Improvement of Early Arthritic Symptoms with Pawanmuktasana Anti-Rheumatic Series

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MOJ Yoga & Physical Therapy
Improvement of Early Arthritic Symptoms with
Pawanmuktasana Anti-Rheumatic Series
Submit Manuscript | http://medcraveonline.com
Volume 2 Issue 2 - 2017
1Faculty of Medicine, AIMST University, Malaysia
2Ministry of Health, Malaysia
*Corresponding author: Komathi Selvarajah, Faculty of
Medicine, AIMST University, Malaysia, Tel: +60123957051;
Email:
Received: May 17, 2017 | Published: June 28, 2017
Mini Review
MOJ Yoga Physical Ther 2017, 2(2): 00018
Abstract
Arthritis is a common term that is used to describe conditions that results in joint
    
greatest impact on morbidity and costs enormous healthcare expenditure. Studies
        
general wellbeing. This review mainly focuses on arthritic symptoms can be alleviated
by pawanamuktasana (anti rheumatic series).
Keywords: Pawanmuktasana; Joint Pain; Arthritis; Pathophysiology; Yoga
arthritis. These includes, degenerative arthritis (leading to osteo
     
psoriatic arthritis, ankylosing spondylitis, juvenile idiopathic
arthritis and systemic lupus erythematosus), infective arthritis
(septic arthritis) and metabolic arthritis (gout and pseudogout).
The major symptoms of arthritis include limited function and
pain at the joints [2]. Management of arthritic condition remains a
great challenge to clinicians despite of advancement in health care
sectors [3,4]. Globally, an estimated 22.7% (54.4 million) of adults
had doctor-diagnosed arthritis, with high prevalence in women
(23.5%) than in men (18.1%). The prevalence increased with age
[5]. Arthritis foundation predicted more than 78 million people
are expected to be diagnosed to have arthritis by the year 2040.
The arthritis condition share similar pathophysiological
changes at joint region. Many factors like infection, co-
morbidities, environmental, trauma, stress and hereditary factors
can cause joint damage and contribute to the trigger of immune
  
       
which patient presents with symptoms like pain, joint swelling,
redness and reduced range of movement [6].
Recent Studies conducted at University of California at Los
Angeles Medical Center have proved that there is positive effect
on chronic arthritis. In another study which was conducted
      
reductions in pain and noticeable improvements in joint stiffness
among osteoarthritis patient [7].
The practice of asanas in Yoga system commences with
Pawanmuktasana series. Right practice of Pawanamuktasana

[8]. Etymologically this word Pawanmuktasana is composed
of three Sanskrit words: pawan meaning ‘wind’ or ‘air’ mukta,
‘liberation’ or ‘freedom’ and asana, ‘posture’ [9]. Pawanmuktasana
basically refers to series yoga poses that involves the whole joint
regions from head to toe which release air in the body. Adopting a
regular practice of asana makes the body physically and mentally

Diagnosis Arthritis
Clinical evaluation of arthritic pain basically starts with
a comprehensive history, physical examination, laboratory
      
pain at one or multiple joints. The pain usually characterized
by an intermittent, dull aching or throbbing that may worse
with restricted movement of the joint. It can be associated with
stiffness as well. Patients may express depressive symptoms as a

On physical examination tenderness can be elicited along the
joint line and surrounding tissues. Range Of Movement decreased
   
symptoms like warmth, swelling, effusions, and stress pain, may
be present. Untreated Long term arthritic patient may end up
with muscle wasting and weakness [12].
Management
The primordial goals of treatment in arthritic patient are to
relief pain, improvement in joint function and prevention of joint
damage. These are achieved with both pharmacologic and non-
pharmacologic therapeutic modalities. Thus the management
is effective when it includes physical measures to reduce joint
loading, an appropriate exercise regimen, medications, and,
occasionally, surgery. Patient awareness and education is essential
[13].
    
modulate the autoimmune response and secondly help to
modulate the pain response. The common drugs that are used to
treat arthritic symptoms include; simple analgesics; non-steroidal
     
Introduction
         
than one joint [1]. The causes of arthritis depend on the form of

Improvement of Early Arthritic Symptoms with Pawanmuktasana Anti-Rheumatic
Series 2/3
Copyright:
©2017 Selvarajah et al.
Citation: Selvarajah K, Arumugam K (2017) Improvement of Early Arthritic Symptoms with Pawanmuktasana Anti-Rheumatic Series. MOJ Yoga
10.15406/mojypt.2017.02.00018
     
has showed that although drugs noticed to give better outcome
clinically and radiologically, however long term drug therapy raise
concerns regarding cardiovascular risk and other complications
[15].
With regard to non-pharmacological management, many
clinical trials have proved that exercise programs may
improve pain and function [16-17]. As such performing yoga
     
to musculoskeletal system and helps to reduce pain, disability
 
proved that patient who performs pawanmuktasana shows lower
  
[18-19].
Discussion
         
changes due to weight and stiffness at joint which restrict the
proper alignment and stretch of various postures. In case of
pawanmuktasana it is very easy to perform by anyone at any



at just in sitting position. It is evident that there is no pressure or
excess weight exerted on the joint. Thus joints are mobilized safely
to stimulate the circulation, secretion and absorption of synovial
       
and simultaneously revitalizes the tissues around the joints.
Elimination of toxic gases reduces the degenerative changes due
to normal or abnormal activity.
Regular practice of pawanmuktasana brings steady and
progressive improvement on any disease ranging from diabetes
to hypertension or even from constipation to cancer or any other
kind of illness [20]. Regular practice of pawanmuktasana brings
steady and progressive improvement on any disease ranging from
diabetes to hypertension or even from constipation to cancer or
any other kind of illness. It is recommended to perform these
series asana for ten times at each position with periodic rest in
between two or three asanas. The details and steps are given
within the book on Asana Pranayama Mudra Bandha, by swami
satyanandha saraswathi from page 21-44. The asana in each
 
of pawanmuktasana parts over a period of months brings about a
  
is advisable to learn the steps and alignment of the posture form
the train personnel’s. Long term practice of these anti rheumatic
series proven to reduce the typical rheumatic symptoms [17-20].
Proper practice with mindfulness on posture and movement at
joint position creates suppleness at joints, relaxes stiff muscles
and allows the escape of trapped gases within the joint. Thus
 

Conclusion
In summary, pawanmuktasana is a carefully designed series of
asana which anybody can practice without worsening the existing
ailment. It is evident that regular practice of pawanmuktasana
tones muscles, eases the mobility of joint and improves venous
circulation around the joints. Healthy lifestyle and diet also plays
key role in alleviating arthritic symptoms. This review presented
the brief note regarding the effectiveness of pawanmuktasana
anti-arthritic series in controlling early symptoms of arthritis and

Acknowledgement
  
inspired me to review this wonderful topic. I also would like to
convey my gratitude to my husband and yoga friends who have
guided throughout this review.
Conict of Interest

References
1. William C (2017) Arthritis. Medicine net, USA.
2.  emedicineheallth, USA.
3. Mody GM, Cardiel MH (2008) Challenges in the management of
rheumatoid arthritis in developing countries, Best Pract Res Clin
Rheumatol 22(4): 621-641.
4.       
  
United States.
5.         
Academic Press, Elsevier, USA, pp. 698.
6. Bernstein S Practicing yoga regularly can reduce pain, increase
   
Georgia.
7. Satyananda S (1969) Pawanmuktasana. Asana Pranayama Mudra
Bandha, Yoga Publications Trust, India, PP. 21.
8. Satyananda SS (2008) Asana Pranayama Mudra Bandha, Bihar
School of Yoga, India.
9. Baird CL (2001) First-line treatment for osteoarthritis.
Part 1: Pathophysiology, assessment and pharmacologic

10. Balaji PA, Varne SR, Ali SS (2012) Physiological Effects of Yogic
       
Am J Med Sci 4(10): 442-448.
11.        
Related Pain. J Am Osteopath Assoc 104(S8): 2S-5S.
12. Baer AB (2016) The Approach to the Painful Joint. Medscape.
13.        

14. Kidd BL, Richard ML, Wodehouse T (2007) Current approaches in

15.         
        
early rheumatoid arthritis: 6-month randomized controlled trial.


Improvement of Early Arthritic Symptoms with Pawanmuktasana Anti-Rheumatic
Series 3/3
Copyright:
©2017 Selvarajah et al.
Citation: Selvarajah K, Arumugam K (2017) Improvement of Early Arthritic Symptoms with Pawanmuktasana Anti-Rheumatic Series. MOJ Yoga
10.15406/mojypt.2017.02.00018
16.  
and pharmacological interventions in patients with early arthritis:
a systematic literature review informing the 2016 update of EULAR

3(1).
17. 
Yoga Based Regimen for Treatment of Rheumatoid Arthritis - A One
Year Study, Int J Ayu Alt Med 3(2): 101-108.
18. Woodyard C (2011) Exploring the therapeutic effects of yoga and its

19. Chawla R, Aparna, Singh B, Subberwal M, Chawla J (2015) The
         
      

20. Singh VK, Bhandari RB, Rana BB (2011) Effect of Yogic Package On
Rheumatoid Arthritis. Indian J Physiol Pharmacol 55 (4): 329-335.
21. Gupta A, Awasthi HH (2004) A Critical Review of Clinical Application
of Yogasanas W.S.R. To Pavanamuktasana IAMJ 2(6): 1088-1098.