Pigmented Villonodular Synovitis (PVNS) Treatment In Ayurveda

Abstract

PVNS (pigmented villonodular synovitis) may be an uncommon form of synovitis that can influence joints all through the body, but most commonly the knees. PVNS is usually categorized as localized or diffuse. It is also called a tenosynovial giant cell tumor when it occurs in a tendon. Although it is often described as a tumor or growth, it is not usually cancerous. But in Ayurveda, there is an effective treatment for Pigmented villonodular synovitis. Now we are going to discuss the cause, symptoms, and treatment of pigmented villonodular synovitis.

Introduction

Pigmented villonodular synovitis (PVNS) refers to a severe type of synovitis that affects the soft tissues lining the joints and muscles. Pigmented villonodular synovitis usually affects the knee, hip, and ankle and has a poor prognosis, with symptoms occurring years before diagnosis. In addition, Pigmented villonodular synovitis is more aggressive than the other major subtypes of tenosynovial giant cell tumor (tenosynovial giant cell tumor). Pigmented villonodular synovitis is usually categorized as localized or diffuse.

Localised

In localized pigmented villonodular synovitis, the tumor occurs in just one area of the joint or involves the tendons that support the joints. It is easily treatable.

Diffuse

In diffuse pigmented villonodular synovitis, the tumor involves an entire joint, and it is a more widespread condition. It is difficult to treat and is more aggressive.

Causes

Pigmented villonodular synovitis is caused by overgrowth and thickening of the synovial membrane. All movable joints in the body have a synovial membrane that reduces friction in the joint during joint movement. The abnormal synovial lining caused by pigmented villonodular synovitis causes joint swelling, sometimes interferes with movement, and can grow and destroy nearby joints, including large bones.

Symptoms

• Pain
• Swelling of the joint
• Joint effusion
• Stiffness in the joints
• Difficulty in walking
• Locking
• Instability in the joint
• Catching

Diagnosis

• Physical examination
• X-ray
• MRI
• Arthography
• Joint aspiration
• Biopsy

Treatment

• Drug therapy
• Surgery: synovectomy
• Radiation

In these treatments, there is a recurrence of tumors and also side effects.

Complications

• Joint degeneration
• Bone degeneration
• Ligament breakdown
• Tendon breakdown

Ayurvedic Aspect of Pigmented Villonodular Synovitis (Pvns)

In Ayurveda, the symptoms of pigmented villonodular synovitis nearly resemble Kroshtukasheersha. In this disease, mainly the vitiation of vata and rakta is involved.

वातशोणितजः शोफो जानुमध्ये महारुजः।

शिरः क्रोष्टुकपूर्वं तु स्थूल: क्रोष्टुकमूर्धवत।।(सु. नि. १/७६)

According to Acharya Sushruta, when the imbalance of vata and rakta develops swelling and severe pain in the knee joint, that is known as Kroshtukashirsha.

Vata Nidana (Vata Causative Factors)

• Injury due to fighting
• Falling down from a certain height
• Speed walking or running
• Excessive jumping
• Excessive physical activity
• Not sleeping during the night
• Carrying heavy loads
• Excessive intake of pungent, astringent, rough, bitter, cold, light, and dry vegetables.
• Day sleep
• Fair
• Excessive fasting
• Eating during indigestion
• Intake of large amounts of food and a smaller amount of food at irregular times.

Vata Imbalance Symptoms

• Tears in bones and joints
• Stiffness of joints
• Horripilation
• Drying of organs
• Stiffness in hands, back, and head
• Delirium
• Sleeplessness
• Pulsation
• Numbness in the organs
• Convulsions
• Distress
• Piercing pain
• Diminished activities
• Dislocation
• Pain and discomfort

Treatment of Vata Dushti

• Snehan (oil application)
• Sweden (hot sudation)
• Mridu virechana (mild laxative)
• Deepan pachana (carminative)

Rakta Nidana (Rakta Causative Factor)

• Intake of substances that induce a burning sensation inside the body.
• Excessive exposure to heat and the sun.
• Excessive consumption of hot, heavy, unctuous, and watery substances.
• Sleeping during the day.
• Excessive anger
• Eating during indigestion
• Exposure to fire
• Eating antagonistic foods and taking food during digestion

Symptoms of Vitiated Rakta

• Burning sensation
• Reddish discoloration in the eyes, skin, and urine
• Metabolic joint disorders
• Discoloration of the skin
• Loss of digestive fire
• Excessive anger
• Suppression of urges
• Bleeding disorders
• Fever
• Excessive thirst
• Skin related disorders
• Itching
• Excessive perspiration
• Weakness in sense organs

Treatment of Rakta Dushti

• Raktamokshan (Bloodletting therapy)
• Fasting therapy
• Purgation
• Raktashodhak (Blood purification)

Some Herbal Remedies for Pigmented Villonodular Synovitis by Planet Ayurveda

Planet Ayurveda is a registered Ayurvedic company that formulates various supplements for the treatment of disease. The formulations produced by Planet Ayurveda are free of any preservatives and various chemicals that do not cause any side effects on the human body. The products manufactured by Planet Ayurveda are pure and free of any adulteration. These products are pure, gluten-free. And for pigmented villonodular synovitis, Planet Ayurveda has created various supplements that are beneficial.

Product List

• Boswellia Curcumin
• Joint Aid Plus
• Lakshadi Guggul
• Kanchnaar Guggul
• Kamdudha Ras Moti Yukt

Products Description

1. Boswellia Curcumin

Boswellia curcumin is a polyherbal formulation that is formulated by Planet Ayurveda using Haridra (Curcuma longa) and Shallaki (Boswellia serrata). The combination of Shallaki (Boswellia serrata) and Curcumin (Curcuma longa) helps reduce pain and has synergistic effects. In this, shallaki acts as an anti-inflammatory herb, and curcumin acts as an antioxidant.

Dosage: with plain water, after meals, 2 capsules twice daily.

2. Joint Aid Plus

Joint Aid Plus is a polyherbal capsule that is formulated by Planet Ayurveda by using Shallaki (Boswellia serrata), Nirgundi (Vitex negundo), Guggul (Commiphora mukul), Sonth (Zingiber officinale), and Ashwagandha (Withania somnifera). In this formulation, ashwagandha (Withania somnifera) helps provide strength to the ligaments and muscles. Shallaki (Boswellia serrata) acts as a painkiller and anti-inflammatory herb, and sonth (Zingiber officinale) is helpful in digestion and also gives pain relief.

Dosage: with plain water, after meals, 1 capsule twice daily.

3. Lakshadi Guggul

Lakshadi guggul is a polyherbal tablet that is formulated by Planet Ayurveda by using Asthisamharaka (Cissus quadrangularis), Laksha (Laccifer lacca), Ashwagandha (Withania somnifera), Arjuna (Terminalia arjuna), Shuddha guggulu (Purified Commiphora mukul), and Nagabala (Grewia populifolia). It helps soothe the ligaments and enhance bone density. In this formulation, ashwagandha and shuddha guggulu help reduce pain by pacifying the vata dosha.

Dosage: with lukewarm water, after meals, 2 tablets twice daily.

4. Kanchnaar Guggul

Kanchnaar Guggul is a polyherbal formulation that is made by Planet Ayurveda using various ingredients Kachnar Bark (Bauhinia variegata), Amalaki (Emblica officinalis), Tejapatra (Cinnamomum tamala), Haritaki (Terminalia chebula), Bibhitaki (Terminalia bellerica), Varuna Bark (Crataeva religiosa), and many more. These tablets have anti-inflammatory properties and are helpful in promoting healthy functions of the body and controlling excessive weight. It is effective for pain, and it contains magnesium, calcium, iron, vitamin B, vitamin C, proteins, and dietary fibers.

Dosage: with lukewarm water, 2 tablets twice daily.

5. Kamdudha Ras Moti Yukt

Kamdudha ras moti yukt is a polyherbal formulation that is formulated by Planet Ayurveda using Mukta bhasma (Pearl calx), Shankh bhasma (Conch shell ash), Praval bhasma (Coral calx), Giloy satva, and some other ingredients. It acts as an anti-inflammatory, an antipyretic, a blood purifier, an anti-arthritic, an antiemetic, etc. It helps in decreasing the heat level of the body.

Dosage: with plain water, 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 0172-521-4040 (India), +91-172-521-4040 (Outside India) or Whatsapp at (+91) 9915-593-604

Conclusion

PVNS (pigmented villonodular synovitis) may be an uncommon form of synovitis that can influence joints all through the body, but most commonly the knees. PVNS is usually categorized as localized or diffuse. Pigmented villonodular synovitis (PVNS) refers to a severe type of synovitis that affects the soft tissues lining the joints and muscles. Pigmented villonodular synovitis usually affects the knee, hip, and ankle and has a poor prognosis, with symptoms occurring years before diagnosis. In Ayurveda, the symptoms of pigmented villonodular synovitis nearly resemble Kroshtukasheersha. In this disease, mainly the vitiation of vata and rakta is involved. In Planet Ayurveda, there are some herbal remedies that give effective results in pigmented villonodular synovitis without causing any side effects.