Sodhananga Snehapana with Vasa in Sandhigatavata (Knee Osteoarthritis) : A Case Report

Abstract

Osteoarthritis (OA) is the most prevalent form of arthritis, accounting for over 85% of arthritic cases. It is characterized by loss of cartilage, osteophyte formation, sclerotic changes, and reduced joint spaces as seen on radiographic evidence, leading to severe disability in advanced stages that affects daily activities. Long-term management is essential for desirable outcomes. Despite various pharmacological and non-pharmacological interventions, there is a need for more effective and economical treatment protocols. In Ayurveda, OA is described as Sandhigatavata. One effective procedure for OA is Snehapana (oral oleation therapy). This case study focuses on a 65-year-old male patient with severe bilateral knee pain that worsened with rest and severe crepitus upon knee movement. The patient underwent sodhananga snehapana with Mahisha Vasa (buffalo fat) for seven days, including adequate poorvakarma and paschatkarma. The WOMAC Osteoarthritis Index (pain) subscore decreased from 16 to 7 after treatment, and the Visual Analogue Scale (VAS) score reduced from 7 to 3. This case highlights a cost-effective and alternative option for managing osteoarthritis.