Abstract

MANAGEMENT OF KOSHTUKSHIRSHA (PREPATELLAR BURSITIS) THROUGH AYURVEDIC INTERVENTIONS: A CASE STUDY

Dr. Channamma S. Hiremath, *Dr. Pranit Singi, Dr. Aditi Dongare

Abstract

Koshtukshirsha is described by Acharya Sushruta as a disease characterized by swelling over the Janu Sandhi resembling the head of a shell (Koshta), accompanied by pain and restriction of movement. It can be correlated with Prepatellar Bursitis in contemporary medicine. The present case study evaluates the efficacy of Ayurvedic management in a patient suffering from Koshtukshirsha. A 32-year-old Female patient presented with pain, swelling, tenderness, and difficulty in knee movements for two months. The patient was treated with Jalaukavacharana, Dashamoola Kashaya Dhara, Nadi Sweda, Latakaranja Churna Lepa, Kala Basti (16 days), and internal Ayurvedic medications for 30 days. Assessment was carried out on the basis of pain, swelling, tenderness and functional disability. Significant improvement was observed in all clinical parameters. The findings suggest that Ayurvedic management may provide effective symptomatic relief and functional improvement in Koshtukshirsha.

Keywords: Koshtukshirsha, Janu Sandhi, Prepatellar Bursitis, Ayurveda, Sandhigata Vikara, Case Study.