Article by Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S


Irritation of Bursae known as Bursitis. Bursae are small sacs stuffed with fluid. They serve the aim of cushioning the bones, tendons and muscle tissue close to the joints. It’s a painful situation and is marked by aches, ache, stiffness, redness and swelling of the affected joint / joints with ache growing on transferring or urgent the affected joint. 

Bursae and Shleshaka Kapha

Anatomically the outline of bursae falls into the territory of Shleshaka Kapha, a subtype of Kapha which is positioned in and across the joints and mushy tissues and lubricates them.

Relative pathology between shleshaka kapha with vata and pitta aggravation within the pathogenesis of bursitis

This Kapha is a buffer and protects the bony ends and the joints, joint areas and mushy tissues round from damages, put on and tears, friction and pathological impact of pitta and vata which could finally result in many inflammatory and degenerative illnesses within the talked about areas. Aside from this, shleshaka kapha would permit straightforward actions within the joints and allow us to do every day actions with ease.

The opposite doshas, as a rule, are additionally current in these locations (pitta and vata) however there will likely be predominance of kapha. But when there’s proportional imbalance between these doshas with pitta (on this situation) (and vata) gaining irregular improve, the areas of kapha would get infected and result in circumstances like bursitis.

Vata too is concerned within the pathogenesis each time bursitis is brought about because of trauma. Trauma / damage as a rule causes vata aggravation. 

Position of Vata in Bursitis pathogenesis

Bursitis happens in nearly all joints, huge and small. All joints are seats of shleshaka kapha. It happens close to joints whereby repetitive movement happens. Repetitive motions trigger pathological improve of vata and consequent depletion of kapha (shleshaka kapha), which is a protecting buffer of the joints and surrounding tissues. Vata improve primarily depletes kapha. So, the joints lose the protecting buffer in and round them. This additional results in put on and tear of the bones and joints resulting in irritation therein and in addition within the bursae. This is able to trigger bursitis with involvement of pitta in later levels of pathogenesis.

Primarily based on the signs

Seeing the signs of Bursitis most of them appear to be attributable to abnormally elevated vata within the stricken joint and different areas.

Aches and pains – is principally because of vata predominance. Stiffness could also be because of vata, kapha or each. Swelling could also be because of any of the three doshas. Redness is principally because of the improve of pitta.

Incapacity brought about because of extreme joint ache and lack of ability to maneuver the stricken joint, which can happen within the later a part of the established illness as a complication, could also be attributable to pathological adjustments attributable to aggravated vata and pitta within the joint / joints.

The opposite signs together with bruising or rash is attributable to aggravated pitta, sharp or capturing ache in some instances is attributable to pitta and or vata and fever is manifested because of pitta.

From the angle of causes

Sl No Reason behind Bursitis Dosha involvement
1 Repetitive motions or positions Vata and Pitta improve
2 Vigorous actions / workout routines / sporting actions Vata improve
3 Actions which result in improve of stress on the joints, like leaning on elbow, kneeling on knee and so on Vata improve
4 Harm, trauma, repetitive stress on the joints Vata and pitta improve
5 Ailments inflicting irritation or degeneration of the joints Vatarakta, Amavata, Sandhigata Vata

From threat elements perspective

Growing old which is taken into account as one of many threat elements for bursitis may be learn as ‘previous age’ favorable for vata problems like sandhigata vata, popularly correlated with osteoarthritis.

Hatva Sandhin – destruction of joints, Shula – ache within the joints and Atopa – swelling within the joint – that are the traditional signs of Sandhigata Vata – level in the direction of the outline of Bursitis.

Repetitive movement or stress on joints or bursae and all occupations inflicting these would trigger improve of vata and therefore result in bursitis. The occupations might embody gardening, portray, laying carpets, enjoying musical devices and so on.

Ailments affecting the joints and bursae of the likes of amavata, sandhigata vata and vatarakta trigger bursitis. Sthoulya and Medoroga too are answerable for bursitis by inflicting stress on joints and bursae.

Ayurveda Remedy Ideas and Remedy of Bursitis

Nidana Parivarjana

Maintaining away the causative elements kinds the important thing technique in coping with bursitis, identical to another illness. All recognized ‘vata or pitta aggravating’ etiological elements have to be averted. The duty magnifies as soon as bursitis units in, not simply till it goes away, but in addition in future to keep away from recurrences. Repeated trauma and extreme train are the principle elements to be averted.

Trendy drugs insists on ‘resting the affected joint’ and ‘safety from additional trauma’ because the preliminary and most vital step in dealing with bursitis, after all with symptom / illness modifying therapies or medicines, as and when wanted. Despite that, flare-ups could also be seen.

Remedy of Bursitis on the idea of predominant dosha concerned in its pathogenesis

If indicators of irritation are seen within the bursae and in addition within the joints round it, therapy for aggravated pitta is given.

If indicators of degeneration are seen in joints together with bursitis in its neighborhood, therapy for aggravated vata is run.

If there are indicators and signs of each irritation and degeneration within the bursae in addition to within the joints round, therapy for each, aggravated vata and pitta are thought-about and administered.

Exterior therapies

Under talked about therapies are extraordinarily useful in combating bursitis –

–         Dhanyamla dhara – in case of extreme irritation related to bursitis
–         Taila dhara / pizhichil – in case of vata predominance in bursitis, presence of degenerative adjustments within the close by joints
–         Ksheera Dhara – showering or stream pouring of milk processed with vata and pitta mitigating herbs, Instance – Dashamula Ksheera (milk processed with dashamula kashayam)
–         Pichu – maintaining a swab dipped in medicated oil over the stricken bursa / joint stricken by vata and bandaging it
–         Lepa and Upanaha – anointing the stricken bursae / joint with medicinal pastes ready with vata and pitta mitigating herbs or as per dosha involvement must be accomplished. Equally, the identical pastes may be utilized over the bursa within the type of poultice.
–         Abhyanga – therapeutic massage with natural oils ready with vata and pitta mitigating herbs

Inside therapies

The beneath talked about inside therapies are additionally useful within the therapy of bursitis –

–         Virechana – therapeutic purgation is the very best remedy to fight signs of bursitis, cut back irritation and to calm the aggravated pitta and vata. Triphala Churna, Trivrit Leha, Nimbamritadi Eranda Taila – could also be used on this route.

–         Vasti – medicated enemas – each decoction and oil / ghee enemas must be administered when degeneration and vata involvement is noticed in case of bursitis

Different ideas of therapy

Bursitis shall be handled on the traces of treating the beneath talked about circumstances –

–         Amavata
–         Sandhigata Vata
–         Vatarakta
–         Shotha

Helpful formulations in treating bursitis

–         Tiktakam Kashayam
–         Punarnavadi Kashayam
–         Dashamula Kashayam
–         Triphaladi Kashayam
–         Erandamuladi Kashayam
–         Varanadi Kashayam
–         Guggulutiktakam Kashayam
–         Kaishora Guggulu
–         Yogaraja Guggulu
–         Simhanada Guggulu
–         Triphala Guggulu
–         Shotari Mandura
–         Punarnavadi Mandura
–         Dashamularishta
–         Punarnavasava-         Trivrit Leham