Open AccessEFFECT OF LEECH THERAPY IN MANAGEMENT OF QUADRICEPS FEMORIS TENOSYNOVITIS: A CASE STUDY
Author(s) -
Bhandare Madhuri Vitthalrao,
Raut Subhash,
Shamkuwar Manoj Keshaorao
Publication year - 2013
Publication title -
international journal of research in ayurveda and pharmacy
Language(s) - English
Resource type - Journals
eISSN - 2277-4343
pISSN - 2229-3566
DOI - 10.7897/2277-4343.04437
Subject(s) - leech , medicine , tenosynovitis , physical therapy , surgery , computer science , world wide web
Tenosynovitis is the inflammatory and very painful condition. Sometimes it also restricts the movements badly. The available treatments are NSAIDS (Non steroidal anti-inflammatory drugs), local injections of corticosteroids and surgery to remove the inflammation surrounding the tendon which have some adverse effect and not so cost effective. Sushrut described inflammation as ‘shotha’ in Chapter 17/3 and the treatment of shotha as vistravan i.e. bloodletting in 1/28, 29 to reduce the pain and inflammation and to avoid complication like suppuration. Bloodletting includes Siravedha (Venesection), Shrung application (application of cow horn), Alabu application (Lagnaria vulgaris) and Jalaukavacharan (leech therapy). Since ancient times leeches are used to treat many illnesses and diseases. It is indicated in the local pathology rather than the generalized one. The patient came to OPD diagnosed as tenosynovitis of quadriceps femoris and he has already taken NSAIDS and local corticosteroids but didn’t get relief. As it is a local inflammatory pathology hence the leech therapy is selected in the management of tenosynovitis of the quadriceps femoris and local leech application done at the left thigh for 7days daily at the same time. Observations were made every 24hourly on the Numerical Rating score scale. The pain at 0 day was 10 on the NRS and after leech application it was 1 at the end of the 7thday. The mobility of the hip and knee joint also improved and also there was no local tenderness