According to HCUP kids’, inpatient database in America, 15.6 million children and adolescents below the age of 20 years were admitted to hospitals for musculo-skeletal related conditions where trauma out number other cases with a toll of 11, 600. If this is the situation in a developed country, imagine the situations in developing or under developed countries. Following a sedentary lifestyle and resorting completely to junk food these days makes the condition even worse. It should be understood that sedentary lifestyle and junk food makes a person’s musculo- skeletal health vulnerable to different disastrous complications. For the last few centuries, it is to be noted that the life of children all over the world has become so sedentary and that these children have become mere living flaccid fatty balls. They are now more accustomed to screen life and spent almost five to six hours in front of computers and mobiles than other outdoor sports and games. This causes a steady decline in the strength, reflex adaptability and stress tolerance to their musculo- skeletal system which is now more susceptible to trauma, strain or other disease conditions. It is here, that the role of Ayurveda comes to play. Ayurveda has solutions and remedies for almost all the orthopedic conditions and any adversary drug reactions and side effects are nearly close to zero in this medical system. In Ayurveda, diseases of the bone and musculoskeletal system are divided into systemic ( sareeraja) localized ( ekadesaja) and traumatic ( aganthuja) types. These conditions were reassessed on the base of tridosha theory and medicines and treatment procedures were formulated according to the variations in the vitiations of the tridosha. Some of the most common orthopedic conditions and their Ayurvedic management are stated here.
In childhood, one of the most common problem that makes a parent stressed is if their child has varus (bow leg) or valgus (knocking) of the knee joint. This condition is usually recognized when the child starts to walk probably at or below the age of two. Sometimes it is physiological; hallmarked with symmetrical and painless bowing. In such situations, Ayurveda employs massaging techniques with medicated oils and the intake of certain herbs. This results in fast recovery without much complications. If the condition is severe, the patient may exhibit lateral knee thrust and a waddling gait. If there is a family history for such a condition then there is a chance that this disorder will progress to adulthood like in knock knee. But again, these conditions can be managed with vitamin c and other nutrient supplements. Along with these, splintage, medicinal paste application, dhara with abhyangam and Indian plaster shows excellent results.
Osgood schlatter’s disease
Osgood schlatter’s disease is another common disease occurring due to excess strain or repeated trauma in adolescent children who are engaged in sports. This is a self-resolving disease, but most of the time the irritating condition persists till the bone growth ends and epiphyseal plate closes completely. Here, the patients usually comes with a symptom of knee joint pain with tenderness sand bump at the tibial spine. On examination, fragmentation of the tibial spine will be observed. Modern treatments like NSAID, physiotherapy and in some severe cases surgery are recommended. Giving musthadi kashaya which is a bone healer and anti-inflammatory in nature along with bone re-mineralizing drugs, bandage with anti-inflammatory oil like murivenna, high protien diet and strengthening yoga therapy will show positive results. With this treatment almost all the pain and discomfort subsides within two weeks.
Fractures and dislocations
Fractures and dislocations are next in the list. Almost all types of fractures and dislocations have treatment in Ayurveda. Some fractures with clear indication for surgery are spared and referred for surgery. In Ayurveda, such conditions are managed with splintage, medicinal paste application, immobilization with bandage and internal medications and rest. Here, again the patient shows no symptoms from the second week itself and shows no complications such as stiffness, deformity, circulatory or neurological disturbances. This treatment is also good in case of recurrent dislocations. In conditions where surgery is advised Panchakarma therapy with Yoga is a great solution. Some patients come back with pain and stiffness even after doing POP , such people get great relief after doing dhara with medicines like murivenna , dhanwanthram thailam or asavenna.
Football is a mania in our countryside and so injuries after playing this sport are high, especially during vacations. Musculo-skeletal trauma like ligament injuries, sprain and strain are another area that Ayurveda has always excelled in. Initially, such situations are managed with rest and support. Then, strengthening the body with yoga helps the patient to follow their daily routine from the fourth week itself. This is followed even in cases like posterior cruciate and medial collateral ligament injuries. Even after surgery, Ayurvedic procedures are advised to make sure people get reorganized with their routine activities early itself. Injuries of rotator cuff, impingement syndrome are some of the other common traumatic musculo-skeletal injuries. In these cases too, internal medications along with rest, Panchakarma therapy, strengthening, and mobilization with yoga therapy assures perfect relief. These types of injuries can be prevented with proper warm up in sports and by doing exercises for improving muscular strength.
Another condition that Ayurveda easily controls is the Perthe’s disease. All the stages of this disease are manageable through Ayurveda. In this condition, pain, inflammation, difficulty in movement settles in two months of intense treatment.
In conditions related to the lower back like muscle strains, early degenerative changes are seen. In case of rheumatic diseases treatment show 70-80 percent results. Again, Ayurveda is not a treatment modality, but a lifestyle rearrangement. Ayurveda believes in natural healing as nature has its repairing power embedded in every leaf and fruit that we come across. Thus, we can overcome diseases by following nature and being natural. Eat simple food, do yoga or exercise regularly, think optimistically, help one person every day, and meditate daily to improve your spirituality. By following this you can experience health naturally. This is the principle of Ayurveda. Live healthy and help others to be healthy.