Clinical Management of Krostukasheersha W.S.R to Synovitis of Knee – A Single Case Study

Krostukasheersha is a disease condition described in Ayurveda, primarily affecting the Janu Sandhi (knee joint). The term is derived from “Krostuka” (jackal) and “Sheersha” (head), referring to the jackal-head-like swelling seen around the knee in this condition. This closely resembles Synovitis of the Knee in the contemporary system of medicine. The prevalence of Synovitis of Knee in India is around 28.7%, increasing notably with age and highest among those above 60 years. Females are more commonly affected than males, with obesity (BMI > 25 kg/m²) serving as a major modifiable risk factor. Higher rates are observed in large cities (33.1%) and villages (31.1%) compared to smaller towns (17%). Krostukasheersha is a condition, which is characterized by an imbalance in the Vata dosha (Vyana Vata) and Kapha dosha (Sleshaka sleshma), leading to knee joint disorders such as pain, swelling, stiffness and reduced mobility. This article is focused on a detailed case study, which demonstrates the successful Ayurvedic management of Biopsy-proven, Non-specific Synovitis of the knee, correlated with Krostukasheersha; in a 28-year-old male with a four-year history of chronic symptoms and only partial relief following synovectomy. A comprehensive, integrative treatment protocol consisting of Shamana Aushadhis, Matra Vasti, Yoga Vasti, Janu Vasti and Patrapottali Sweda administered over a period of 50 days led to significant reduction in pain, swelling and stiffness, along with marked improvement in gait and overall functional capacity.