MANAGEMENT OF CERVICAL SPONDYLOSIS THROUGH PANCHAKARMA AND AYURVEDIC INTERVENTIONS - A CASE REPORT
1 2 3
ZaveriyaKhan,*ShwetaParwe,MilindNisargandha¹Under-graduate student, Department of Panchakarma, Mahatma GandhiAyurveda College, Hospital and Research Centre Salod (H),Wardha,DattaMegheInstituteofMedicalSciences,Nagpur,India.
²ProfessorandHead,DepartmentofPanchakarma, MahatmaGandhiAyurvedaCollege,HospitalandResearchCentreSalod(H), Wardha,DattaMegheInstituteofMedicalSciences,Nagpur,India.(*CorrespondingAuthor)
3AssociateProfessorSaveethaMedicalCollegeandHospital,Chennai,SaveethaInstituteofMedicalandTechnicalSciences(DU) Chennai.
ABSTRACT
Background:All cervical spine levels are affected by the overall disease process known as cervical spondylosis. The symptoms of cervical spondylosis include ligamentousandsegmentalinstability,osteophytosisofthevertebralbodies,hypertrophyofthefacets,anddegenerativealterationstotheintervertebraldiscs.The ageing process is linked to cervical spondylosis' natural course. Aim and Objectives: This study aimed to assess the efficacy of Panchakarma and Ayurvedic InterventioninmanagingCervicalSpondylosis. Material and Methods:Asinglecasestudy of a33 yearsolderfemalewho was alreadydiagnosedwithcervical spondylosis.Hewaspresentedwithpainintheneckregionradiatingtobothhands,stiffnessandtinglingsensationwiththerestrictedmovementforsevenmonths.He wastreatedwithPanchakarma,includinglocalmassage,KukkutandswedaandmatrabastifollowedbyAyurvedicIntervention.Thetreatmentwascontinuedfor14 days.ObservationandResult:Symptomaticassessmentofthepatientwascarriedoutafter14days.Thesatisfactoryoutcomeswerethere,andtheoverallqualityof lifeofthepatientwassignificantlyimproved.Conclusion:Theregime,asmentionedearlier,givessignificantreliefinmanagingcervicalspondylosis.
KEYWORDS:CervicalSpondylosis,Panchakarma,AyurvedicIntervention,Kukkutandsweda,Matrabasti.
INTRODUCTION:
Thenaturalageingprocessisfrequentlytoblameforcervicalspondylosis,acommon progressive degenerative condition of the human spine. The osteophytic forms that appear with progressive spinal segment degeneration are known as "vertebralosteophytosissecondarytodegenerativediscdisease."[1].Degenerative disc degeneration is the root cause of cervical spondylosis, which often affectsmiddle-agedandolderpeopleandcausesintermittentneckpain.Exercise modification, neck immobilization, isometric exercises, and medication are effectivetreatmentsforthiscondition.Rarelydopersonswithcongenitalspinal stenosistypicallyexperienceneurologicsymptoms.[2].
Inthethirddecadeof2018,13percentofpeoplehavecervicalspondylosis.By thetimeyouwere70yearsold,ithadalmostreached100%.Theprevalencein femalesvariesfrom5%inthefourthdecadeto96%ofthoseover70yearsold. [3].Adultsexperienceneckpain20to50percentofthetimeonaverage.Neck pain, stiffness, immobility, degeneration of the intervertebral disc, ejection of disc material, fibrosis of the surrounding tissues, hypertrophy of the vertebral body edges, etc., are some of its hallmarks.Alarge number of people over 40 haveconsiderableradiologicalevidenceandthemajorityexperiencesymptoms. X-rayexaminationsrevealalterationsincervicalspondylosisin60to70percent ofwomenand85percentofmales.[4].Cervicalspondylosiscanbeidentified withaneckX-ray Bonespurs,anomaliesthatpointtocervicalspondylosis,can beseenonanX-ray Additionally,ithelpsruleoutmoresevereanduncommon neck stiffness and pain. The prevalence of cervical spondylosis increases with age. Cervical spondylosis affects more than 85% of adults over 60. Cervical spondylosistypicallyhasnosymptoms.Whensymptomsdoappear,nonsurgical therapiesarefrequentlysuccessful.Patientswhoreportsevereordevelopingneurologicimpairmentsshouldconsidersurgery Generallyspeaking,anteriorcervicalmethodsarepreferred,whilelaminectomyissometimesnecessary However, most patients initially seek invasive treatment, so patients are approached Ayurvedafortreatmentbeforegoingtoinvasive.
PATIENTINFORMATION
ItisasinglecasestudyhavingDemographicdetailsmentionedintableno.1
CLINICALPRESENTATION
Thechiefandassociatedcomplaintsofthepatientarementionedintableno.2
PROGRESSIONOFDISEASE
The patient was well before seven months, and then she started suffering from neckpainandstiffness.Thereforesheapproachedtheoutpatientdepartmentof Panchakarma,MahatmaGandhiAyurvedaCollege,HospitalandResearchCenterSalod(H) Wardha,Maharashtra,forfurthertreatment.
HISTORYOFPATIENT
Thedetailedhistoryofapatientisgivenasfollows:
Familyhistory:Nosignificantfamilyhistorywasfound.
Pasthistory:Nosignificanthistoryofpastillness.
Personalhistory Ø Ahara:Tastepreferred Ø Vihara:Active Ø Koshtha:Krura Ø Agni: Teekshanagni Ø Nidra:Alpa
Vyasan:Noany Ø Artava:Irregular Ø Vyayam:No
SAMPRAPTIGHATAK
Dosha–VataKapha
Adhisthana-Sandhi,Asthi
Vyaktisthan-Manyapradesh
Modernexaminations
Inspection I. Bondeformity:C1andC2fusion.Degenerativechanges.
Curvaturedeformity:Mild
Colourofskin:No
Scar:No Auscultation: notfoundanyabnormality Percussion:notlocatedanyabnormality
(eggs), saindhav lavana, Ghrita
THERAPEUTICOUTCOME:
Observations noted and improvements in symptoms are shown in tables no. 7 and8.Afterthesuccessfulintervention,thepatientreceivedcompleterelieffrom signs and symptoms of cervical spondylosis, such as pain, stiffness, and restrictedneckmovementexpressivelyafter14days.
DISCUSSION:
Clinicalfeaturesofcervicalspondylosisincludegradualpainintheneckregion worseninginthemorning,painfulmovements,stiffness,tinglingsensation,and numbnessthatresemblescervicalspondylosis.Theprobablemodeofactionof theplannedtreatmentinthispatientcanbeexplainedasfollows-
MODEOFACTIONOFPANCHAKARMACHIKITSA
Abhyanga ( Massage) in Ayurveda. Massage in a specific direction improves bloodcirculation,facilitatesremovalofthetoxinsfromthetissues,relievesphysicalandmentalfatigue,improvesthefunctioningofthemusculoskeletalsystem, clearsstiffnessandheavinessofthebodyandleadstoafeelingoflightness[5].
Abhyanga(localmassage)withKarpooradiTaila-isamysteryAyurvediccompositionpreparedwithkarpoor(Camphor)asthemainingredientincoconutoil asabase.Thethickdesignofrichnutrientspenetratesdeepintotheskinandacts asalubricantrelievesmusclepain.Camphor-Karpooram(C.camphora)alsohas medicinal values such as topical analgesic, antiseptic, antispasmodic, antiinflammatory, expectorant and cold suppressant It has aromatic, bitter, thermogenic, diaphoretic, stimulant, antiseptic, pain-relieving, and antiinflammatoryactivities[6,7].
KukkutandaSweda(Specificfomentation)-Metabolicwasteiseliminateddue tolocaltemperaturerisethroughincreasedbloodflowandsweat.Sweatsecretionismainlyindependentandcontrolledbytheneurologicalsystem.Therefore, sudation (swedana) can affect the autonomic nervous system directly, and heat maylessenpainbyactingonnervestimuli.Kukkutanada–MainchemicalcompositionisL-Agninie,MainactionofitscompositionisAnti-inflammatory[8].
Goghrita–combinationwithcowgheeimprovesanti-inflammatoryactivities[9].
SaidhavaLavana–MainchemicalcompositionisNaCl(Sodiumchloride).Itis usedasananti-inflammatory[10].
MatraBasti(oilenema)withSahacharandAshwagandhaoil:SahacharTailais oneofthemostcommontraditionaloilsusedinPanchakarmaforneuromuscular health.Itsphytochemicalshavearelaxingandsoothingeffectonthemusclesand ligaments.
Sahachara-Anti-inflammatoryandPainrelief[11].
Ashwagandha-Numerousbioactivecomponentsintheplantextracthaveantioxidant, anti-inflammatory, and immunomodulatory effects. Numerous ailments, includingarthritis,impotence,amnesia,anxiety,cancer,andneurodegenerative and cardiovascular disorders, are prevented and treated with plant extracts and theirbioactiveconstituents.[12].
MODEOFACTIONOFAyurvedicIntervention Tab Shallaki XT is indicated in Spondylitis, Gout, and Musculoskeletal disorders. Its main ingredient is Boswellia serrata, which is widely used to relieve joint pain, stiffness and inflammation. The other contents are Erand mool and Guduchi, which best relieve inflammation and joint pain, correct autoimmune disorders,andeaseinflammation.
Asthiposhakvati–AsthiposhaknameitselfrevealsPoshakofallDhatu.Itworks asanutritionalsupplementanti-stress,antibacterial,anti-inflammatory,antioxidantandimmuno-modulator[13].
AmavatariRasa-hasananti-inflammatoryactionwhichhelpsrelievepainand musclestiffness.GandhakisoneofthecontentsofAmavatariRasaandactsasan analgesicthathelpsreducemuscletendernessandpain[14].
Chandraprabhavati-ThemaincontentisKarpoor.Theactionofthekarpooris anti-inflammatoryandanalgesic.OthercontentsofChandraprabhavatiareantiinflammatoryandantioxidant[15].
CONCLUSION:
This case study revealed that cervical spondylosis could be successfully managed with Panchakarma andAyurvedic Intervention based onAyurveda fundamentals.No,unduesideeffectsasnotedduetothistreatmentprotocol.
ACKNOWLEDGEMENT:
IamverythankfultotheInstitutionalresearchcellteamandUniversityforgivingmethisopportunity
CONFLICTSOFINTEREST:Thereisnoconflictofinterest
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