Chronic inflammation of the joints stands as a defining hallmark of rheumatoid arthritis (RA), an
autoimmune malady. Its progressive nature threatens joint integrity and functional ability, often
symmetrically inflaming multiple joints. Not content with confining its impact solely to the joint's
surrounding tissues, this relentless condition extends its reach, inflicting inflammation and havoc upon
various organs throughout the body. Amavata, nestled within the realm of Vatavyadhi, where its primary
target lies within the Sandhi, inducing waves of pain and swelling. Echoing the ancient wisdom of
Ayurveda, Rheumatoid arthritis finds its counterpart in the enigmatic entity of "Amavata."
This study embarks on an observational exploration, sourcing data on Manibandh Sandhi and Amavata
from diverse authoritative channels. Through scrutinizing radiological evidence, it uncovers the
structural shifts and persistent mobility challenges within the Manibandh Sandhi among 30 diagnosed
Amavata patients. These individuals, bearing the brunt of Amavata's impact on Manibandh Sandhi, are
methodically categorized into three groups—Group A, Group B, and Group C—reflecting the varying
durations of their condition. The objective of this research is to perform a literature review focusing on
the relationship between Manibandh Sandhi and rheumatoid arthritis (Amavata), and to examine the
structural alterations in Manibandh Sandhi through both clinical assessment and radiographicobservations in Amavata cases. This endeavor seeks to provide a thorough exploration of the clinical
anatomy of Manibandh Sandhi.
This case series explores the intricate interplay between RA, known as Amavata in Ayurveda, and its
impact on wrist joint health. Through a comprehensive examination of clinical manifestations,
radiological findings, and functional assessments, this study elucidates the progressive nature of
Amavata-induced wrist joint complications. Findings reveal a spectrum of structural changes, from
subtle alterations to severe degeneration, alongside varied degrees of movement limitations.
Highlighting the multifaceted nature of Amavata, this series underscores the importance of early
detection and tailored interventions to mitigate disease progression and enhance patient quality of life.
Keywords: Manibandh Sandhi, Amavata, structural changes of wrist joint
Publication date: 01/06/2025
https://ijbpas.com/pdf/2025/June/MS_IJBPAS_2025_9096.pdf
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https://doi.org/10.31032/IJBPAS/2025/14.6.9096
