Comprehensive study on manibandh sandhi(wrist joint) w.s.r to structural and movemental chronicity in amavata(rheumatoid arthritis)”

Abstract

Manibandh Sandhi is described as the wrist joint which is mentioned as Urdhwashakhagata Sandhi of two in number. It comes under the Kora variety of Chestavanta Sandhi. Amavata is one of the Vatavyadhi, mainly affecting the Sandhi to produce Ruja and Shopha. In this disease, vitiated Vata along with Kapha gets Sthanasamshraya in Sandhi to produce different Lakshanas. Rheumatoid arthritis (RA) is an autoimmune sickness that reasons chronic irritation of the joints. At the same time as infection of the tissue across the joints and inflammatory arthritis are function features of rheumatoid arthritis, the disorder also can cause irritation and damage in other organs in the body. In line with Ayurveda, Rheumatoid arthritis may be compared as “Amavata“. It has been defined this means” If the disorder “Ama vata” (rheumatoid arthritis) gets annoyed, it will become maximum difficult sickness comparatively to others. Objectives of this study are to review the literature on Manibandh Sandhi Shareera and rheumatoid arthritis (Amavata) and to know the structural changes in Manibandh Sandhi based on clinical examination and radiological findings in case of Amavata and thereby to understand the clinical anatomy of Manibandh Sandhi. The subject of this thesis is observational study. Data related to Manibandh Sandhi and Amavata were collected from various classics. Structural changes and movemental chronicity in Manibandh Sandhi of 30 Diagnosed patient of Amavata were identified based on radiological finding. Among the 30 diagnosed patient of Amavata affecting the Manibandh sandhi is make in three group on the basis of chronicity i.e., Group A , Group B and Group C respectively. Most of the patients were having structural changes in Manibandh Sandhi. X-ray investigation is one of the useful tools to study bony changes in disease like rheumatoid arthritis.