Primary fictional symptom
- Duration
- Several weeks
- Severity
- Moderate
- Frequency
- Intermittent
Patient reports joint pain with stiffness, mainly aggravated by movement and prolonged activity. Mild discomfort and reduced mobility noted.
The Ayurvedshala
Clinical Case Study
Fictional Case: Chronic Joint Discomfort
Demonstration case — fictional data
Clinical Summary
A fictional teaching example documenting a structured conservative care journey.
Case Overview
Patient Profile
Age28
GenderMale
Consultation Date2026-09-01
Case Duration8 weeks
01
Chief Complaints
02
Clinical History
Present Illness
Patient presents with joint pain and stiffness for the past 2–3 months. Pain is more noticeable with prolonged walking, standing, and physical activity. Mild morning stiffness and occasional discomfort during joint movement are reported.
Past Medical History
No significant past medical history reported. No previous major surgery or hospitalization.
Family History
No significant family history of similar joint complaints or chronic musculoskeletal disorders reported.
Personal History
Appetite and sleep are generally adequate. Bowel and bladder habits are regular. No tobacco or alcohol use reported.
Medication History
No regular medication currently being taken. Occasional use of over-the-counter pain relief medication for joint discomfort.
Allergy History
No known drug, food, or environmental allergies reported.
Diet History
Mixed diet with regular meals. Adequate intake of water and routine consumption of fruits and vegetables.
Lifestyle History
Predominantly sedentary lifestyle with limited regular exercise. Daily activities involve prolonged sitting and occasional walking.
03
Clinical Examination
Blood Pressure120/80 mmHg
Pulse76 bpm, regular
Temperature98.4°F
Respiratory Rate16/min
SpO298% on room air
Height170 cm
Weight70 kg
BMI24.2 kg/m²
General Examination
Patient conscious, alert, and oriented. General condition stable. No pallor, cyanosis, clubbing, or lymphadenopathy noted.
Systemic Examination
Cardiovascular, respiratory, abdominal, and neurological examinations appear within normal limits.
Local Examination
Mild tenderness and stiffness noted around the affected joint. Mild discomfort on movement with slightly reduced range of motion. No significant deformity or acute redness noted.
Other Findings
No other significant abnormal findings noted during the examination.
04
Ayurvedic Assessment
PrakritiVata Pitta
VikritiVata Pradhana
AgniSama Agni
KoshthaMadhyama
BalaMadhyama
Nidra6–7 Hours, Satisfactory
AharaMixed Diet; Regular Meals
ViharaSedentary Lifestyle With Limited Exercise
NadiVata Pitta Nadi
JihvaSlightly Coated
ShabdaClear And Normal
SparshaNormal Temperature; Mild Tenderness Over Affected Joint
DrikClear, Normal
AkritiMadhyama, Proportionate Build
DoshaVata Kapha
DushyaMamsa, Asthi, Majja
SrotasAsthivaha And Majjavaha Srotas
Roga ParikshaSandhi Shoola With Sandhi Stambha; Pain And Stiffness In The Affected Joint Nidana: Sedentary Habits, Excessive Physical Strain, Irregular Diet, Exposure To Cold
NidanaSedentary Habits, Excessive Physical Strain, Irregular Diet, Exposure To Cold
SampraptiVata Aggravation Leading To Involvement Of Asthi And Majja With Localization At Sandhi, Resulting In Pain And Stiffness
05
Diagnosis
Final Diagnosis
Non-specific joint pain (demo diagnosis).
Provisional Diagnosis
Joint pain with stiffness — clinical features suggestive of musculoskeletal joint involvement.
Ayurvedic Diagnosis
Sandhi Shoola / Sandhi Vata — Vata-pradhana presentation with joint pain and stiffness.
Differential Diagnosis
Differential Diagnosis:
Osteoarthritis
Rheumatoid arthritis
Gouty arthritis
Musculoskeletal strain
ICD Code
M25.50 – Pain in unspecified joint
Clinical Impression
Patient presents with joint pain and stiffness, aggravated by movement and prolonged activity, with mild tenderness and reduced range of motion. Findings are suggestive of a Vata-predominant joint pain presentation.
06
Treatment Approach
01
Medicine
Illustrative treatment plan
- Form
- Tablet
- Dosage
- As documented
- Frequency
- Daily
- Route
- Oral
- Duration
- 4 weeks
- Anupana
- Take after meals with adequate water
Therapeutic role: Demonstration of treatment-card layout.
07
Follow-up Journey
Symptoms
Baseline symptoms recorded.
Improvement
Baseline.
Symptoms
Symptoms reassessed.
Improvement
Reported improvement documented without making efficacy claims.
08
Before / After
09
Clinical Outcome
Documented improvement60%
Overall Outcome
Fictional outcome section for layout demonstration.
Final Status
Follow-up ongoing
Doctor's Conclusion
Demo conclusion only.
10
Discussion
Clinical Discussion
Patient presents with joint pain and stiffness, mainly aggravated by movement and prolonged physical activity. Clinical findings indicate mild tenderness and discomfort with joint movement. The overall presentation is suggestive of a non-specific musculoskeletal joint pain pattern.
Interpretation
The symptoms and examination findings indicate a Vata-predominant presentation characterized by joint pain, stiffness, and mild restriction of movement. No significant systemic abnormality is noted in the available examination findings.
Treatment Rationale
The treatment approach is aimed at supporting joint comfort, reducing stiffness, maintaining mobility, and providing general Vata-balancing support through appropriate diet, lifestyle measures, external therapies, and clinician-directed Ayurvedic management.
Observations
Mild joint tenderness and stiffness observed. Range of motion is slightly reduced due to discomfort. General condition is stable, with no significant acute inflammatory signs noted.
Limitations
This is a demo clinical record based on limited information. Detailed assessment, laboratory investigations, imaging, and specialist evaluation may be required to establish the underlying cause of persistent or severe joint pain.
11
References
- Charaka SamhitaCharaka; revised by Dridhabala · Classical Text
Practitioner
Doctor / Practitioner
Dimple
B.A.M.S.
