Rheumatoid Arthritis

Rheumatoid Arthritis

Table of Contents

Ayurvedic Name: Amavata

Description:

Rheumatoid Arthritis is a condition characterized by resulting from the accumulation of Ama (undigested toxins) due to weak digestion, which combines with Vata Dosha and settles in the joints, which leads to pain, stiffness, swelling, and restricted mobility. It is aggravated by an unhealthy diet, lack of exercise, excessive consumption of cold or heavy foods, and poor metabolism, resulting in morning stiffness, loss of appetite, indigestion, and fatigue. The obstructed Srotas (microchannels) contribute to inflammation and joint deformities.

Signs & Symptoms:

  • Sandhishoola (Joint Pain): Deep, throbbing, and migratory pain, worsened in cold or damp conditions.
  • Sandhishotha (Joint Swelling): Inflammatory swelling with tenderness, often appearing symmetrically in both hands or knees.
  • Stambha (Stiffness): Prolonged morning stiffness lasting more than an hour, making movement difficult.
  • Sparsha Asahyata (Tenderness to Touch): Extreme sensitivity in affected joints due to Ama accumulation.
  • Jwara (Fever): Mild to moderate fever due to the autoimmune inflammatory response.
  • Gaurava (Heaviness in the Body): Feeling of sluggishness due to toxin buildup in the system.
  • Agnimandya (Digestive Impairment): Weak digestion, bloating, and irregular appetite due to metabolic dysfunction.
  • Kshrama (Fatigue): Persistent tiredness even with minimal exertion.

Diagnosis:

Rheumatoid Factor (RF) and Anti-CCP Antibody test

Risk Factors:

  • Dietary Factors
    Excess consumption of processed and packaged foods
    High intake of dairy products, refined sugar, and gluten
    Excessive consumption of sour, salty, and heavy foods that increase Ama (toxins)
    Low intake of anti-inflammatory foods such as turmeric, ginger, and leafy greens
    Insufficient hydration leading to toxin accumulation
  • Lifestyle Factors
    Sedentary lifestyle with little to no physical activity
    Chronic stress, which exacerbates inflammation and autoimmune reactions
    Smoking and alcohol consumption increasing oxidative stress
    Poor sleep patterns, leading to increased inflammatory responses
    Exposure to cold and damp environments, which aggravates Vata
  • Medical Conditions
    Genetic predisposition (family history of autoimmune diseases)
    Hormonal imbalances (more common in women, particularly post-menopause)
    Pre-existing autoimmune disorders (such as lupus or Sjögren’s syndrome)
    Obesity, which puts additional strain on joints and increases inflammation
    Chronic infections or gut imbalances affecting immune response

Complications:

  • Joint Deformities (Sandhivakrata / Asthi Vikruti): Long-term inflammation can lead to permanent joint damage
  • Osteoporosis (Asthi Kshaya): Increased bone fragility due to chronic inflammation and medication use
  • Cardiovascular Issues (Hridaya Roga): Higher risk of heart disease due to persistent inflammation
  • Lung Involvement (Shwasa Vikara): Inflammation can lead to interstitial lung disease
  • Eye and Skin Problems (Netra Roga / Twak Vikara): Dry eyes, inflammation, and skin nodules

Epidemeology:

More common in women than men (3:1 ratio)
Peak onset between ages 30-50, though it can occur at any age
Affects approximately 1% of the global population

 

 

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