Category: Low Bone Density

July 1, 2023

Pigmented Villonodular Synovitis – Symptoms, Causes and Ayurvedic Treatment

Abstract

This curious condition of uncertain nature can be best characterized as a proliferative lesion of joints and tendon sheaths, marked by hemosiderin deposition within villous overgrowths of synovium. The synovial overgrowth may be sufficient to induce tumor-like masses which project into the joint or tendon sheath spaces. Indeed, as will be seen, one view holds that this lesion is basically neoplastic. It occurs as a localized process in tendon sheaths, but in joints the entire synovial lining is usually involved, particularly in the knee and less often the hip. Occasionally, lesions are found in periarticular tissues, presumably arising within sub-synovial connective tissue. Females tend to be affected slightly more often than males. Frequently, it leads to effusions into the joint spaces or tendon sheaths, accompanied by pain, swelling, and sometimes locking of the joint. Only the knee is involved in 80% of patients. It occurs usually in adults between 20-50 years of age.  Today we will read about pigmented villonodular synovitis in brief in this article.

Introduction

Pigmented villonodular synovitis is a progressive condition in which proliferative lesions of joints and tendon sheaths are caused due to overgrowth of synovium. The mass is non cancerous and does not metastasize to other body parts. Grossly, the lesion in tendon sheaths takes the form of a small, ovoid swelling, rarely greater than 3 cm in diameter which on transection is usually golden-yellow to red-brown, depending on the amount of contained lipid and hemosiderin. In joint spaces, more or less of the entire synovial lining is transformed into a tangled mat by numerous sessile or villous projections. Sometimes discrete, yellow-brown nodules having the appearance of neoplasms develop either within the thickened synovial membrane or as pedunculated lesions

Cause

  • The exact cause is unknown. It can be caused by CSF1 gene over-expression.
  • Genetic mutations of chromosome 1p13 and rearrangement of 5q33 chromosomal.
  • Associated conditions like giant cell tumors of tendon sheath.

Pathogenesis

The pathogenesis of this lesion is completely obscure. It has been viewed variously as:-

  1. A neoplastic process
  2. As inflammatory in origin, although no specific agents been isolated
  3. As a localized disturbance of lipid metabolism leading to accumulation of lipids within phagocytic cells with secondary traumatic changes
  4. As an obscure overgrowth of synovial and peri synovial cells.

The fact that the lesion frequently recurs following incomplete excision has been taken as evidence for a neoplastic origin, but such behavior does not rule out other possible origins. We must leave it that this disabling but not life threatening condition is still a complete enigma.

Symptoms of Pigmented Villonodular Synovitis

Symptoms

  • Swelling and pain in joints which are affected
  • Locking of the joint
  • Stiffness in joints

Diagnosis

  • Physical examination:- Inspection of joints to check  joint effusion, erythema, tenderness and motion of affected joint.
  • X-ray:- It may show periarticular mass, soft tissue swelling and cystic erosion of joints.
  • Magnetic resonance imaging:-  It shows excellent pictures of delineation of both extra-articular and intra-articular disease.

Treatment

  • Medical:- Use of CSF-1 receptor antagonist
  • Surgery:- Partial synovectomy/complete synovectomy is done.

Ayurvedic overview

In ayurveda, pigmented villonodular synovitis’s symptoms nearly resemble Kroshtukasheersha which is described in sushruta samhita nidansthana vatavyadhi chapter shloka 76. In this disease mainly vata and rakta are involved.

वातशोणितज: शोफो जानुमध्ये महारुज:। 

शिर:क्रोष्टुकपूर्वं तु स्थूल: क्रोष्टुकमूर्धवत ।।  (सु. सं .नि .1/76)  

According to the above shloka:- In knee joint vikriti (imbalance) of vaat and rakta develop severe pain and swelling which is known as Kroshtukasheersha.

Vata dosha gets aggravated with above mentioned factors which lead to occupied vacant channels. On filling the vacant spaces, the aggravated vata develops many diseases like it may be limited to a particular area or affecting the whole body that is vatavyadhi.

Treatment

  1. Raktamokshana (blood letting therapy):- In this therapy impure blood is expelled out from the body by using horns, leech, multiple pricking, gourds etc.
  2. Purgation:- This therapy is done by herbs in which toxins are expelled out from the body.
  3. Fasting therapy:- It brings lightness in the body.
  4. Raktashoshan (blood purification)

There are various herbs which purifies the blood including

  • Neem:- This is bitter and astringent in taste. It is always kapha and pitta but aggravates vata. It is light and cold in effect. Due to these properties it purifies the blood and prevents skin from acne, pimples, allergies, etc. It reduces the toxin level in the body.
  • Turmeric:- It contains bitter and pungent properties. It is light, dry and hot in effect. It is helpful in blood formation along with blood purification.
  • Manjishtha:- It is bitter and astringent and sweet in taste. It is heavy, dry and hot in effect but it is a pacifier of kapha and pitta. It helps to gain lusture and glow to the skin and aids to remove pimples, freckles and discoloration. It also promotes the healing of skin tissues damaged by injury or infection.
  • Daruharidra:- It is bitter and astringent, light, dry and hot in effect. It reduces inflammation and pain. It is a wound healer.

Herbal remedies for pigmented villonodular synovitis by planet ayurveda

Planet ayurveda provides various ayurvedic medicines for different kinds of diseases. They made various types of formulation by following all the principles of ayurveda in ancient textbooks. These ayurvedic medicines are GMP certified and are safe for the human body. All the formulations are made from pure herbs which are highly effective in the human body and free from harmful chemicals, preservatives, yeast or additives. Planet ayurveda provide herbal remedies for pigmented villonodular synovitis:-

  1. BOSWELLIA+CURCUMIN
  2. JOINT AID PLUS
  3. LAKSHADI GUGGUL
  4. KANCHNAAR GUGGUL
  5. KAMDUDHA RAS (MOTI YUKT)

Herbal Remedies for Pigmented Villonodular Synovitis

Ayurvedic Management of Pigmented Villonodular Synovitis

Product Description

1. Boswellia+curcumin

It is a poly herbal capsule made from shallaki (Boswellia serrata) and haridra (curcuma longa). Boswellia have anti-inflammatory features which stop the cytokines secretion and reduce inflammation or swelling. Curcuma longa has an antioxidant property which protects brain neurons and reduces the wrinkles on skin. It purifies the blood and helps in blood formation in the body. It also applies on cuts and bruises because it is a natural antibiotic. It prevents colon and skin tumors. It is known as antibacterial, anti-allergic, carminative and diuretic medicine. It is an effective remedy for sprains, wounds and inflamed joints.

DOSE:-2 capsule twice daily, after meals with plain water.

2. Joint aid plus

It is a polyherbal capsule formed from nirgundi (vitex negundo), shallaki (boswellia serrata), guggul (commiphora mukul), etc. It is bitter in taste but hot in effect. It has qualities to pacify all three doshas in the body (vata, pitta and kapha). It is light, dry, sharp and unctuous. It contains calcium, magnesium, iron and silicon dioxide. It is a very potent medicine for various types of joint problems such as rheumatoid arthritis, osteo arthritis and gout. It helps in reducing pain, swelling and tenderness of the inflamed joints. It has anti-hypercholesterolemic properties. It lowers serum triglycerides and cholesterol levels. It is an antioxidant and immune-modulator. It prevents all types of weakness and increases one’s strength and stamina. It induces sound sleep.

DOSE:- 1 Capsule twice daily

3. Lakshadi guggul

It is a herbal tablet made from laksha (laccifer lacca), arjuna (terminalia arjuna), ashwagandha (withania somnifera), etc. It is bitter and astringent in taste. It is dry, cold and light in effect. It is also a pacifier of kapha and pitta. It contains calcium, magnesium, aluminium etc. it is healer of wounds, antibacterial, antifungal and antipyretic. It is beneficial for heart diseases. It helps in excessive palpitation due to anxiety. It helps bones to regain strength after fractures. It contains anti-anginal properties. It is anti inflammatory as well anti-lipemic.

DOSE:– 2 tablets twice with lukewarm water

4. Kanchanaar guggul

It is a herbal tablet which is formed from kanchanar bark (bauhinia variegata), amalaki (emblica offinalis), haritaki (terminalia chebula), etc. It is bitter and astringent in taste but hot in effect. It has a strong antioxidant which reduces toxins from the body. It contains magnesium, calcium, vitamin B, iron, vitamin C, proteins and dietary fibre. It is effective in relieving pain. It reduces swelling and stiffness of joints. It helps in purification of blood and regulates the level of cholesterol. It improves the menstrual cycle in females.

DOSE:- 2 tablets twice daily with lukewarm water

5. Kamdudha ras (Moti yukt)

It is a classical ayurvedic pills made from giloy satva (tinospora cordifolia), mukta shukti bhasma (pearl oyster), shuddha gairik (red oxide of iron), etc. It pacifies all the three doshas. It is cold in effect. It acts as an anti inflammatory, antipyretic, anti arthritic, a blood purifier, antacid, antiemetic, etc. It decreases the heat level in the body and balances the production of acid in the stomach and decreases the inflammation of the organs. It is helpful in nausea, vomiting, and improving appetite. It inhibits gastric ulcers. It helps in treating white discharge from vagina in females. It is a rejuvenator and a restorative tonic.

DOSE:- 2 Pills twice daily

Contact Planet Ayurveda Support Team to provide you the costing / ordering and delivery information at – costing.planetayurveda@gmail.com or Call at 0172-521-4030 (India), +91-172-521-4030 (Outside India) or Whatsapp at (+91) 9915-593-604

Conclusion

Pigmented villonodular synovitis is a progressive condition in which proliferative lesions of joints and tendon sheaths are caused due to overgrowth of synovium. In ayurveda it is caused by vitiation of  vata and rakta. In ayurveda we can manage this condition by various methods like blood purification by leech, horns etc. and by herbs like curcuma longa, neem, manjistha, daruharidra, etc.

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February 8, 2023

Ayurvedic Treatment of Low Bone Density – Planet Ayurveda

ABSTRACT

Strong bones are very important for living a healthy life. Low bone density is the leading cause that results in the state of osteoporosis i.e. formation of holes in the bones. It will result in various pathological fractures such as when the fracture of a bone occurs due to pathological changes in the bone structure. A person with low bone density becomes prone to bone fractures; he/ she will get his/ her bone fractured even by a slight pressure by a very low amount of force e.g. falling while walking or even without any visible reason. The low bone density will be discussed in detail in the following article. Let’s discuss them in detail!

INTRODUCTION

The structure of the body is provided by the bones. There are a total 206 bones in the body. And each and every bone provides strength and structure to various parts of the body. To measure the health status of the bones, a bone mineral density test is performed. The bone mineral density test is used to measure the levels of calcium and other types of minerals that are present in an area of bone. The normal range of T- score is suggested to be -1.0 or more. The reports that result in lower values suggest a lower bone density. A lower bone density may worsen and result in osteoporosis i.e. condition of appearance of pores in the bone.

Low Bone Density

CAUSES

Normally, the formation of bones and reabsorption of bones are simultaneously ongoing processes. The bones start getting thinner as the age advances. This phenomenon occurs because the rate of formation of bones becomes slower than the rate of reabsorption of bones. The different causes that are estimated to cause low bone density are as follows- various types of eating disorders, chemotherapy, and extreme exposure to radiation. Low bone density may be a consequence of a disease. Women are more prone to it because of the continuous hormonal changes occurring in the body. Specially, the women around the age of menopause become more susceptible to thinner bones.

SYMPTOMS

There are no specific symptoms related to the condition. The person with low bone density will not experience pain or any other symptom because of reduced bone density. But he/ she will be at a higher risk of fractures of bone. The person breaks his/ her bone even when the force or the pressure suffered is very less. For example, he/ she might get his/ her bone fractured even if he/ she falls while walking.  The bone gets thinner as the bone density levels fall and hence the chances of fracture are increased.

DIAGNOSIS

To diagnose the bone density of an individual’s bones, a bone mineral density test is performed. The reports will consist of two parameters. The bone mineral density test is used to measure the levels of calcium and other types of minerals that are present in an area of bone. One of them is T-score and the other one is Z – score. The normal range of T- score is suggested to be -1.0 or more. Any value, lower than this, will suggest low bone density and bones thinner than normal.

TREATMENT

The management of the condition of low bone density will include various measures such as administration of Vitamin-D, Calcium and various lifestyle changes. The lifestyle changes will include adopting healthy food habits and other health improving habits. The person is suggested to increase the intake of healthy foods and inhibit the junk foods totally. He/ she is given a calcium complex. The patient is advised to avoid intake of alcohol and smoking. They are suggested to exercise on a regular basis. Exposure to sunlight is a good source for vitamin-D.

AYURVEDIC ASPECT

Ayurveda always has a very unique perspective on all the processes of the body. The concept of bones and bone density is discussed in a very interesting manner in the classical texts of Ayurveda. The bones can be correlated to Asthi in the Ayurvedic literature. The asthi is mentioned as the fifth dhatu that are rasa, rakta, masa,meda, asthi, majja, shukra. These are described as the elements that dharana (retention) the sharira. They are responsible for an appropriate healthy state of the body. The asthi is said to be a very hard component that contains vata (which can be correlated to space and hence pores) and majja dhatu (a type of liquid that can be correlated to bone marrow) inside it. There is a very unique concept of Ashraye- ashrayi bhava in the description of dhatus.

It explains that each of the seven dhatu is a home to another component of the body. And as the level of the component rises, the levels of that dhatu also rise. But there is an exception in the case of asthi. The asthi, as discussed above is supposed to be a sthana (home) for vata dosha, contrary to the principle, the levels of asthi and the vata are indirectly proportional. That means when the levels of vata rise, the levels of asthi decrease. So, in low bone density conditions, it can be estimated that the levels of the vata dosha are on a higher side which leads to decreased levels of the asthi component. This interprets that to raise the asthi component (i.e. can be correlated with bone) one should put efforts to decrease the levels of the vata dosha. There are various herbal drugs that are beneficial in decreasing the levels of vata dosha in the body such as Ashwagandha, agaru etc. The compounds like praval pishti, etc are known to improve the calcium levels of the body. Hence, help in improving the bone health of the individual. He/ she are advised to practice a healthy lifestyle and healthy food habits. He/ she is suggested to avoid habits that lead to disturbance in the levels of vata dosha.

HERBAL REMEDIES FOR LOW BONE DENSITY BY PLANET AYURVEDA

Planet Ayurveda is providing various preparations of natural herbs such as coral calcium complex, lakshadi guggul, osteo plan capsules, bone support, etc. which are prepared using authentic ways and provide great results in improving the bone density of the body. All the herbal products manufactured here are free from chemicals, preservatives, starch, additives, colors and fillers. These products are hundred percent natural and are formulated by MD Ayurvedic doctors with deep knowledge of Ayurveda and many years of experience. The formulations are prepared strictly according to the procedures described in the samhitas (classical texts) and therefore are very effective in promoting health and curing the diseased state.

Ayurvedic Treatment of Low Bone Density
Herbal Remedies for Low Bone Density

PRODUCT DESCRIPTION

1. CORAL CALCIUM COMPLEX

CORAL CALCIUM COMPLEX from planet Ayurveda is prepared from various health benefitting components such as Coral (Praval pishti), Agate (Akik pishti), Jawar Mohra Pishti, Kamdudha Ras, Pearl (Mukta pishti), Giloy Satva (Guduchi), etc. The combination of these contents is supposed to increase the calcium levels of the body. So, it makes the bone stronger. Hence, corrects the condition of low bone density.

Dosage – The dose of Coral calcium complex is 1 capsule two times a day. The capsule must be taken after meals and with plain water.

2. LAKSHADI GUGGUL

Lakshadi Guggul from planet Ayurveda is prepared by combining the following- Laksha (Laccifer Lacca), Asthisamharaka (Cissus Quadrangularis), Arjuna (Terminalia arjuna), Ashwagandha (Withania somnifera), Nagabala (Grewia populifolia), Shuddh Guggulu (Purified Commiphora mukul) etc. The combination of these medicines will help to pacify the vata dosha from the body. And when the vata dosha levels are reduced, ultimately the levels of asthi will increase. This will lead to improving bone health. Thus, it will result in stronger bones.

Dosage – The dose of Lakshadi Guggul is 1-2 tablets two times or three times a day with lukewarm water. (As suggested by the Ayurvedic physician)

3. OSTEO PLAN CAPSULES

Osteo Plan Capsules are prepared from combining a number of various health promoting drugs such as Ashwagandha (Withania Somnifera), Shatavari (Asparagus racemosus), Hadjod (Cissus quadrangularis), Arjuna (Terminalia arjuna), etc. The combination is known to increase and promote bone health of the body. This makes the bone density levels raise and makes your bones stronger. Thus, it decreases the chances of fractures. And it promotes healing in patients with bone fractures.

Dosage – The dose of Osteo Plan Capsules should be 1-2 Capsules two times a day. It should be taken with Plain Water and after meals.

4. BONE SUPPORT

These are the components that are combined by Planet Ayurveda to prepare the bone support capsules-Shudh Laksha (Laccifer lacca), Suhanjana Beej (Moringa oleifera), Hadjod (Cissus quadrangularis), Arjun (Terminalia Arjuna), Praval pishti (Corallium rubrum), Mukta (Compound of Pearl Calcium) , etc. As the name suggests, the bone support capsules support the bone a lot. It makes the bone stronger. It is known to increase the bone mineral density when taken in appropriate doses.

Dosage – The dose of bone support capsules is 1 capsule two times a day or as prescribed by the Ayurvedic physician according to the health status. It should be taken after meals with plain water.

Contact Planet Ayurveda Support Team to provide you the costing/ordering and delivery information at – costing.planetayurveda@gmail.com or Call at 0172-521-4040 (India), +91-172-521-4040 (Outside India) or Whatsapp at (+91) 842-749-4030.

CONCLUSION

The Ayurvedic principles consider that vata is the causative factor behind all the types of diseases. And as discussed above, the increased levels of vata will result in decreased levels of the asthi component. So, the target of treatment of low bone density will be to reduce the leve ls of vata dosha. Managing the proper levels of vata will lead to the healthy state of the body. So, as the Ayurvedic treatment emphasizes on treating the root cause of the condition it is capable of eliminating the disease permanently. In a nutshell, it can be concluded that with appropriate and timely management of vata levels of the body, the bone density can be increased in almost all of the cases leading to stronger bones.

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