AYURVEDIC APPROACH TO CONSERVATIVE MANAGEMENT OF GRADE IV KNEE OSTEOARTHRITIS: A CASE REPORT

Abstract

Knee osteoarthritis (OA) is a common degenerative joint disorder that significantly impairs mobility and quality of life. It is a leading cause of disability in older adults. Based on the Kellgren-Lawrence system of radiological grad-ing, Grade 4 OA represents the most advanced stage, for which total knee replacement is often recommended. This case report describes the outcome of conservative Ayurvedic management in a 62 -year-old female diagnosed with grade 4 knee osteoarthritis. The treatment protocol included external therapies along with appropriate internal Ayurvedic medications. Clinical outcomes were assessed using the Numerical Pain Rating Scale (NPRS) for pain and the Timed Up and Go (TUG) test, before and after the treatment. Following treatment, the patient demonstrat-ed marked improvement in pain, mobility, and functional capacity. Significant reductions in NPRS pain scores and TUG test duration were observed, along with improvement in knee joint range of motion. This case suggests that a comprehensive Ayurvedic treatment approach may provide substantial symptomatic relief and functional im-provement in patients with advanced knee osteoarthritis, potentially offering a conservative management option in selected cases