Ayurvedic management of grade III medial meniscal injury: A case report.

Tear of grade III in the posterior horn of medial meniscus is a serious knee injury. Arthroscopic surgery is usually advised to manage these cases with variable outcomes. A female housewife aged 32 years, presented with the complaints of pain, stiffness, swelling and occasional giving way of the left knee joint for 2 months; at outdoor patient department of Shalya Tantra (surgery) of our hospital, India on 02/05/2022. There was history of fall from stairs 2 months back. MRI findings were suggestive of grade III tear of posterior horn of medial meniscus extending up to inferior surface. She was advised arthroscopic surgery. Due to financial constraints, surgery was not opted. She was managed with oral Ayurvedic medicines: Abha Guggulu, Punarnavashtak Kwatha, Mukta Pishti, Brahma Rasayana; along with Matra Basti of Bala-Ashwagandha Taila and physiotherapy. After 9 months of systemic treatment and physiotherapy, complete healing was achieved as assessed by Magnetic Resonance Imaging (MRI) and Western Ontario Meniscal Evaluation Tool (WOMET). Standalone Ayurvedic management resulted in positive outcomes. The objective is to unveil the inherent healing potential of Ayurveda that may serve as a lead for further research and a hope for those who defer from surgery due to various constraints.