Ayurveda interprets these changes as vitiated Vata dosha that affect Asthi dhathu (bones). This fusion leads to bamboo spine formation, a hallmark of AS. This causes fusion of the joint bones that causes stiffness and immobility. The new and original cartilages are replaced by bone through fusion. There is the destruction of nearby articular tissues or joint tissues as disease progresses. The myxoid subchondral bone marrow is mainly affected. In AS the entheseal fibrocartilage is the major target of the immune system, and there may be destructive synovitis. The manifestation of Vata Vyadhi (different disease due to Vata dosha) is prominent in fully established AS. A patient with AS was treated with Ayurvedic management of Amavata. There is a need to search satisfactory treatment available in other medical system. Unavailability of satisfactory treatment in bio-medicine leads to permanent deformity in this disease. Prevalence of AS in India is 0.03% as per surveys conducted by Bone and Joint Decade India from 2004 to 2010. Musculoskeletal pain, stiffness, and immobility of spine due to AS is a major burden. There is also a variable involvement of peripheral joints and articular structures. This study shows the cases of AS may be successfully managed with Ayurvedic treatment.Īnkylosing spondylitis (AS) is a chronic inflammatory disorder that primarily involves the sacroiliac joints and the axial skeleton. Patient's condition was assessed for symptoms of Asthimajja gata vata and core sets of Assessment of Spondylo Arthritis International Society showed substantial improvement. Pratimarsha nasya (nasal drops) with Anu Taila (oil) for one month was given after completion of Basti procedure. The patient was considered suffering from Asthimajja gata vata (∼ Vata disorder involving bone and bone marrow) and was treated with Shalishastika Pinda Svedana (sudation with medicated cooked bolus of rice) for one month and Mustadi Yapana Basti (enema with medicated milk) with Anuvasana (enema with Asvagandha oil) in 30 days schedule along with oral Ayurvedic drugs for two months. Ayurvedic treatments, in this case, were directed toward alleviating symptoms and to reduce severe disability. We present a case of AS, which was treated for two months with a combination of Panchakarma procedures and Ayurvedic drugs. Various Panchakarma procedures and Ayurvedic drugs have been proved useful for these manifestations. No satisfactory treatment is available in modern medicine for this disorder. Ankylosing spondylitis (AS) is a rheumatic disease with various skeletal and extra skeletal manifestations.
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