Abstract:
Background: Osteoarthritis (OA) of the knee is a degenerative disease, which significantly restricts
the functions of the joint. Janu Sandigatavata (JS) is considered to be the close equivalent in
traditional medicine to OA in modern medicine. The aim of this case series was to report the
effectiveness of Traditional Sri Lankan Medicine (TSM) on JS patients attend to National Ayurveda
Teaching Hospital.
Method: Reported cases (n=10) were at the age range of 45years to70years and both female (n=8)
and male (n=2) patients were diagnosed as having JS of the knee joints. Radiology (X‑Ray) reported
by a radiologist confirmed that they were in Kellgren‑Lawrence grade III or less. TSM treatments
were given as regimens up to 86days.At the end point, external treatment of oleation and herbal
immune enhancing drugs were further continued over 8weeks. Visual analogue scale for pain, knee
scores in Knee Society clinical Rating System (KSS) and Ayurveda clinical assessment criteria were
used to evaluate the effects of treatment.
Results: Reductions of visual analogue scale for pain was observed between baseline and the 86 days
endpoint. Clinical assessment criteria and the KSS scores of pain, movement and stability were also
improved up to good level and function score were improved up to excellent level. During the followup period, joint symptoms and signs and the knee scores were remaining unchanged.
Conclusions: Study explored that substantial decrease in clinical parameters of OA in knee and
improved patients’ quality of life by the intervention of the TSM
