Osteoarthritis is a degenerative disorder of Joint. This degeneration in Joint occurs due to wear & tear mechanism. Hence it is most common in weight bearing joints. Weight bearing joints of body are intervertebral joints, sacroiliac joints, hip joints, knee joints & ankle joints.Out of all these, degeneration in intervertebral joints is called Spondylosis.
Out of remaining joints,degeneration of Knee Joint is most common due to its incongruence, (mis matching surfaces) & excessive movement. The tissue involved is articulated cartilage which has poor regeneration capacity. Hence its degeneration should be ideally prevented.However once starts & if it gives rise to pain, stiffness & restriction of movements,it can be dealt with predictably by innovative Yogic Postures & Rope & Belt Therapy.
The principles being restoration of plantar arches,restoration of Talus at its keystone position, correction of rotational imbalance at Knee Joint, correction of Varus deformity, mobilising pelvis & correction of Lumbar curvature (increased lordosis needs correction). Correction Of mechanical axis (weight bearing axis) is the final aim. This is achieved by working on muscles acting on Knee Joint.
Yogacharya BKS Iyengar Guruji has pioneered the use of Ropes & Belts in the practise of Yogic Postures for awareness & perfection. Dr S V Karandikar, an ardent disciple of Guruji further developed it from Therapeutic point of view. With his best clinical acumen & anatomical & physiological expertise (being modern medicine family physician) he formulated Rope & Belt Therapy for Osteoarthritis of Knee joints. It is an effective tool in conservative armamentarium. It is extensively used for last 30 years & is found to be effective in Grade I, II & early III cases.
Rope and Belt Therapy has three aspects.
1) Modified Yogic Postures divided into Phase I & Phase II. Phase I are stretching postures for hamstring & calf muscles to minimise the flexion deformity at Knee Joint. Phase II are strengthening postures to strengthen the extensors of Knee & hip joints to correct mechanical axis of body.These are to be practised by patients twice a day.
2) Ambulatory belts which aim at correction of plantar arches, Talus at keystone position, Varus deformity & correction of rotational balance at Knee Joint.These are to be used by patients in day to day life for few hours.
3) Rope and Belt Therapy which is given to patients at well equipped Yogatherapy Center.
Spondylosis is the price paid for our erect posture.Our spine has to face the gravitational force to remain erect.This great demanding work is performed by antigravity vertebral muscles.This task makes them tired which highlights the need of adequate sleep.Once we lie down ,the gravitational force ceases to act on it.
This work also necessitates the sufficient strength in vertebral muscles which can be gained by practising prone Yogic Postures. (Sarpasan, Bhujangasan, Shalabhasan, Naukasan, Dhanurasan) This state of their contraction for long time leads to adaptive shortening which can be attended by practising selective Postures. (Adhomukh shwanasan, Shashankasan, Janushirshasan, Paschimottanasan) The vertebral muscles are helped by core muscles in Lumbar area. One needs to strengthen the core muscles by practising Konasan 1 & 2, Padangushttasan, supine naukasan.
Cervical spine needs help by maintaining the awareness of scapular mobility for its depression & retraction. Rope and Belt Therapy Course teaches all these principles in the form of @ Home Yogic Postures. In addition it offers an innovative Yogic variation which is very effective in conservative management of Spondylosis. It works by principles of distraction at vertebral column, Correction of exaggerated curvatures in spins, Correction of increased lumbosacral angle, mobilisation os spine.
Offers @ Home Yogic Postures divided into Phase I & Phase II, for stretching & strengthening of selective muscles. Stretching effect is aimed for Erector Spinae, Hamstring, Trapezius muscles. Strentening of Pectoralis major, Erector spinae, Glutei & core muscles is crucially important.
Use of Ropes & Belts is pioneered by BKS Iyengar Guruji way back in 1970. Dr S V Karandikar, his ardent disciple has further developed & formulated it for degenerative conditions of spine- Spondylosis. This simple technique is found extremely effective in mobilising the shoulder & pelvic girdle.It is indicated for Cervical & Lumbar Spondylosis & Disc disease where there is no neurological deficit. It is extremely crucial to rule out sensory & motor deficit due to nerve root impingement by careful clinical examination.
This therapy is educational, where patient’s awareness of spine, it’s curvatures, deviations, proper erect posture,power of internal distraction is taught to patients. A word about role of relaxation response taught in Shavasan is found to minimise the complaints is worth mentioning.