMAID’S KNEE
- AYURVEDIC SAMANA TREATMENT FOR HOUSEMAID’S KNEE
- AYURVEDIC SHODHANA TREATMENT FOR HOUSEMAID’S KNEE
- COMMONLY USED AYURVEDIC MEDICINES FOR HOUSEMAID’S KNEE
- HOME REMEDIES FOR HOUSEMAID’S KNEE
- DIET AND BEHAVIOUR FOR HOUSEMAID’S KNEE
- YOGA FOR HOUSEMAID’S KNEE
SIGNS AND SYMPTOMS OF HOUSEMAID’S KNEE
- Pain varies from a dull constant ache to a sudden sharp feeling.
- Pain manifested in and around the knee joint.
- Pain aggravated during walking and kneeling.
- Redness and swelling in the knee joint
- Tenderness
CAUSES OF HOUSEMAID’S KNEE
- Mechanical causes
- Injuries
- Prepatellar bursitis also occur due to infections
PATHOPHYSIOLOGY OF HOUSEMAID’S KNEE
- In the case of infections, the immune system sends white blood cells to fight off the infection, leads to inflammation, which causes bursitis.
- It occurs in people who spend a long time in kneeling
DIAGNOSIS OF HOUSEMAID’S KNEE
- EXAMINATIONS
- Inspection
- Palpation
- Movements – Flexion, Extension
- INVESTIGATIONS
- X – rays
- MRI
- CT Scan
- Laboratory tests – to find out the underlying pathology
TREATMENTS FOR HOUSEMAID’S KNEE
- Medications – Non-steroidal anti-inflammatory drug, Analgesics
- Treatment of underlying pathology
- Physiotherapy
PROGNOSIS OF HOUSEMAID’S KNEE
- Prognosis is based on the stage of the disease, duration and condition of the patient
COMPLICATIONS OF HOUSEMAID’S KNEE
- Chronic pain
- Unable to do any movement
HOUSEMAID’S KNEE AND AYURVEDA
- In Ayurveda, housemaid’s knee falls under Vatavyadhi or a Vata dosha imbalance disorder.
- Vata vyadhi can be correlated to neurological or neuromuscular disorders. The causes and pathogenesis of diseases caused by vitiation of Vata dosha, in general, are the exclusive cause and pathogenesis ofpain and swelling.
- Vata dosha along with pitta and asthi dhatu is involved.
NIDANA- AYURVEDIC CAUSES OF HOUSEMAID’S KNEE
- Excess consumption of ununctuous, cold food
- Excessive physical exercise.
- Suppression of natural urges.
- Trauma
- Injuries
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF HOUSEMAID’S KNEE
- Pain and swelling in the knee joint
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF HOUSEMAID’S KNEE
- Vata, pitta and kapha dosha move through all channels of circulation. Due to the subtle nature of vata it impels the remaining two doshas.
- The aggravated vata having provoked these two doshas, exacerbated and fills up the empty channels and moves greatly inside them or by getting enveloped by the other doshas.
- The aggravated vata and pitta resides in the knee joints and produces redness, swelling and tenderness.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF HOUSEMAID’S KNEE
- Toda – aching pain
- Ruk – Pain on the knee joint
- Redness on knee joint
- Pain aggravates on movement
- Sopha – edema
AYURVEDIC PROGNOSIS OF HOUSEMAID’S KNEE
- Pain associated with traumatic injuries is difficult to cure – krichra sadhya
CHIKITSA- AYURVEDIC TREATMENT FOR HOUSEMAID’S KNEE
Ayurvedic local treatment for housemaid’s knee
- Svedam – Fermentation
- Pain-relieving lepa application
- Abhyanga – oil massaging
AYURVEDIC SAMANA TREATMENT FOR HOUSEMAID’S KNEE
- Dasamoolarishtam
- Maharasnadi kashayam
- Dhanwantharam ghritam
- Rasna panchakam kashayam
- Rasnasaptakam kashayam
- Rasaraj ras
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
AYURVEDIC SHODHANA TREATMENT FOR HOUSEMAID’S KNEE
- VASTHI- Erandamooladi yapana vasthi
- SNEHAVIRECHANAM-Eranda tailam
- NASYA-Ksheerabala
COMMONLY USED AYURVEDIC MEDICINES FOR HOUSEMAID’S KNEE
Internal administration
- Dasamoolarishtam
- Rasnerandadi kashayam
- Rasna panchakam kashayam
- Rasna saptakam kashayam
- Rasaraj ras
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
- Dhanwantharam ghrita
External application
- Snehadhara – with balaswagandha tailam and ksheerabala tailam
- Shashtika Sali panda sweda
HOME REMEDIES FOR HOUSEMAID’S KNEE
- Proper rest
- Heat application on the affected area by a towel dipped with hot water
- Massage the painful area for 15 minutes ( NOT too much pressure )
- Drinking plenty of fluids
- Bathing in warm water
- Body massaging
DIET AND BEHAVIOUR FOR HOUSEMAID’S KNEE
- Avoid food items which produce vata dosha imbalance like cold and dry food, hard to digest. Because vata imbalance aggravates the symptoms.
- Consume easily digestible food items, cow’s milk
- Avoid heavy exercises which further aggravate the conditions.
- Oil massage on the whole body advised. This alleviates vata dosha.
- Take proper rest.
- Avoid kneeling for a long time
YOGA FOR HOUSEMAID’S KNEE
- Nadi Shuddi Pranayam – calms the mind and gets relief from aches and pains
The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
- Savasana – relaxes body and mind