Ayurvedic management of Ankylosing Spondylitis (Pravruddha Aamvata): A Case Report

Introduction: Ankylosing Spondylitis (AS) is a systemic autoimmune rheumatic disease that primarily affects the sacroiliac joints and the axial skeleton. Modern medicine offers few management options, yet effectively managing AS remains challenging. AS is strongly associated with the genetic marker HLA-B27. Method: In this case study, signs and symptoms of AS can be correlated with Pravruddha Aamavata as exact signs and symptoms of AS are not given in Ayurvedic texts. The patient was treated accordingly with Ayurvedic therapies, including Deepana Pachana, Churna Pinda Swedana, Virechana Karma, Yoga Basti, and Shamana Snehapana. Assessment with ROM of Lumbar spine and Neck, BASDAI (Bath Ankylosing Spondylitis Disease Index), ASQOL Questionnaire (Ankylosing Spondylitis Quality of life), and ASDAS (Ankylosing Spondylitis Disease Activity Score) was done before and after the treatment. Results: Post-treatment, there was a significant reduction in whole back pain, sacroiliac pain, and morning joint stiffness, alongside decreased ESR and CRP levels, an increase in hemoglobin, and improvement in BASDAI, ASQOL questionnaire, and ASDAS. Conclusion: This case study demonstrates the potential for successful management of AS.