Abstract

Osteoarthritis (OA) is the most prevalent form of arthritis globally, primarily affecting the joints through progressive cartilage deterioration. In India, where aging demographics and lifestyle changes contribute to the increasing burden of non-communicable diseases, osteoarthritis has emerged as a significant public health concern. The condition predominantly affects the knees, hips, hands, and spine, with knee osteoarthritis being especially common among older adults and women. As mobility and daily functioning can be significantly impaired by OA, timely diagnosis and appropriate treatment are critical to improving quality of life.

Current clinical approaches for OA treatment in India rely on 1) pain management (Nonsteroidal Anti- Inflammatory Drugs (NSAIDs) administration like diclofenac or ibuprofen, and topical creams, & for patients with gastrointestinal sensitivities or CVDs risk, selective COX-2 inhibitors are recommended. 2) Restoration of joint function through hyaluronan injection to improve lubrication, and 3) Arthrocentesis for delaying the onset of permanent joint deformities.

Intra-Articular Injections are emerging Therapies, when pain relief from medications and physiotherapy is inadequate. Commonly used injectables in India include corticosteroids, Hyaluronic Acid (HA), a lubricating substance that may improve joint mobility, and Stem cells injections although the efficacy can vary between individuals. Radiofrequency Ablation (RFA) is another minimally invasive procedure designed to reduce pain by targeting specific nerve tissues, using an electrical current generated radio wave, which heats a small area of nerve tissue, effectively decreasing the pain signals sent from that area to the brain.

Materials & Methods: This article is based on the author’s wife trying multiple approaches for OA starting for standard allopathic treatment, switching over to Ayurvedic treatment and recently to Intraarticular hyaluronic acid in the last 10 years. Intra-articular Hussmate injection has given big relief within 2 weeks’ time, though the entire course is to be completed for long term outcomes. Her experiences are supported by literature reviewing all options available globally. Another male case and exit interviews of some more beneficiaries added value to first case’s experience

Outcome: First contact, intervention and follow-up for 4 weeks has been highly satisfying. The duration of initial course as of now appears to be around 2 years. Follow-up case is planned by the author

Keywords:Osteoarthritis; Nonsteroidal anti-inflammatory drugs; Intraarticular injections; Arthrocentesis; Hussmate injection; Herbal pain relief patch; Radio frequency ablation

Abbreviations: OA: Osteoarthritis; NSAIDs: Nonsteroidal Anti-Inflammatory Drugs; IAI: Intraarticular Injections; RFA: Radiofrequency Ablation