Topical Phytotherapeutic Treatment: Management of Normalization of Elevated Levels of Biochemical Parameter During Osteoarthritic Disorders: A prospective Study
Journal Title: Journal of Orthopedics & Rheumatology - Year 2018, Vol 5, Issue 1
Abstract
Background: C-reactive protein (CRP), creatine kinase-muscle (CK-MM) and aldolase A (AldoA) levels are proven to be realistic biochemical markers of osteoarthritic disorders (OADs). The aim of this study is to normalize the elevated levels of CRP, CK-MM and AldoA during OADs of knee-joints and degenerative changes in lumbarspine by topical application of phytoconstituents with specialized techniques. Methods: Baseline data were collected and evaluated from 261 patients (66.67% females) with OADs confirmed with radiological images. Serum CRP, CK-MM, and AldoA levels were measured at the baseline and at the end of six weeks of treatment using appropriate kits. All patients underwent a standardized physical, radiographic examinations and evaluation of risk factors (inflammation, muscle degeneration, bone erosion, and skeletal muscle diseases) by blood examination and completed a questionnaire. All the patients were treated with topical application of phytochemicals extracted from seven Indian medicinal plants mixed with virgin sesame oil and beehive-wax for a period of six-week with specialized techniques. Results: The parameters of the risk factors for OADs at the end of six-week of treatment were highly significant (p<0.0001). The high and low ranges of all biomarkers, their percentage of improvements and Pearson’s correlation coefficient were all highly significant (p<0.0001). The improvements of pain, stiffness and daily functional activities at the end of treatment under KOOS, VAS, WOMAC index and KPS were highly significant (p<0.0001) and also reduction of weight as evidenced by BMI (p<0.0001) and radiological images as assessed by K-L grading score. Conclusions: It is firmly confirmed from the results that the elevated levels of CRP, CK-MM, and AldoA, represent the risks of inflammation, muscle degeneration, and skeletal muscle damage along with pain and all daily functional activities, body weight and radiological images as confirmed by above-mentioned international approved scales during OADs can be successful normalized by topical application of phytoconstituents within six-week with specialized treatment.
Authors and Affiliations
Apurba Ganguly
A Systematic Approach to Evaluating Hip Radiographs-A Focus on Osteoarthritis
Osteoarthritis of the hip continues to be a common cause of disability affecting millions worldwide. Identifying radiographic changes can help provide an accurate diagnosis and help guide the clinical decision making pro...
Unstable Metacarpal Fractures: AComparative Study between Mini-Plates and Percutaneous K-Wire Fixation at Emergency Hospital, Mansoura University, Egypt
Introduction:Management of metacarpal shaft fracture is dictated by the stability and personality of the fracture. It may be conservative or surgical. Surgical management of Metacarpal fractures has different techniques...
Femoroacetabular Impingement and Labral Tear Management: Review of Current Literature and Techniques
The incidence of hip pain in the adult is fairly common, accounting for roughly 10% of visits to sports medicine physicians annually, and the origin of the pain is often elusive. For the active patient, femoroacetabular...
We are all Orthopedic, not “orthopaed-ic” or straight-child-ish… from “παιδιον”/paedion (=child) of Andry’s book for children!
There is a considerable difference between the spelling of the word «Orthopaedics» and «Orthopaedics» in fact, the first one, («Orthopaedics»), is incorrect and inaccurate; it has been widely used and copied as the corre...
Ex-vivo Evaluation of 99mTc Labeled Glucosamine Sulfate(99mTcGS) in Articular Cartilage. Relevance for Osteoarthritis Imaging
Background: Glucosamine sulfate (GS) is widely used in the treatment of osteoarthritis, but no data concerning the local uptake of GS in articular cartilage exist. For this reason we performed radiolabeling of GS (Rottap...