Management of cervical spondylosis through ayurvedic intervention- a case study

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Journal name: World Journal of Pharmaceutical Research
Original article title: Management of cervical spondylosis through ayurvedic intervention- a case study
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Author:

Ashwini V. Fulzele and Nilesh M. Ingle


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Management of cervical spondylosis through ayurvedic intervention- a case study

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20209-18291


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Summary of article contents:

Introduction

Cervical spondylosis is a degenerative condition of the cervical spine, characterized by the deterioration of cervical intervertebral discs and adjacent joints, leading to spinal cord injuries, nerve root compression, and other complications. This ailment is becoming increasingly prevalent, especially among individuals engaged in sedentary occupations, such as desk work and prolonged computer use. Although cervical spondylosis primarily affects older adults over the age of 40, its incidence is rising among those in their middle ages. In this context, this case study evaluates the efficacy of Ayurvedic interventions in managing a patient diagnosed with cervical spondylosis.

Ayurvedic Perspective on Cervical Spondylosis

In Ayurvedic medicine, cervical spondylosis is referred to as "Manyasthambha," classified under the broader category of "Vata Vyadhi," diseases related to the vitiation of the Vata dosha (one of the three fundamental bodily humors). It is associated with stiffness in the neck and is characterized by symptoms merging with various Ayurvedic conditions, such as "Sandhi Gata Vata" and "Asthigata Vata." According to Ayurveda, the root causes include poor lifestyle choices and improper postures, particularly during sleep. The treatment aims to pacify the aggravated Vata and restore balance through herbal medications and Panchakarma therapies.

Effectiveness of Panchakarma Therapies

The case study implemented a treatment regimen comprising Ayurvedic therapies, specifically Panchakarma treatments, which include "Griva Basti" and "Nasya." Griva Basti involves the application of hot medicated oil to the cervical region, aimed at relieving pain and reducing stiffness. Nasya, on the other hand, is a nasal therapy aimed at clearing the head and neck region of doshas. These therapies were complemented with oral Ayurvedic formulations like "Panchamrut Lauh Guggulu" and "Rasnasaptak Kwaath," known for their anti-inflammatory and analgesic properties. The treatment's objective is to eliminate toxins and alleviate the symptoms associated with cervical spondylosis.

Improvement in Patient Symptoms

The assessment of the patient's condition revealed significant improvements in symptoms over the course of the treatment. Initially, the patient exhibited severe neck pain, stiffness, radiating pain to her arms, and episodes of vertigo. However, after a structured treatment plan involving Griva Basti, Nasya, and herbal medications, the evaluation indicated drastic reductions in pain intensity and frequency. By the end of the treatment protocol, the patient reported improvements, with neck pain and stiffness nearly abolished, alongside the alleviation of radiating pain and vertigo.

Conclusion

This case study emphasizes the potential of Ayurvedic interventions, particularly Panchakarma therapies, in managing cervical spondylosis effectively. The assimilation of traditional Ayurvedic practices, such as Griva Basti and Nasya, alongside herbal medications, provided significant symptomatic relief. Furthermore, the results indicate that a comprehensive treatment approach addressing the underlying dosha imbalances can lead to improved quality of life for individuals suffering from cervical spondylosis. Thus, Ayurvedic therapies are deemed a valuable option for treating degenerative spine disorders.

FAQ section (important questions/answers):

What is cervical spondylosis and who does it affect?

Cervical spondylosis is a chronic degenerative condition affecting the cervical spine. It primarily occurs in the elderly but has become increasingly common in younger individuals due to sedentary lifestyles associated with desk work.

What are the primary symptoms of cervical spondylosis?

Common symptoms include neck pain, stiffness, radiating pain to arms, and intermittent vertigo. These symptoms arise due to degeneration of intervertebral discs and joints in the cervical spine.

How is cervical spondylosis diagnosed?

Diagnosis typically involves clinical evaluation and imaging studies like X-rays or MRIs, which reveal degenerative changes, disc bulging, and nerve compression in the cervical spine.

What Ayurvedic treatments were used in the case study?

The treatments included Ayurvedic interventions such as Grivabasti, Tiktaksheer Basti, Nasya, and medications like Panchamruta Lauh Guggulu, which helped alleviate pain and improve symptoms.

What were the results of the Ayurvedic treatment for the patient?

Significant improvements were observed in neck pain, stiffness, radiating pain, and vertigo after the treatment, indicating the effectiveness of the Ayurvedic interventions.

What lifestyle changes can help prevent cervical spondylosis?

Avoiding prolonged sitting, maintaining good posture, taking frequent breaks, and engaging in regular exercise can help prevent cervical spondylosis and its associated symptoms.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Management of cervical spondylosis through ayurvedic intervention- a case study”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Pain:
Pain is a common symptom of cervical spondylosis, characterized by discomfort in the cervical region, potentially radiating to the arms and causing significant distress for patients. It often serves as a primary indicator for diagnosis and treatment planning in Ayurvedic interventions, highlighting the body's response to degenerative changes in the cervical spine.

2) Nasya (Nashya):
Nasya is an Ayurvedic therapy involving the administration of medicated oils or powders through the nasal passages, targeting diseases affecting the head and neck, including cervical spondylosis. This procedure aims to purify the Urdhvanga (upper part of the body) and alleviate symptoms like stiffness and pain associated with vitiated Doshas.

3) Basti:
Basti is an Ayurvedic detoxification therapy that involves administering herbal oils or decoctions through the rectum. It is particularly beneficial for disorders related to Vata and plays a crucial role in managing cervical spondylosis by addressing underlying imbalances, thereby providing relief from pain and associated symptoms.

4) Vata:
Vata is one of the three Doshas in Ayurveda, primarily associated with movement and the nervous system. Imbalances in Vata are thought to contribute to conditions such as cervical spondylosis, where symptoms like pain, stiffness, and tingling arise. Ayurvedic treatments aim to pacify excessive Vata to restore health.

5) Stiffness:
Stiffness in the neck region is a significant symptom of cervical spondylosis that limits mobility and affects daily activities. Treatment focuses on reducing stiffness through Ayurvedic interventions, including therapeutic oils and exercises that help to alleviate tension and restore function in the cervical spine.

6) Disease:
Diseases in the plural is discussed in relation to lifestyle-induced disorders, suggesting that contemporary living conditions contribute to many health issues, including cervical spondylosis. This highlights the need for holistic approaches in treatment to address the root causes of multiple diseases.

7) Griva:
Griva refers to the neck in Sanskrit and is central to the discussion of cervical spondylosis in Ayurveda. Treatments targeting the Griva, such as Griva Basti, aim to address imbalances and provide localized relief from symptoms, enhancing overall neck function and mobility.

8) Dosha (Dosa):
Dosha is a fundamental concept in Ayurveda representing the biological energies associated with physiological and psychological processes. Understanding the balance of Vata, Pitta, and Kapha is crucial for diagnosing and treating cervical spondylosis, as vitiated Doshas can lead to discomfort and dysfunction in the cervical region.

9) Vertigo:
Vertigo is another disturbing symptom associated with cervical spondylosis, characterized by sensations of spinning or dizziness. Its management is crucial in this case study, where Ayurvedic treatments aim to relieve associated symptoms and improve the patient's quality of life.

10) Study (Studying):
The study outlined in the text evaluates the effectiveness of Ayurvedic interventions in treating cervical spondylosis. It documents patient outcomes and treatment methodologies, providing insights into how traditional practices can offer relief from chronic neck pain and associated symptoms.

11) Guggulu:
Guggulu refers to a specific Ayurvedic formulation that possesses anti-inflammatory and analgesic properties. In the context of managing cervical spondylosis, therapies using Guggulu are included as part of the treatment regimen to help reduce pain and support tissue healing.

12) Kapha:
Kapha is one of the three Ayurvedic Doshas that govern the structure and stability of the body. In conditions like cervical spondylosis, an imbalance in Kapha can lead to stiffness and discomfort. Ayurvedic treatments often focus on balancing Kapha to alleviate symptoms.

13) Pakvashaya (Pakvasaya, Pakva-ashaya):
Pakvashaya, or the lower intestine, is emphasized in Ayurvedic medicine as a site for Vata Dosha manifestation. Treatments often consider the health of Pakvashaya in the context of relieving Vata-related symptoms, including those caused by cervical spondylosis.

14) Amravati:
Amravati is a location mentioned in the case study representing the institution where the Ayurvedic treatment was administered. The geographical context emphasizes the role of local practices and expertise in providing Ayurvedic healthcare solutions for conditions like cervical spondylosis.

15) Dravya:
Dravya, meaning substances or medicines in Ayurveda, refers to the various herbal compounds used in treatments for cervical spondylosis. Understanding the properties and functions of specific Dravyas is essential for effectively addressing the symptoms and underlying conditions.

16) Sandhi (Shandhi, Samdhi):
Sandhi refers to joints in Sanskrit, relevant to cervical spondylosis as the cervical spine is composed of intervertebral joints. Understanding the condition of Sandhi is vital for diagnosing and treating joint-related disorders through appropriate Ayurvedic interventions.

17) Vyadhin (Vyadhi):
Vyadhi translates to disease or disorder in Sanskrit, serving as a critical term in Ayurveda. It encompasses the understanding and classification of conditions like cervical spondylosis, guiding practitioners in developing treatment protocols based on the specific Vyadhi being addressed.

18) Asthi (Ashthi):
Asthi refers to bone or skeletal tissue, which is integral to understanding conditions like cervical spondylosis where degeneration of bones leads to symptoms. Ayurvedic treatments often focus on nourishing the Asthi Dhatu to promote healing and alleviate discomfort.

19) Tikta:
Tikta refers to a taste or quality in Ayurvedic medicine, often associated with herbs that have bitter properties. These Tikta herbs are considered beneficial for balancing Kapha and Vata, which are significant in treating cervical spondylosis and related symptoms.

20) Water:
Water, while not explicitly referenced, plays a crucial role in Ayurvedic medicine as a medium for preparing herbal decoctions, as well as being essential for maintaining body hydration. Proper hydration supports overall bodily functions, including spinal health and recovery processes.

21) Blood:
Blood in Ayurveda relates to the body's vitality and is influenced by the balance of Doshas. Healthy blood circulation is essential for transporting nutrients to the cervical region, which is vital in addressing the symptoms of cervical spondylosis effectively.

22) Kala:
Kala translates to time or aspect, emphasizing the importance of timing in Ayurvedic treatments. Understanding the Kala for intervention can determine the success of therapies in managing conditions like cervical spondylosis, allowing for tailored treatment strategies.

23) Sandhigata Vata (Sandhigata-vata):
Sandhigata-vata reaffirms the concept of joint-related Vata imbalances, reinforcing its significance in understanding cervical spondylosis from an Ayurvedic perspective. Treatments aim to address the Sandhigata Vata to alleviate pain and improve joint function.

24) Observation:
Observation in singular emphasizes the importance of attentive monitoring in clinical practice. Each observation provides essential insights into the patient's condition, helping practitioners adapt treatments effectively to meet individual health needs.

25) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha focuses on the specific imbalance of the Vata element that contributes to cervical spondylosis. Recognizing this state is key to formulating effective Ayurvedic treatments that aim to restore equilibrium and alleviate associated symptoms.

26) Shodhana (Sodhana):
Shodhana refers to detoxification therapies in Ayurveda aimed at cleansing the body of vitiated Doshas and toxins. This process is vital in treating conditions like cervical spondylosis, as it helps in restoring balance and improving overall health.

27) Vitiation (Vitiated):
Vitiation indicates the disturbance of bodily harmony. In Ayurvedic terms, it relates to the imbalance of Doshas and is critical in understanding the underlying causes of cervical spondylosis and its manifestation as symptoms.

28) Karma (Karman):
Karma, in Ayurvedic practices, refers to actions or procedures undertaken for therapeutic purposes. Understanding the Karma associated with specific treatments is crucial for effective management of cervical spondylosis and ensuring positive health outcomes.

29) Masha (Masa, Ma-sha):
Masha is a type of pulse used in Ayurvedic treatments, particularly in procedures like Basti. It serves both as a therapeutic medium and a supportive substance to facilitate processes aimed at alleviating conditions such as cervical spondylosis.

30) Table:
Table refers to the organized presentation of data in the study, which may include grading of symptoms or treatment responses. Such structured data aids in understanding treatment outcomes and facilitating further research in Ayurvedic methodologies.

31) Nadi (Nadin):
Nadi refers to the channels in the body through which energy and blood flow. Understanding Nadi is essential in diagnosing and treating ailments, as it helps in identifying imbalances that contribute to conditions like cervical spondylosis in Ayurveda.

32) Ghi (Ghee):
Ghee is clarified butter important in Ayurvedic medicine, known for its nourishing properties. It is often used in therapies, including Basti and Nasya, to enhance absorption and effectiveness, especially in treating joint and muscular issues like cervical spondylosis.

33) Milk:
Milk holds nutritional significance in Ayurveda and is often used as a medium in various formulations. It supports overall health and is particularly beneficial in treatments aimed at nourishing tissues and alleviating symptoms associated with degenerative conditions like cervical spondylosis.

34) Manyastambha (Manya-stambha):
Manyastambha is the Ayurvedic term for stiffness in the neck, directly correlating with cervical spondylosis symptoms. Understanding this condition helps in employing effective Ayurvedic strategies focused on alleviating stiffness through targeted interventions.

35) Pracchardana (Pra-chardana):
Pracchardana refers to the process of purging or cleansing in Ayurvedic practices. This term indicates techniques used to eliminate disease-causing factors and underscores the need for detoxification in managing conditions like cervical spondylosis.

36) Purification:
Purification is a fundamental concept in Ayurvedic healing, emphasizing the removal of toxins and imbalances. This process is integral to treatment plans for cervical spondylosis, ensuring the body can heal effectively and restore its natural equilibrium.

37) Asthidhatu (Asthi-dhatu):
Asthi-dhatu pertains to bone tissue and its significance in Ayurvedic anatomy. Treatments often focus on nourishing Asthi-dhatu to address degenerative issues, such as cervical spondylosis, highlighting the interconnectedness of bodily systems.

38) Vatavyadhi (Vata-vyadhi):
Vata-vyadhi encompasses disorders attributed to imbalances in Vata. In the context of cervical spondylosis, understanding Vata-vyadhi helps practitioners tailor treatments that address underlying Vata imbalances and manage symptoms effectively.

39) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha refers to the bodily humor associated with structure and stability. Imbalances in Kapha can lead to conditions like cervical spondylosis, making it important to utilize Ayurvedic practices aimed at restoring balance to this Dosha.

40) Nasyakarman (Nasyakarma, Nasya-karma):
Nasya-karma denotes the therapeutic procedures involved in administering Nasya. Its application in cervical spondylosis aims to purify and rejuvenate the upper body while providing symptomatic relief from related conditions like stiffness and pain.

41) Kaphavata (Kapha-vata):
Kapha-vata highlights the dual doshic imbalance impacting cervical spondylosis. Ayurvedic treatments often focus on balancing both Doshas to alleviate symptoms and restore overall health, leveraging specific herbs and procedures designed for this purpose.

42) Discussion:
Discussion emphasizes critical reflection on the findings from the study. This section correlates observed outcomes with Ayurvedic concepts, allowing practitioners to draw conclusions about the efficacy of the treatments for cervical spondylosis.

43) Purvakarma (Purvakarman, Purva-karman):
Purvakarma refers to preparatory practices in Ayurveda that are essential before the main treatment. These preliminary steps help optimize the body for therapies, increasing the effectiveness of subsequent interventions for conditions like cervical spondylosis.

44) Samhanana:
Samhanana speaks to the body's structural and cohesive elements. In the context of cervical spondylosis, maintaining proper Samhanana is key to ensuring joint stability and mitigating symptoms associated with degenerative changes.

45) Urdhvanga:
Urdhvanga refers to the upper part of the body, particularly relevant in conditions like cervical spondylosis. Treatments often focus on harmonizing this region to alleviate symptoms and promote overall well-being.

46) Medicine:
Medicine denotes the application of therapeutic practices and substances aimed at preventing and treating diseases. In Ayurveda, medicine is derived from natural sources and formulated to address specific health concerns, such as cervical spondylosis.

47) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine that focuses on holistic healing through balancing the body's energies (Doshas). Its principles guide the treatment of various ailments, including cervical spondylosis, emphasizing natural remedies and lifestyle adjustments.

48) Pradhana:
Pradhana refers to the primary focus or chief component in Ayurvedic practices. It underscores the significance of targeted therapies and medicines in addressing cervical spondylosis and ensuring a comprehensive approach to treatment.

49) Aushadhi (Ausadhi, Aushadhin, Ausadhin):
Aushadhi means herbal medicine or drugs used in Ayurveda. The selection of Aushadhi for treating conditions like cervical spondylosis is crucial for effective symptom management and restoring balance to the body's Doshas.

50) Swelling:
Swelling is a common symptom associated with cervical spondylosis, resulting from inflammation and irritation. Ayurvedic treatments aim to reduce swelling through anti-inflammatory herbs and therapies, fostering comfort and improved mobility.

51) Samhita:
Samhita in singular emphasizes the body of Ayurvedic knowledge within a specific text. Each Samhita contributes unique insights and guidelines for understanding and treating various health conditions, including those affecting the cervical spine.

52) Gaurava:
Gaurava translates to heaviness, often experienced in conditions like cervical spondylosis. This symptom necessitates targeted Ayurvedic interventions to alleviate the sensation and restore a lightness throughout the affected area.

53) Stambha:
Stambha means stiffness or rigidity, a prominent feature in cervical spondylosis. Recognizing Stambha is essential for accurately diagnosing and planning appropriate Ayurvedic treatments to relieve this condition.

54) Hundana:
Hundana refers to diseases characterized by stiffness and discomfort, correlating with symptoms of cervical spondylosis. Understanding Hundana helps guide practitioners in formulating effective treatment strategies tailored to relieve stiffness.

55) Samana (Shamana):
Shamana refers to pacifying therapies in Ayurveda, aimed at alleviating symptoms without aggressive detoxification. It is critical in managing cervical spondylosis by soothing vitiated Doshas and providing symptomatic relief.

56) Nostril:
Nostril refers to the entry point for administering Nasya therapy. Treatment through the nostril targets the upper respiratory and circulatory systems, crucial for addressing symptoms related to cervical conditions.

57) Account:
Account emphasizes the systematic documentation and analysis of patient responses to treatments. In Ayurvedic practice, providing an account of progress aids in refining therapeutic approaches and enhancing treatment outcomes.

58) Yantra (Yamtra):
Yantra refers to an instrument or apparatus used in Ayurvedic procedures. The Yantra's significance lies in its role in administering treatments like Basti, ensuring effective delivery of remedies to areas requiring attention.

59) Bhasma (Bhasman):
Bhasma denotes an ash or calcined substance in Ayurveda with potent therapeutic properties. Used in formulations, Bhasma is believed to enhance the efficacy of treatments for cervical spondylosis, enriching the healing process.

60) Sevana:
Sevana means the act of consumption or application of Ayurvedic medicines. Proper Sevana is essential to ensure that patients receive the full therapeutic benefits from prescribed treatments for conditions like cervical spondylosis.

61) Vedana:
Vedana translates to pain or discomfort, which is a primary focus in the context of cervical spondylosis treatment. Understanding Vedana helps practitioners tailor interventions to address and alleviate pain effectively.

62) Shotha (Sotha):
Shotha refers to swelling or inflammation in Ayurveda, often resulting from excess Kapha or Vata. Managing Shotha is crucial in treating cervical spondylosis, emphasizing the need for anti-inflammatory therapies.

63) Shakti (Sakti):
Shakti means strength or potency, often relating to the body's capacity to heal and recover. In treating cervical spondylosis, enhancing Shakti through proper nutrition and therapies is essential for optimal health.

64) Nidana:
Nidana pertains to the causes or origins of diseases. Understanding the Nidana for cervical spondylosis helps practitioners devise targeted treatment approaches that address the root causes of the condition.

65) Sparsha (Sparsa):
Sparsa means touch or sensation and is essential when assessing the severity of symptoms in patients with cervical spondylosis. Sensory evaluations guide practitioners in determining effective treatment plans.

66) Powder:
Powder refers to the form of herbal medicines used in Ayurvedic treatments. The application of powdered herbs as pastes or in formulations allows for effective delivery of therapeutic properties to patients suffering from conditions like cervical spondylosis.

67) Cotton:
Cotton is a commonly used material in Ayurvedic practices, often employed for swabbing or dressing. Its inclusion aids in hygienic application of treatments and ensures patient comfort during therapeutic procedures.

68) Sutra:
Sutra denotes a concise statement or aphorism in Ayurvedic texts that provides guidelines for practice. Maintaining adherence to Sutras ensures that treatments for cervical spondylosis align with classical Ayurvedic principles.

69) Vidhi:
Vidhi refers to the method or procedure of administering treatments. Understanding the proper Vidhi is critical for effectively managing cervical spondylosis with Ayurvedic interventions, ensuring therapeutic efficacy.

70) Purna:
Purna means complete or whole, signifying a comprehensive approach in Ayurvedic treatments. Achieving Purna health involves addressing both physical symptoms and broader lifestyle factors contributing to conditions like cervical spondylosis.

71) Musta (Mushta):
Musta is a specific Ayurvedic herb used for its digestive and anti-inflammatory properties. In the context of cervical spondylosis, Musta aids in alleviating discomfort and supporting overall joint health through its restorative effects.

72) Taila (Thaila):
Taila translates to oil in Sanskrit and is a significant component in numerous Ayurvedic therapies. Oils are used for treatments like Basti, imparting warm, soothing properties to relieve the symptoms associated with cervical spondylosis.

73) Supti (Shupti):
Supti means numbness or lack of sensation, often experienced in cervical spondylosis due to nerve compression. Identifying Supti aids in comprehensive assessment and management of this degenerative condition.

74) Druti:
Druti refers to the consistency or quality of herbal formulations. Ensuring the right Druti in preparations optimizes their effectiveness for treating various ailments, including those related to cervical degeneration.

75) Dhatu:
Dhatu relates to the bodily tissues in Ayurveda, which include Asthi (bone). Issues within Dhatu can lead to conditions like cervical spondylosis, making it important to nourish and balance these tissues through targeted Ayurvedic interventions.

[Note: The above list is limited to 75. Total glossary definitions available: 84]

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Discover the significance of concepts within the article: ‘Management of cervical spondylosis through ayurvedic intervention- a case study’. Further sources in the context of Science might help you critically compare this page with similair documents:

Nasya, Stiffness, Vertigo, Neck pain, Ayurvedic intervention, Lifestyle disorder, Radiating pain, Cervical Spondylosis, Shaman therapy, Degenerative disease, Degenerative disorder, Physical therapy, Griva Basti, Occupational risk factors, Tiktaksheer Basti, Vaatvyadhi.

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