A Study on Structural Changes in Joints of Hand w.s.r. to Amavata
Journal name: Ayushdhara
Original article title: A Study on Structural Changes in Joints of Hand w.s.r. to Amavata
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Kunwar Adhar Bhatnagar
Associate Professor, Department of Sharir Rachna, Vivek College of Ayurvedic Sciences and Hospital, Bijnor, UP, India
Preeti Srivastava
Assistant Professor, Department of Shalya Tantra, Vivek College of Ayurvedic Sciences and Hospital, Bijnor, UP, India
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: A Study on Structural Changes in Joints of Hand w.s.r. to Amavata
Year: 2023 | Doi: 10.47070/ayushdhara.v10iSuppl3.1272
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
Amavata is described in Ayurvedic medicine as a chronic disease primarily affecting the joints, characterized by the vitiation of Vata and the presence of Ama, which manifests in symptoms similar to rheumatoid arthritis. This study investigates structural changes in the joints of the hand, specifically the wrist, metacarpophalangeal (MCP), and interphalangeal (IP) joints, using radiographic analysis to aid in diagnosis and treatment efficacy understanding. The research was conducted on 30 diagnosed patients of Amavata, focusing on the demographic profile, clinical features, and the nature of changes observed in the joints.
Structural Changes in Wrist Joint
The study highlighted significant structural changes in the wrist joint of the affected patients. Notably, 100% of patients exhibited soft tissue swelling, with other changes such as bone erosions (40%), subchondral cysts (16.66%), and joint space narrowing (73.33%). These findings suggest that the wrist joint is predominantly affected in the early stages of Amavata, with soft tissue swelling being the most prevalent sign. In later stages, patients showed changes such as secondary osteoarthritis and ankylosis less frequently, indicating ongoing progression of the disease.
Changes in Metacarpophalangeal and Interphalangeal Joints
In the metacarpophalangeal joints, all patients displayed soft tissue swelling, with additional changes such as periarticular osteopenia (76.66%) and joint space narrowing (33.33%). The observations were similar for the interphalangeal joints, where 100% of patients also showed soft tissue swelling and significant periarticular osteopenia (73.33%). These findings indicate that while metacarpophalangeal joints show distinct structural changes, interphalangeal joints also exhibit early signs of the disease progression, underscoring the importance of these evaluations in diagnosing Amavata.
Conclusion
The study concludes that Amavata is a chronic inflammatory disease that parallels rheumatoid arthritis, with significant joint involvement primarily affecting the wrist, MCP, and IP joints. Early intervention is crucial, as soft tissue swelling and periarticular osteopenia are the predominant early indicators of disease, while other changes, such as bone erosions and subluxation, often appear later. Additionally, the research suggests that further investigations utilizing advanced diagnostic technologies could provide deeper insights into the disease's progression and outcomes.
FAQ section (important questions/answers):
What is Amavata and its main causes?
Amavata is a chronic disease characterized by joint pain and swelling. It arises from the vitiation of Vata associated with Ama, influenced by consumption of incompatible food (Viruddhaahara) and lifestyle habits (Viruddhavihara), especially in individuals with poor digestive capacity (Mandagni).
What are the common structural changes observed in Amavata?
In patients with Amavata, structural changes include soft tissue swelling, peri-articular osteopenia, bone erosion, joint space narrowing, and in later stages, secondary osteoarthritis, osteophytes, subluxation, and ankylosis, particularly affecting the joints of the hand.
How prevalent is Amavata among different age groups and genders?
Amavata mainly affects individuals in the age group of 46-60 years, with a higher incidence in females (73.34%) compared to males (26.66%). The disease is more common in those with Kapha-Vata and Vata-Pitta constitutions.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “A Study on Structural Changes in Joints of Hand w.s.r. to Amavata�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Amavata (Ama-vata):
Amavata is a chronic disease characterized by the vitiation of Vata and the presence of Ama circulating in the body. It causes joint pain and swelling, and can be correlated with rheumatoid arthritis in modern medical terms.
2) Disease:
In the context of Amavata, a disease refers to an ailment that disrupts normal body functions and presents specific symptoms and signs, affecting the joints and leading to conditions like inflammation and structural damage.
3) Swelling:
Swelling is a common symptom in Amavata, indicating inflammation of the joints. For instance, soft tissue swelling is one of the early radiological changes observed in patients with this disease.
4) Sandhi (Shandhi, Samdhi):
Sandhi refers to joints in the body. In Amavata, the condition primarily affects various Sandhis, such as the wrist, metacarpophalangeal, and interphalangeal joints, leading to pain and structural changes.
5) Rheumatoid arthritis:
Rheumatoid arthritis is an autoimmune disease with symptoms similar to Amavata in Ayurveda. It involves long-lasting joint inflammation, painful deformities, and affects various joints including the wrist and fingers.
6) Inflammation:
Inflammation in Amavata is a result of synovial membrane irritation and swelling. This causes joint pain, redness, and leads to progressive damage over time, as observed in conditions like rheumatoid arthritis.
7) Vata:
Vata is one of the doshas in Ayurveda, and its vitiation along with Ama causes Amavata. It is responsible for bodily movements and functions, with its imbalance leading to symptoms like joint pain and stiffness.
8) Srivastava (Shri-vastava, Shrivastava, Sri-vastava):
[see source text or glossary: Srivastava]
9) Bhatnagar:
[see source text or glossary: Bhatnagar]
10) Manibandha (Mani-bandha, Manibamdha):
Manibandha refers to the wrist joint in Ayurveda. In the study of Amavata, structural changes such as joint space narrowing and bone erosion were found in the Manibandha joint.
11) Ayurveda (Ayus-veda):
Ayurveda is the ancient Indian science of medicine. The study on Amavata derives its principles from Ayurvedic texts, aiming to understand and treat the disease through holistic approaches.
12) Kapha:
Kapha is another dosha in Ayurveda, often paired with Vata in the context of Amavata. Individuals with Kapha-vata prakriti (constitution) are more prone to developing this disease due to the combined imbalances.
13) Angamarda (Anga-marda, Amgamarda):
Angamarda refers to body aches and is an associated symptom of Amavata. It indicates widespread pain beyond the affected joints, contributing to the overall discomfort experienced by patients.
14) Anguli (Amguli):
Anguli refers to the fingers. In the context of Amavata, it includes the interphalangeal joints which are susceptible to inflammation, swelling, and structural changes such as joint space narrowing.
15) Pitta:
Pitta is the dosha responsible for metabolism and heat in the body. In Amavata, it can cause inflammation of the synovial membrane, producing symptoms like Daha (burning sensation) and fever.
16) Daha:
Daha refers to a burning sensation and is one of the inflammatory symptoms seen in Amavata. It's associated with the vitiation of the Pitta dosha, contributing to the overall discomfort in the joints.
17) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
[see source text or glossary: Shalya-tantra]
18) Tuberculosis:
[see source text or glossary: Tuberculosis]
19) Vatapitta (Vata-pitta):
Vata-pitta prakriti (constitution) refers to the dominant presence of both Vata and Pitta doshas. Individuals with this prakriti may have a predisposition to conditions such as Amavata due to their specific doshic imbalances.
20) Pittadosha (Pittadosa, Pitta-dosha):
Pittadosha causes symptoms like inflammation, fever, and redness in Amavata. Its role in the disease highlights the metabolic and thermal disturbances contributing to joint damage and pain.
21) Kaphavata (Kapha-vata):
Kapha-vata prakriti denotes a constitution influenced by both Kapha and Vata doshas. This combination makes individuals more susceptible to diseases like Amavata where both doshas play a crucial role in pathology.
22) Discussion:
The discussion section in the study elaborates on the findings related to Amavata, interpreting radiological observations and correlating them with Ayurvedic and modern medical knowledge for comprehensive understanding.
23) Vatadosha (Vatadosa, Vata-dosha):
Vatadosha is a critical factor in Amavata, leading to symptoms such as severe joint pain, stiffness, and restricted movements. Its imbalance is a primary cause of the disease's debilitating effects.
24) Knowledge:
[see source text or glossary: Knowledge]
25) Vitiation (Vitiated):
Vitiation in Ayurveda refers to the imbalance or disturbance of a dosha. In Amavata, the vitiation of Vata combined with Ama leads to the disease's progression and joint symptoms.
26) Stiffness:
Stiffness, or Jadyata in Ayurveda, is a later stage symptom of Amavata where joint inflammation has led to reduced joint mobility and rigidity, complicating everyday activities for patients.
27) Lakshana (Laksana):
Lakshana refers to the symptoms of a disease. In Amavata, primary lakshanas include joint pain (Sandhiruja) and swelling (Sandhishotha), providing clues for diagnosis and treatment evaluation.
28) Mandagni (Manda-agni, Mamdagni):
Mandagni refers to low digestive fire in Ayurveda. It is considered a contributing factor to Amavata, as poor digestion leads to the formation of Ama, exacerbating the disease.
29) Vairasya:
Vairasya, or a change in taste perception, is an ancillary symptom in Amavata. It often accompanies other systemic symptoms, indicating the broader impact of the disease beyond joint issues.
30) Prakriti (Prakrti):
Prakriti defines an individual's constitution in Ayurveda, influenced by doshas. Different prakriti types, like Vata-pitta or Kapha-vata, reveal susceptibility to certain diseases like Amavata.
31) Gaurava:
Gaurava signifies a sensation of heaviness, one of the ancillary symptoms of Amavata. It reflects the systemic impact of the disease, likely associated with the accumulation of Ama in the body.
32) Pradhan:
[see source text or glossary: Pradhan]
33) Tantra (Tamtra, Tantrism):
[see source text or glossary: Tantra]
34) Shalya (Salya):
[see source text or glossary: Shalya]
35) Aruci:
Aruchi, a loss of appetite, is one of the associated symptoms in Amavata. It highlights the systemic nature of the disease, affecting a patient’s overall health and not just the joints.
36) Mamsa (Mamsha):
[see source text or glossary: Mamsa]
37) Snayu:
[see source text or glossary: Snayu]
38) Shotha (Sotha):
Sotha refers to swelling, commonly seen in Amavata patients. It signifies joint inflammation, often observed as soft tissue swelling in radiological assessments and clinical examinations.
39) India:
[see source text or glossary: India]
40) Ayus (Ayush):
[see source text or glossary: Ayush]
41) House:
[see source text or glossary: House]
42) Ruja:
Ruja means pain and is a prominent symptom in Amavata. It accompanies joint swelling and stiffness, significantly affecting the quality of life for those suffering from the condition.
43) Sira (Shira):
[see source text or glossary: Sira]
44) Raga:
Raga, meaning redness, signifies inflammation in Ayurvedic terms. It is a symptom seen in Amavata patients, indicating the involvement of Pittadosha in the inflammatory process of the joints.
45) Pida (Pida°):
[see source text or glossary: Pida]
46) Pain:
Pain is a primary symptom of Amavata, attributed to the vitiation of Vata and inflammation. It affects various joints, leading to chronic discomfort and progressive joint damage.
47) Drug:
[see source text or glossary: Drug]
Other Science Concepts:
Discover the significance of concepts within the article: �A Study on Structural Changes in Joints of Hand w.s.r. to Amavata�. Further sources in the context of Science might help you critically compare this page with similair documents:
Ama, Hasta, Samkoca, Rheumatoid arthritis, Chronic disease, Vitiation of Vata, Demographic Profile, X-ray study, Secondary osteoarthritis, Joint space narrowing, Bone erosion, Ankylosis, Osteophyte, Soft tissue swelling.