Exploring the impact of sequential therapy—Murivenna Application, Infrared treatment, and Myrrh Lepa bandaging on Post-fracture ankle joint stiffness: A case report

  • Unique Paper ID: 173759
  • Volume: 11
  • Issue: 10
  • PageNo: 1441-1446
  • Abstract:
  • A fracture is where there is a loss in the continuity of the periosteum or simply a crack in the bone. Ankle fractures are most common lower extremity injury and that have many complications and some extent it may impair the good physical quality of life. The general rule for fracture management is reduction, immobilization, and rehabilitation; in order to arrest complications like delayed union, malunion and Post-fracture ankle joint stiffness. Exploring Ayurvedic management is essential to restore the normalcy. A 23-year-old female patient visited Outpatient department of Amrita School of Ayurveda Kollam with complaints of pain (VAS SCORE-9) and swelling in her left ankle joint. She was also experiencing difficulty in walking for the past one month. After understanding her history, it was discovered that she suffered a fracture in her left first metatarsal in June 2023 and undergone treatment from an allopathic clinic for fracture management. She was advised to undergo a period of one and a half months of fiberglass casting below the knee, accompanied by analgesic and anti-inflammatory oral medications. However, despite this treatment plan, the patient continued to experience pain and resorted to taking analgesics. After removal of the cast, she still experienced pain and swelling in left ankle. X-ray recommended and revealed evidence of ankle effusion. For this, Murivenna application and Infrared advised for 10 minutes & overnight bandage with Myrrha lepa for five days. Following this, the patient received a Murivenna bandage for an additional 25 days to aid in recovery process, patient experienced relief from pain and swelling, attributable to the anti-inflammatory effects of Murivenna and Myrrha Lepa. The study concludes that sequential application of Murivenna , Infrared and Myrrha Lepa effectively reduce joint stiffness, improve range of motion, with the patient recovering in one month and no adverse events observed.

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