Reactive arthritis is included under musculoskeletal diseases. In musculoskeletal diseases, pain is associated with bone, muscle, nerves, tendons, and ligaments. Reactive arthritis is a type of inflammatory arthritis. Here pain and swelling occur in joints. That is triggered by an infection in another part of the body.
- SIGNS AND SYMPTOMS OF REACTIVE ARTHRITIS
- CAUSES OF REACTIVE ARTHRITIS
- PATHOPHYSIOLOGY OF REACTIVE ARTHRITIS
- DIAGNOSIS OF REACTIVE ARTHRITIS
- TREATMENTS FOR REACTIVE ARTHRITIS
- PROGNOSIS OF REACTIVE ARTHRITIS
- COMPLICATIONS OF REACTIVE ARTHRITIS
- REACTIVE ARTHRITIS AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF REACTIVE ARTHRITIS
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF REACTIVE ARTHRITIS
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF REACTIVE ARTHRITIS
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF REACTIVE ARTHRITIS
- AYURVEDIC PROGNOSIS OF REACTIVE ARTHRITIS
- CHIKITSA- AYURVEDIC TREATMENT FOR REACTIVE ARTHRITIS
- AYURVEDIC LOCAL TREATMENT FOR REACTIVE ARTHRITIS
- AYURVEDIC SAMANA TREATMENT FOR REACTIVE ARTHRITIS
- AYURVEDIC SHODHANA TREATMENT FOR REACTIVE ARTHRITIS
- COMMONLY USED AYURVEDIC MEDICINES FOR REACTIVE ARTHRITIS
- HOME REMEDIES FOR REACTIVE ARTHRITIS
- DIET AND BEHAVIOUR FOR REACTIVE ARTHRITIS
- YOGA FOR REACTIVE ARTHRITIS
- RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF REACTIVE ARTHRITIS
SIGNS AND SYMPTOMS OF REACTIVE ARTHRITIS
- Pain manifested in and around the joints
- Joint tenderness
- Inflammation of joints
- Joint stiffness
- Fever
- Conjunctivitis
- Skin rashes
- Weakness
- Inflamed tendons
CAUSES OF REACTIVE ARTHRITIS
- Infection in any part of the body
- Sexually transmitted infections
- Foodborne infections
- Infection due to bacteria – Salmonella, Chlamydia, Clostridium, Shigella, Yersinia, Campylobacter
PATHOPHYSIOLOGY OF REACTIVE ARTHRITIS
In reactive arthritis, the infection spreads to the joints, the lining (synovial membrane) becomes inflamed and swollen. The inflamed joints become tender.
DIAGNOSIS OF REACTIVE ARTHRITIS
- EXAMINATIONS
- Inspection
- Palpation
- Movements of joints
- INVESTIGATIONS
- X – rays
- MRI
- CT Scan
- Laboratory tests –
- ESR
- Rheumatoid factor
- C-reactive protein
- Antinuclear antibody
- Complete blood tests
TREATMENTS FOR REACTIVE ARTHRITIS
- Medications – Non-steroidal anti-inflammatory drug, Analgesics
- Physiotherapy
- Antibiotics to control infection
- Medications used for rheumatoid arthritis are effective in reactive arthritis
PROGNOSIS OF REACTIVE ARTHRITIS
- Prognosis is based on the stage of the disease, duration and condition of the patient
- Generally, reactive arthritis is a curable disease
COMPLICATIONS OF REACTIVE ARTHRITIS
- Stiffened joint
- Infection may spread to other sites of the body
REACTIVE ARTHRITIS AND AYURVEDA
- In Ayurveda, reactive arthritis falls under ‘amavatavyadhi’ 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 rasa, rakta,asthi majja dhatu are involved.
NIDANA- AYURVEDIC CAUSES OF REACTIVE ARTHRITIS
- Excess consumption of ununctuous, cold food
- Suppression of natural urges.
- Incompatible food
- Agantu factors – infections
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF REACTIVE ARTHRITIS
- Dull intermittent pain in the joints
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF REACTIVE ARTHRITIS
- Vata, pitta and kapha dosha move through all channels of circulation. Due to the subtle nature of vata it impels the remaining two doshas.
- The aggravated vata having provoked these two doshas, exacerbated and fills up the empty channels and moves greatly inside them or by getting enveloped by the other doshas.
- The aggravated vata resides in the joints and produces different kinds of aches and pains.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF REACTIVE ARTHRITIS
- Toda – aching pain
- Ruk – Pain on the joints
- Redness on joints
- Pain aggravates movement
- Sopha – oedema
- Sada – weakness
- Jwara – fever
AYURVEDIC PROGNOSIS OF REACTIVE ARTHRITIS
- Symptoms are manageable with proper ayurvedic therapies
CHIKITSA- AYURVEDIC TREATMENT FOR REACTIVE ARTHRITIS
Ayurvedic local treatment for reactive arthritis
- Svedam – Fomentation
- Pain-relieving lepa application
- Abhyanga – oil massaging
AYURVEDIC SAMANA TREATMENT FOR REACTIVE ARTHRITIS
- Mahamanjishtadi kashaya
- Gandhaka rasayana
- Guduchi Ghana vati
- Chitrakadi vati
- Rasna panchakam kashayam
- Rasnasaptakam kashayam
- Gugguluthiktakam Kashayam Tablet
- Madhusnuhi Rasayan
AYURVEDIC SHODHANA TREATMENT FOR REACTIVE ARTHRITIS
- VASTHI- vaitarana vasthi
- VIRECHANAM- purgations
COMMONLY USED AYURVEDIC MEDICINES FOR REACTIVE ARTHRITIS
Internal administration
- Mahamanjishtadi kashaya
- Gandhaka rasayana
- Guduchi Ghana vati
- Chitrakadi vati
- Rasna panchakam kashayam
- Rasnasaptakam kashayam
External application
- Snehadhara – with balaswagandha tailam and ksheerabala tailam
- Shashtika Sali panda sweda
HOME REMEDIES FOR REACTIVE ARTHRITIS
- Proper rest
- 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 REACTIVE ARTHRITIS
- Avoid food items that produce vata dosha imbalance like cold and dry food, hard to digest. Because vata imbalance aggravates the symptoms.
- Consume easily digestible food items.
- Avoid heavy exercises which further aggravate the conditions.
- Oil massage on the whole body advised. This alleviates vata dosha.
- Take proper rest.
YOGA FOR REACTIVE ARTHRITIS
- Nadi Shuddi Pranayam – calms the mind and gets relief from aches and pains
The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
- Savasana – relaxes body and mind
RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF REACTIVE ARTHRITIS
- A Case Study on Successful Ayurvedic Management of a Rare Case of Reiter’s Syndrome
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5726191/
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