Successful management of Osteomyelitis through Integrated Approach : A Case Report

  • Nanasaheb Memane Head of Ayurveda Department, Consultants Ayurveda, Department of Ayurveda, Bhakti Vedanta Hospital and Research Institute, Thane, Mumbai, Maharashtra, India.
  • Sonal Memane Consultants Ayurveda, Department of Ayurveda, Bhakti Vedanta Hospital and Research Institute, Thane, Mumbai, Maharashtra, India.
  • G. Gupta Clinical Research Coordinator, Department of Medical Research, Bhakti Vedanta Hospital and Research Institute, Mira Road, Thane, Mumbai, Maharashtra, India.
Keywords: Abhyantar Vidradhi, Asthi-Majja Vidradhi, Nidan Parivarjan, Chronic Osteomyelitis, MRSA

Abstract

Osteomyelitis is a severe condition characterized by the infection and inflammation of the bone and its bone marrow, thus quickly impacting the Harversian systems. It is often caused by bacteria, the methicillin-resistant S. aureus bacteria being the most common organism. Conventional treatment typically involves long-term antibiotic therapy, surgical debridement, and supportive measures. However, the increasing prevalence of antibiotic resistance and the adverse effects emphasize the need for complementary and alternative treatment approaches. The rationale for Ayurvedic is that inflammatory swelling is correlated with vidradhi. This case report discusses about the chronic inflammation of osteomyelitis caused by fracture of the humerus with mal-union which has been treated successfully through an Ayurvedic approach by administering Varunaadi Gana Kashaya (decoction), Nyagrodhadi Gana Kashaya (decoction), Arogyavardhini Vati (tablet), Lakshadi Guggulu (tablets), Local application of Jatyadi Taila (oil). Results: The patient was followed up every 7 days while on ayurvedic treatment. In the initial days, the wound was closed with a cast; after 10 days, the cast was removed, and discharge was drastically reduced culminating in overall wound healing. Conclusion: This case report highlights the successful management of osteomyelitis using Ayurvedic medicine as an adjunct therapy. The individualized Ayurvedic treatment plan, including internal medicine, external applications, and lifestyle modifications, contributed to symptom improvement, reduced inflammation, and promoted healing in the patient.

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References

Sawarkar GR, Sawarkar P. Contribution of Ayurveda in management of Asthimajja Vidradhi (Chronic infective Osteomyletis) - A Case Report. Ayurlog: National Journal of Research in Ayurved Science [Internet]. 2018 Jun 12 [cited 2024 Mar 4];6(04).

Pawar E, Kondewar P, Atal S, Sadar A, Sakhare V, Pande K. A Case Report of Humerus Shaft Osteomyelitis Secondary to Local Skin Infection Treated with Saucerization. JOURNAL OF ORTHOPAEDIC CASE REPORTS [Internet]. 2021 Sep 10 [cited 2023 Mar 7]; 11(9). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8930347/

Yadavji Acharya VT. Sushruta Samhita with Nibandhasamgraha Vyakhya by Dalhanacharya, Sutrasthana 18/44. Vol. I. Varanasi: Chaukhamba Surbharati Prakashan; 2005.

Bramhanand Tripathi. Charaka Samhita of Agnivesha, elaborated by Charaka & Dhrudhabala edited with “Charakachandrika” hindi commentary, Sutra Sthana, chapter 17, verse 95. Varanasi: Choukhambha Surbharati Prakashana; 2012.

Sharma AR, Sharma PV. Sushrut Samhita of Maharsi Sushrut, Nidan Sthana, Vidradhi Nidan Adhyaya, shloka No 12. Vol. I. Varanasi: Chaukhamba Surbharati Prakashan; 2013.

Sathya KR, Sabu I, Ashok Kumar Panda, Kshirod Kumar Ratha, Rao MM. Conservative Management of a Galastha Vidradhi (~inflammatory Neck swelling) through Ayurveda: a Case Report. Journal of Indian System of Medicine. 2021 Jan 1;9(2):140–0.

Sharma AR, Sharma PV. Sushrut Samhita of Maharsi Sushrut, Nidan Sthana, Vidradhi Nidan Adhyaya, shloka No 33-37. Vol. I. Varanasi: Chaukhamba Surbharati Prakashan; 2013.

Vaidya Laxmipati Sastri. Yogaratnakara with Vidyotani Hindi Commentary. 1st ed. Varanasi: Varanasi Chaukhambha Prakashana, pp 10-17; 2017.

Sharma AR, Sharma PV. Susruta Samhita of Maharsi Susruta, Sutra Sthana, Vranaprashnadhyaya, Shloka No 36 . Vol. I. Varanasi: Chaukhamba Surbharati Prakashan; 2013.

Ravindra Dutt Tripathi, Sharma PV, Shukla AV. Caraka Samhita of Agnivesa , Nidan sthana, jwaradhyay, Shloka no. 6 to15. Vol. I. Delhi: Chaukhamba Sanskrit Pratishthan; 2010.

Sharma AR, Sharma PV. Sushrut Samhita of Maharsi Sushrut, Chikitsa Sthana, Vidradhi Chikitsa Adhyaya, shloka No 28. Vol. II. Varanasi: Chaukhamba Surbharati Prakashan; 2013.

Sharma AR, Sharma PV. Susruta Samhita of Maharsi Susruta, Sutra Sthana, Dravyasangraniya Adhyaya, Shloka No 49. Vol. I. Varanasi: Chaukhamba Surbharati Prakashan; 2013.

Baidyanath. Ayurved Sarasangraha, Rasa Rasayana Prakarana. Nagpur: Shri Baidyanath Ayurved Bhavan Pvt.Ltd; 2004.

Baidyanath. Ayurved Sarasangraha, Guggulu kalpa prakarana. Nagpur: Shri Baidyanath Ayurved Bhavan Pvt.Ltd; 2004.

Joshi DR, Mashetti DNB, Gujar DRK. Comparative Clinical Study of Jatyadi Taila and Jatyadi Ghrita in the Management of Dushta Vrana. Journal of Ayurveda and Integrated Medical Sciences [Internet]. 2018 Jun 30 [cited 2023 Oct 31];3(03):47–53. Available from: https://jaims.in/jaims/article/view/400

Kaviraj Atrideva Gupta, Vaidya Yadunandan Upadhyaya. Ashtang Hridyam of Vagbhata Edited with the Vidyotini Hindi Commentary, Chikitsa Sthana, 511: 13 – 1. Chaukhambha Prakashan; 2013.

Sharma AR, Sharma PV. Susruta Samhita of Maharsi Susruta, Sutra Sthana, Dravdravyavidhiradhyaya, Shloka No 66. Vol. I. Varanasi: Chaukhamba Surbharati Prakashan; 2013.

Sharma AR, Sharma PV. Susruta Samhita of Maharsi Susruta, Chikitsa Sthana, Dhivvranaya Chikitsa Adhyaya, Shloka No 8. Vol. II. Varanasi: Chaukhamba Surbharati Prakashan; 2013.

Sharma AR, Sharma PV. Susruta Samhita of Maharsi Susruta, Sutra Sthana, Dravdravyavidhiradhyaya, Shloka No 9, 61 to 78. Vol. I. Varanasi: Chaukhamba Surbharati Prakashan; 2013.

Anwar H, Dasgupta MK, Costerton JW. Testing the Susceptibility of Bacteria in Biofilms to Antibacterial agents. Antimicrobial Agents and Chemotherapy. 1990 Nov 1;34(11):2043–6.

Ravindra Dutt Tripathi, Sharma PV, Shukla AV. Caraka Samhita of Agnivesa, Chikitsa sthana, Rasayanadhyaya, Shloka no. 7-8,. Vol. I. Delhi: Chaukhamba Sanskrit Pratishthan; 2010.

CITATION
DOI: 10.21760/jaims.9.4.53
Published: 2024-06-16
How to Cite
Nanasaheb Memane, Sonal Memane, & G. Gupta. (2024). Successful management of Osteomyelitis through Integrated Approach : A Case Report. Journal of Ayurveda and Integrated Medical Sciences, 9(4), 316 - 321. https://doi.org/10.21760/jaims.9.4.53
Section
Case Report