Ayurvedic Conservative Management of Knee Ligament Injury in a Pediatric Patient: A Case Study

Knee joint ligament injuries are common musculoskeletal disorders, especially among adolescents involved in sports activities. Anterior cruciate ligament (ACL) injuries significantly impair joint stability, mobility, and quality of life. Conventional management often recommends surgical intervention for ligament tears; however, conservative management remains an important option in selected cases. Ayurveda attributes ligament injuries to vitiation of Vata dosha affecting Sandhi (joints) and Snayu (ligaments). The present case study documents the successful Ayurvedic management of a partial ACL tear with associated ligamentous and meniscal injury in a 14-year-old male patient. The patient presented with pain, swelling, restricted movement, and difficulty in walking following trauma. Magnetic Resonance Imaging (MRI) revealed a partial tear of the anterior cruciate ligament and associated findings. The treatment protocol consisted of Panchakarma therapies including Snehana, Swedana, Matra Basti, along with internal medications such as Maharasnadi Kwatha, Triphala Guggulu, and Lakshadi Guggulu. Significant improvement was observed in pain, swelling, gait, and range of motion after 51 days of treatment, without surgical intervention. This case highlights the potential role of Ayurvedic conservative management in knee ligament injuries.