DOLOR EN LAS ARTICULACIONES- Tratamiento Ayurvédico, Dieta, Ejercicios, Trabajos de Investigación, Yoga y Pranayama

JOINT PAIN - Ayurvedic Treatment

Joint pain is included under musculoskeletal diseases. In musculoskeletal diseases, pain is associated with bone, muscle, nerves, tendons, and ligaments.

  • SIGNS AND SYMPTOMS OF JOINT PAIN
  • CAUSES OF JOINT PAIN
  • PATHOPHYSIOLOGY OF JOINT PAIN
  • DIAGNOSIS OF JOINT PAIN
  • TREATMENTS FOR JOINT PAIN
  • PROGNOSIS OF JOINT PAIN
  • COMPLICATIONS OF JOINT PAIN
  • JOINT PAIN AND AYURVEDA
  • NIDANA- AYURVEDIC CAUSES OF JOINT PAIN
  • PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF JOINT PAIN
  • SAMPRAPTI – AYURVEDIC PATHOGENESIS OF JOINT PAIN
  • LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF JOINT PAIN
  • AYURVEDIC PROGNOSIS OF JOINT PAIN
  • CHIKITSA- AYURVEDIC TREATMENT FOR JOINT PAIN
  • AYURVEDIC LOCAL TREATMENT FOR JOINT PAIN
  • AYURVEDIC SAMANA TREATMENT FOR JOINT PAIN
  • AYURVEDIC SHODHANA TREATMENT FOR JOINT PAIN
  • COMMONLY USED AYURVEDIC MEDICINES FOR JOINT PAIN
  • HOME REMEDIES FOR JOINT PAIN
  • DIET AND BEHAVIOUR FOR JOINT PAIN
  • YOGA FOR JOINT PAIN
  • RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF JOINT PAIN

SIGNS AND SYMPTOMS OF JOINT PAIN

  • Pain varies from a dull constant ache to a sudden sharp feeling.
  • Pain manifested in and around the joints.
  • Pain may radiate towards the muscles.
  • Pain aggravated during body movement.

CAUSES OF JOINT PAIN

  • Mechanical causes
  • Inflammatory joint diseases
  • Injuries
  • Osteoporosis
  • Osteomyelitis
  • Fracturas
  • Dislocation
  • Degenerative arthritis
  • Rheumatoid arthritis
  • Mineral deficiency
  • Deficiency of vitamin D
  • Infecciones
  • Fiebre

PATHOPHYSIOLOGY OF JOINT PAIN

  • In the case of infections, the immune system sends white blood cells to fight off the infection, leads to inflammation, which causes joint pain.
  • Stimulation of specialized pain-sensitive nerve fibres (nociceptors) that innervate bone tissue leads to the sensation of bone and joint pain.
  • Bone pain originates from both the periosteum and the bone marrow which relay nociceptive signals to the brain creating the sensation of pain. Bone tissue is innervated by both myelinated (A beta and A delta fiber) and unmyelinated (C fiber) sensory neurons.
  • In combination, they can provide an initial burst of pain, initiated by the faster-myelinated fibers, followed by a slower and longer-lasting dull pain initiated by unmyelinated fibers.
  • In referred body pain, increased excitation of the spinal cord occurs. Muscular spasm is mostly secondary to a painful lesion in another muscle or joint.

DIAGNOSIS OF JOINT PAIN

  1. EXAMINATIONS
  • Inspection
  • Palpation
  • Movements Flexion, Extension, forward bending, Lateral bending
  1. INVESTIGATIONS
  • X – rays
  • IRM
  • TAC
  • Laboratory tests – to find out the underlying pathology

TREATMENTS FOR JOINT PAIN

  • Medications – Non-steroidal anti-inflammatory drug, Analgesics
  • Tratamiento de la patología subyacente
  • Physiotherapy
  • In the case of nutrient deficiency, calcium and vitamin D supply.
  • Radiotherapy
  • In few cases may require surgery

PROGNOSIS OF JOINT PAIN

  • El pronóstico se basa en la causa de la enfermedad, la duración y el estado del paciente

COMPLICATIONS OF JOINT PAIN

  • Stiffened joint
  • Permanent damage of joint
  • Unable to do any movement

JOINT PAIN AND AYURVEDA

  • In Ayurveda, joint pain 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, numbness, weakness.
  • Vata dosha and asthi dhatu are involved.

NIDANA- AYURVEDIC CAUSES OF JOINT PAIN

  • Excess consumption of ununctuous, cold food
  • Excessive physical exercise.
  • Supresión de los impulsos naturales.
  • Trauma
  • Injuries
  • Asthi dhatu kashaya – degeneration of bone tissue

PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF JOINT PAIN

  • Dull intermittent pain in the joints

SAMPRAPTI – AYURVEDIC PATHOGENESIS OF JOINT PAIN

  • Vata, pitta y kapha dosha se mueven por todos los canales de circulación. Debido a la naturaleza sutil de vata, impulsa a los dos doshas restantes.
  • El vata agravado habiendo provocado estos dos doshas, se exacerba y llena los canales vacíos y se mueve grandemente dentro de ellos o siendo envuelto por los otros doshas.
  • The aggravated vata resides in the joints and produces different kinds of aches and pains.

LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF JOINT PAIN

  • Toda – aching pain
  • Ruk – Pain on the joints
  • Redness on joints
  • Pain aggravates on movement
  • Sopha – oedema
  • Sada – weakness

AYURVEDIC PROGNOSIS OF JOINT PAIN

  • Pain associated with traumatic injuries is difficult to cure – krichra sadhya

CHIKITSA- AYURVEDIC TREATMENT FOR JOINT PAIN

Ayurvedic local treatment for joint pain

  • Svedam – Fermentation
  • Pain-relieving lepa application
  • Abhyanga – oil massaging

AYURVEDIC SAMANA TREATMENT FOR JOINT PAIN

  • Dasamoolarishtam
  • Maharasnadi kashayam
  • Dhanwantharam ghritam
  • Rasna panchakam kashayam
  • Rasnasaptakam kashayam
  • Rasaraj ras
  • Laksha guggulu
  • Trayodasanga guggulu
  • Mahayogaraja guggulu

 AYURVEDIC SHODHANA TREATMENT FOR JOINT PAIN

  • VASTHI- Erandamooladi yapana vasthi
  • SNEHAVIRECHANAM-Eranda tailam
  • NASYA-Ksheerabala

COMMONLY USED AYURVEDIC MEDICINES FOR JOINT PAIN

Administración interna

Aplicación externa

Ayurvedic Remedies for Joint Health/Support

HOME REMEDIES FOR JOINT PAIN

  • 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 JOINT PAIN

  • Evita los alimentos que producen desequilibrio de vata dosha como los alimentos fríos y secos, difíciles de digerir. Porque el desequilibrio vata agrava los síntomas.
  • Consume alimentos de fácil digestión, leche de vaca
  • Evite los ejercicios pesados que agravan aún más las afecciones.
  • Oil massage on the whole body advised. This alleviates vata dosha.
  • Descansa adecuadamente.

YOGA FOR JOINT PAIN

  • Nadi Shuddi Pranayam – calms the mind and gets relief from aches and pains

El paciente tiene que estar sentado en postura de meditación con la cabeza y la columna vertebral erguidas, con el cuerpo relajado. El paciente tiene que cerrar una fosa nasal (por ejemplo, la fosa nasal izquierda si utiliza la mano derecha y viceversa) con el pulgar y exhalar completamente por la otra fosa nasal. De nuevo, tendrá que inspirar profundamente por la otra fosa nasal mientras la fosa opuesta sigue cerrada con el pulgar.

  • Savasana – relaxes body and mind

RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF JOINT PAIN

  1. Multimodal Ayurvedic management for Sandhigatavata(Osteoarthritis of knee joints)

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3764880/