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What is Knee Pain?

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Knee pain or Janusandhigata Ruk is one of the most common musculoskeletal complaints that bring people to their doctor. Previously considered as a symptom of old age, presently it is affecting the younger generation also, both bulky and sporty and active persons. Knee pain is a symptom caused by a variety of causes or ailments. Hence the treatment approach is also different.

What are the types of Knee Pain?

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Knee pain is usually classified into two types as Acute Pains and Chronic Pains. Acute Pains are usually caused by injuries and the pain is intense. Healing is also fast and almost complete if properly managed. Chronic Pain is caused by conditions like Osteoarthritis, Rheumatoid arthritis, Gout, etc.

Acute Knee Pain Conditions: Sprained and Torn Cruciate Ligaments, due to direct hit injury or impact from a hit to a dashboard, etc. cause this. Anterior Cruciate Ligament injury is most common. Posterior cruciate ligament injury involves multiple injuries. Meniscal tear can cause pain with lock-knee. Patellar injuries and dislocation are also painful.

Chronic Knee Conditions: Dhathukshayam conditions like osteoarthritis, systemic diseases like rheumatoid, crystalline and gouty arthritis, obesity, and referred pains of surrounding structures are a few examples of knee pain.

What is the Ayurveda classification of Knee Pain?

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In Ayurveda, Knee pain is divided into two types based on the Dosha predominance. The chronic dull long-standing aches caused by systemic diseases like rheumatoid arthritis and gout are indicative of the presence of systemic metabolic malfunction or Aama. The Acute inflammatory is considered Pitta Vata predominant. The management is also done according to the cause. Pain management is the aim of acute conditions while reducing the Aama and decreasing morbidity is the aim of chronic conditions.

How is Knee Pain treated?

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The common goal is to break the inflammatory cycle. The inflammatory cycle starts with an injury. If the injury and subsequent inflammation are not resolved, inflammation can become a chronic issue, leading to further inflammation and additional injury. This cycle of inflammation leads to continued or progressive knee pain. The cycle can be broken by controlling the substances that cause inflammation, and by limiting further injury to tissue.

Price Protocol-Ayurveda way

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PRICE Protocol or Shaityopachara in Injuries where Pitta and Rakta are involved in initiating Shopha or inflammation. It is followed as

Dos and Don’ts of Knee pain

  • Don’t Stay on the Couch Too Long: Stretching and strengthening exercises for stronger muscles. Low-impact water workouts or yoga are good options.
  • Use a cane or support if you feel unsteady. Use it at 450 for proper height. Braces, pads, or sleeves can also be used.
  • Sleep in a proper position.
  • Manage your weight and try to be at the lower range of your BMI. Also, prevent wear and tear due to overuse.
  • Keep your spine, hip, ankle, and feet healthy.

What are the Management Possibilities of Knee Pain in Ayurveda?

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Acute knee pains that do not require surgical repair are managed very well with Ayurveda. Oil applications, Cold packs, Dharas, Bandages are helpful along with rest. There are many conditions like Amavatham where oil is contraindicated till Aama is managed. Whereas in conditions like osteoarthritis where lubrication is less, oils have a major role. Similarly, Vasthi treatments are very helpful in knee pain management. The prescription depends on the cause. Very useful local treatments are the Januvasthi, Janupichu, Janudhara, Janu Lepam, Janu Upanaham, Janu Bandham, etc. These are all various techniques of medicinal applications. The medicine used in each of these techniques is dependent on the cause. Marma Pain Management therapies are also applied by experts for managing knee pain. Parasurgical procedures like Agnikarmam, Raktamokshanam are also very effective as instant and cost-effective relief providers

What is Preventive Knee Care?

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Regular exercises like swimming and yoga, listening to the body, proper diet, healthy habits, correct posture are all the knee care thumb rules. The Knee joint is one of the highly used joints and is subject to wear and tear. Ayurveda knee care for at least a week every year increases the life and quality of the knee joint. A word of caution is that one should know knee pain is a symptom and knowing the cause is important for better treatment