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Yoga & Arthritis (Osteoarthritis)
Dr. Ramesh Mantri (MBBS, MD Orthopaedic surgeon) |
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Introduction
LIFE is MOVEMENT, and MOVEMENT is LIFE. Live movements takes place at joints. Arthritis hampers joint movement and disturbs normal life.
Osteoarthritis, the most common form of arthritis, is a deliberating progressive disease, affecting 20% of the population, principally the elderly.
The commonly affected joints are KNEES, HIPS, SPINE and SHOULDER. |
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| CLINICAL MANIFESTATIONS are - |
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| 1. |
Joint Pain aggravated by use and relieved by rest. |
| 2. |
Night Pains. |
| 3. |
Stiffness of the Joints. |
| 4. |
Swelling of the Joints. |
| 5. |
Tenderness of the Joints. |
| 6. |
Limited Movement of the Joints. |
| 7. |
Wasting of Muscles around the Joints. |
| 8. |
Movements of the Joints make crepitus. |
| 9. |
There is Deformity of the Joint. |
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| X – RAY CHANGES shows - |
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| 1. |
Narrowing of joint space. |
| 2. |
Subchondral bone sclerosis. |
| 3. |
Subchondral bone cysts. |
| 4. |
Osteophytosis. |
| 5. |
Deformed joint. |
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| O.A. is also present with other diseases, like - |
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| 1. |
Rheumatoid Arthritis. |
| 2. |
Infective Arthritis. |
| 3. |
Trauma / Accident. |
| 4. |
Gout. |
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| Factors Leading To Arthritis are - |
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| 1. |
Overweight. |
| 2. |
Lack of Exercises. |
| 3. |
Excessively rich diet and fatty substance and overeating. |
| 4. |
Modern Life (Sitting in chairs and working too long). |
| 5. |
Mental Factors like TENSIONS, SUPRESSIONS OF EMOTIONS, FEAR, HYPERSENSITIVITY. |
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| MANAGEMENT and TREATMENT - |
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| 1. |
Painkillers like CROCIN, IBUPROFEN, DICLOFENAC SODIUM and NAPROXIN. |
| 2. |
Steroids (ORAL or INSIDE THE JOINT). |
| 3. |
GLUCOSAMINE and CHONDROITIN SULFATE. |
| 4. |
Weight Loss and Exercises. |
| 5. |
BRACING like KNEE CAPS and HINGES. |
| 6. |
CANE in one hand or use of WALKER. |
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| PARAMEDICAL TREATMENT - |
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| 1. |
S.W.D. or ULTRASOUND THEROPY. |
| 2. |
Massage and Exercises. |
| 3. |
Control of DIABETES and other diseases. |
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| SURGERY OF ARTHRITIS - |
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| 1. |
Arthroscopic toileting of the joint. |
| 2. |
High Tibial Osteotomy. |
| 3. |
Joint Replacement. |
| 4. |
Joint Fusion. |
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| YOGIC APPROACH for ARTHRITIS - |
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| 1. |
Asana - VAJARASANA, PADMASANA, AKARNA DHANURASANA, MARJARASANA. |
| 2. |
Hatha Yoga Kriyas - PURNA and LAGHU SHANKHAPRAKSHALANA, KUNJAL and NETI. |
| 3. |
Pranayamas - NADISHODHAN and BHASTRIKA. |
| 4. |
Meditation - Releases mental and emotional tensions, reduces arthritic rigidity. |
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| DIET - |
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| 1. |
Cooked light grains and cereals. |
| 2. |
Boiled pulses. |
| 3. |
Boiled and baked vegetables. |
| 4. |
Green Salads (TOMATO, BEET, CARROTS). |
| 5. |
Fresh Fruits. |
| 6. |
Reduce intake milk and dairy products. |
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| REST AND EXERCISES |
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| MENTAL ATTITUDE - |
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| 1. |
Think Positive. |
| 2. |
Yoga Nidra. |
| 3. |
Self Confidence. |
| 4. |
Degeneration is LIFE, Regeneration is YOGA. |
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