STRUCTURAL DETERIORATION AND MOVEMENT LIMITATIONS IN THE WRIST JOINT (MANIBANDHA SANDHI) W.S.R AMAVATA (RHEUMATOID ARTHRITIS): A CASE SERIES

Chronic inflammation of the joints stands as a defining hallmark of rheumatoid arthritis (RA), an autoimmune malady.Its progressive nature threatens joint integrity and functional ability, often symmetrically inflaming multiple joints.Not content with confining its impact solely to the joint's surrounding tissues, this relentless condition extends its reach, inflicting inflammation and havoc upon various organs throughout the body.Amavata, nestled within the realm of Vatavyadhi, where its primary target lies within the Sandhi, inducing waves of pain and swelling.Echoing the ancient wisdom of Ayurveda, Rheumatoid arthritis finds its counterpart in the enigmatic entity of "Amavata."This study embarks on an observational exploration, sourcing data on Manibandh Sandhi and Amavata from diverse authoritative channels.Through scrutinizing radiological evidence, it uncovers the structural shifts and persistent mobility challenges within the Manibandh Sandhi among 30 diagnosed Amavata patients.These individuals, bearing the brunt of Amavata's impact on Manibandh Sandhi, are methodically categorized into three groups-Group A, Group B, and Group C-reflecting the varying durations of their condition.The objective of this research is to perform a literature review focusing on the relationship between Manibandh Sandhi and rheumatoid arthritis (Amavata), and to examine the structural alterations in Manibandh Sandhi through both clinical assessment and radiographic