Cupping therapy for cervical lordosis and sacralized lumbar vertebrae.

a case report

| Posted in: Health Sciences Science

Journal name: World Journal of Pharmaceutical Research
Original article title: Symptomatic management in the reversal of cervical lordosis and sacralization of lumbar vertebrae with cupping therapy
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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Subtitle: a case report

Original source:

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Author:

Vd. Monika Sharma


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Symptomatic management in the reversal of cervical lordosis and sacralization of lumbar vertebrae with cupping therapy

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

Doi: 10.20959/wjpr202111-21519

Copyright (license): WJPR: All rights reserved


Download the PDF file of the original publication


Summary of article contents:

Introduction

The cervical spine, with its natural 'C' shaped curvature, plays a crucial role in stabilizing the head and maintaining spinal integrity. However, conditions such as Reverse Cervical Lordosis and sacralization can disrupt this balance, leading to significant musculoskeletal pain and dysfunction. This case study discusses a 30-year-old male patient suffering from chronic neck pain, stiffness, and lower backache due to the abnormal curvature of his cervical spine and a congenital sacralization of the lumbar vertebrae. The study explores the efficacy of cupping therapy as a non-invasive treatment option to alleviate symptoms and improve the patient's quality of life.

Cupping Therapy: A Holistic Approach

Cupping therapy, a traditional treatment involving the application of suction cups to the skin, aims to relieve pain and improve flexibility and mobility. There are two main types: dry and wet cupping, with the latter involving small incisions to promote blood flow. This therapy is believed to have mechanical, physiological, and psychological benefits. It decreases muscle tension, increases blood circulation, and promotes cellular healing. In the case study, the patient underwent five sessions of wet cupping therapy, which demonstrated significant pain reduction and enhanced functional abilities, particularly in the neck and upper limbs.

Symptomatic Management of Reverse Cervical Lordosis

Reverse cervical lordosis, characterized by an abnormal curvature of the cervical spine, can lead to a range of painful symptoms, including neck stiffness, headaches, and reduced range of motion. The patient's condition was assessed using various criteria, including pain rating scales and range of motion measurements before and after treatment. Following the cupping therapy, there was a marked improvement in the patient's pain levels, with a significant reduction in reported discomfort from "10" initially to "1" by the end of the treatment period. The therapy facilitated the stretching of soft tissues and restored normal muscle function, thus addressing the primary issues associated with his cervical condition.

Evaluation of Functional Improvements

Functionality and quality of life were key focus areas in this case study. Patients reported self-rated improvements, with scores reflecting their ability to perform daily activities without pain. Initially rated as "poor," the patient’s functional ability score improved to "good" following treatment. This improvement underscores the psychological and emotional relief that accompanies the alleviation of physical symptoms, contributing positively to overall well-being and stress reduction. Regular follow-ups revealed sustained improvements in both pain management and daily functionality.

Conclusion

This case study underscores the effectiveness of cupping therapy as a comprehensive treatment for patients experiencing chronic musculoskeletal pain, particularly those with conditions like Reverse Cervical Lordosis and sacralization of the lumbar vertebrae. The intervention not only yielded significant improvements in pain relief and mobility but also enhanced the patient’s overall health and emotional state. While the results are promising, further research is warranted to validate these findings and establish the broader applicability of cupping therapy in similar patient populations.

FAQ section (important questions/answers):

What is the primary focus of the case report presented?

The case report focuses on the symptomatic management of a 30-year-old male patient with chronic neck pain and stiffness caused by reversal of cervical lordosis and sacralization of lumbar vertebrae, utilizing cupping therapy.

What conditions did the patient experience prior to treatment?

The patient suffered from chronic neck pain, stiffness, radiating pain to the right upper limb, decreased cervical range of motion, lower backache, and morning stiffness for two years.

How was the effectiveness of cupping therapy assessed?

Effectiveness was assessed using pain ratings on a numerical scale, cervical range of motion measured in degrees, and self-rated functional improvement before and after treatment.

What techniques are used in cupping therapy as described?

Cupping therapy involves creating a vacuum on the skin to promote blood flow, alleviating muscle tension, and utilizing either dry or wet cupping techniques to enhance healing and reduce pain.

What improvements did the patient experience after cupping therapy?

Post-treatment, the patient reported significant reductions in pain levels, improved cervical range of motion, and enhanced functional abilities, allowing him to resume daily activities comfortably.

What are the overall conclusions drawn from the case study?

The intervention demonstrated to be a non-invasive, cost-effective, and safe treatment for chronic neck and back pain, with significant improvements in functional ability and mental relaxation for the patient.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Cupping therapy for cervical lordosis and sacralized lumbar vertebrae.”. 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 critical symptom experienced by the patient, characterized by discomfort in the neck and lower back. It serves as the primary motivator for seeking treatment, highlighting the need for effective management strategies. Pain assessment using numerical rating helps track improvement and is essential for evaluating therapy efficacy.

2) Sharman (Sarma, Sharma, Sarman):
Sharma refers to the author of the case report, Vd. Monika Sharma, who is a postgraduate scholar specializing in Shalyatantra, a branch of Ayurveda dealing with surgical procedures. The author's insights and observations lend credibility to the study and contribute to the knowledge base in alternative therapeutic practices.

3) Cup:
Cups are essential tools used in cupping therapy, which creates a vacuum effect to stimulate healing. They facilitate the lifting of skin and soft tissue, enhancing blood flow and reducing stiffness. The application of these cups is a critical procedure in treating the patient’s musculoskeletal pain and discomfort.

4) Blood:
Blood plays a significant role in wet cupping therapy, where incisions are made to release impure blood, thereby reducing toxins in the body. This process is believed to contribute to pain relief and promote healing by improving circulation. Collecting blood in cups is a unique aspect of this therapeutic method.

5) Stiffness:
Stiffness is a common symptom associated with musculoskeletal issues, particularly in the cervical spine, as reported by the patient. It restricts movement and can contribute to discomfort and pain, making it essential to address stiffness through therapeutic interventions like cupping, which aims to restore flexibility and mobility.

6) Shringa (Srnga, Shrimga):
Shringa refers to the cups used in Ayurvedic cupping therapy, specifically the modified cups designed to create suction. This technique is pivotal for the treatment of the patient's cervical and lumbar issues. Understanding the function and application of Shringa is crucial for effective therapeutic outcomes in the outlined case.

7) Vata:
Vata is one of the three doshas in Ayurveda, representing the elements of air and space. It influences bodily movement and function. In this case, Vata predominance is noted in the patient's condition, necessitating specific treatment strategies aimed at balancing Vata to alleviate symptoms and restore health.

8) Raktamokshana (Raktamoksana, Rakta-mokshana):
Raktamokshana is a therapeutic procedure in Ayurveda involving bloodletting. It is deemed effective for managing conditions associated with excess vitiated blood. In this case, it is specifically utilized to address Vata-related ailments, emphasizing the importance of understanding Ayurvedic practices in contemporary health management.

9) Pitta:
Pitta is another dosha in Ayurveda, associated with transformation, metabolism, and heat in the body. Its interaction with Vata is relevant in this case, as the patient's symptoms suggest a link. Addressing Pitta balance is essential for holistic treatment, as it may contribute to muscular tension and pain.

10) Kapha:
Kapha denotes the dosha related to water and earth elements, influencing structure and stability in the body. It has a role in this case report as it interacts with Vata symptoms. Understanding Kapha's impact can guide treatment strategies to balance energies for alleviating discomfort and enhancing mobility.

11) Yashtimadhu (Yastimadhu, Yashti-madhu):
Yashtimadhu, or Licorice, is used in Ayurvedic practices for its soothing and anti-inflammatory properties. In this case, it is applied post-cupping to facilitate healing of incisions. The herb's inclusion highlights the integration of herbal remedies in holistic treatment approaches alongside traditional methods like cupping.

12) Bleeding:
Bleeding occurs intentionally during wet cupping therapy, where small incisions allow blood to be drawn for therapeutic benefits. This process is intended to remove toxins and promote local circulation. The management of bleeding is essential for safe and effective cupping practices, emphasizing the need for careful monitoring.

13) Incision:
An incision is a surgical cut made during the wet cupping process to facilitate the release of blood. This technique is crucial for achieving the intended therapeutic outcomes, such as pain alleviation and enhanced healing. Understanding the method and purpose of incisions is key to successful cupping applications.

14) Yantra (Yamtra):
Yantra refers to instruments or tools used in Ayurvedic practices, such as the Modified Shringa Yantra for cupping therapy. These instruments are essential for implementing techniques effectively and safely, contributing significantly to the therapeutic processes aimed at restoring balance and health in patients.

15) Shalya (Salya):
Shalya pertains to the branch of Ayurveda that deals with surgery and invasive techniques. In this context, it highlights the integration of traditional surgical knowledge with contemporary methods. Recognizing Shalya's principles aids practitioners in effectively managing conditions requiring both surgical and non-surgical interventions.

16) Dosha (Dosa):
Dosha represents fundamental energies or principles in Ayurveda that govern physiological functions. Understanding the patient's dosha balance, specifically Vata, Pitta, and Kapha, is integral to assessing health. Interventions are tailored based on dosha combinations, aiming for homeostasis and effective symptom management.

17) Rakta:
Rakta translates to blood in Ayurveda and is essential for understanding conditions related to blood disorders. The concept of Rakta is crucial in this case, influencing treatment decisions related to therapies like Raktamokshana, which aim to purify and heal the blood, thereby alleviating associated symptoms.

18) Taila (Thaila):
Taila, or oil, is used in various Ayurvedic therapies for its therapeutic properties. In this case, Yashtimadhu Taila is utilized to promote healing post-cupping. The application of appropriate oils enhances recovery, showcasing the synergy between herbal medicine and physical treatment modalities within Ayurvedic practice.

19) Hand:
Hands are central to therapy application and assessment of patient conditions. They enable practitioners to perform treatments directly and gauge therapeutic efficacy through physical touch. Consequently, hands serve as tools for healing, embodying the practical application of knowledge within Ayurvedic modalities.

20) Pur:
Poor represents a rating in the self-assessment scale, indicating low functional ability or symptom severity. It underscores the patient's initial health state before treatment. This quantification highlights the necessity of effective interventions and serves as a baseline for evaluating treatment success over time.

21) Pharmacological:
Pharmacological refers to conventional medicinal approaches that use drugs for treatment. The paper contrasts pharmacological methods with holistic practices like cupping therapy, emphasizing a growing interest in non-invasive, alternative therapies to avoid side effects associated with long-term medication use, enhancing patient safety and comfort.

22) Shalyatantra (Salyatantra, Shalya-tantra, Shalyatamtra):
Shalyatantra is an Ayurvedic discipline focused on surgical techniques and interventions. It underpins the case study by providing the therapeutic framework for managing musculoskeletal issues through both surgical and non-surgical methods, illustrating the relevance of traditional wisdom in contemporary healthcare practices.

23) Observation:
Observation involves monitoring and analyzing patient responses during treatment. In this case, it includes tracking pain levels and functional improvements throughout therapy sessions. Systematic observation is crucial for determining the effectiveness of interventions like cupping, ensuring that adjustments can be made to optimize patient outcomes.

24) Avarana:
Avarana refers to the concept of obstruction or blockage in Ayurvedic medicine, specifically regarding dosha interactions. It highlights the importance of identifying underlying imbalances affecting patient health. In this case, addressing Avarana aids in understanding the complexity of symptoms and tailoring effective treatments for restoration.

25) Vyadhin (Vyadhi):
Vyadhi translates to disease or disorder in Ayurveda, encompassing a wide range of health issues. The focus on Vyadhi in the case study recognizes the underlying conditions affecting the patient, guiding the selection of appropriate treatment modalities like cupping therapy to alleviate specific symptoms and enhance overall wellness.

26) Study (Studying):
Study in this context refers to the systematic investigation of a particular case to assess the efficacy of cupping therapy. It contributes to the body of knowledge in integrative medicine, helping to elucidate patient outcomes and promote evidence-based practices within complementary and alternative healthcare.

27) Male:
Male refers to the gender of the patient in the case study, which can be relevant in understanding the demographic factors influencing health conditions. Gender may affect presentation of symptoms and response to treatments, thus requiring consideration during assessment and therapeutic planning to ensure effectiveness.

28) Life:
Life encompasses the totality of human existence, and in this context, it represents the quality of health and well-being experienced by the patient. The case report highlights the importance of symptom management in promoting a better quality of life, restoring function, and enabling patients to engage fully in daily activities.

29) Sushruta-samhita (Susruta-samhita):
Sushruta Samhita is an ancient Ayurvedic text credited with foundational surgical practices. It provides context for Raktamokshana and other techniques used in the study. Referencing this work emphasizes the rich historical tradition of surgical knowledge in Ayurveda, informing modern practices and treatment approaches.

30) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha is one of the three fundamental doshas in Ayurveda. Its role in the case study is acknowledged as influencing the patient's overall health. Recognizing Kapha's pathological implications is essential for creating a holistic treatment plan, addressing imbalances present in conjunction with Vata for comprehensive healing.

31) Alleviation:
Alleviation refers to the relief of symptoms, particularly pain and discomfort, experienced by the patient. It is a primary goal of the treatment interventions applied in the study. Effective alleviation signifies successful therapeutic engagement, ultimately enhancing the patient’s functional abilities and quality of life.

32) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha is integral to Ayurveda, representing movement and function within the body. Its predominance in this patient’s condition highlights the necessity of interventions aimed at restoring balance. By addressing Vata-dosha effectively, practitioners can alleviate symptoms and promote better health outcomes, demonstrating Ayurveda's holistic approach.

33) Discussion:
Discussion refers to the section where the findings, implications, and relevance of the case are analyzed. It contextualizes treatment outcomes, linking the experiences and observations from the case study with broader Ayurvedic theories and practices, thus contributing to ongoing dialogues in alternative medicine.

34) Anubandha (Anubamdha):
Anubandha describes the association or connection between doshas in Ayurveda. In this case, it signifies the interaction between Vata, Pitta, and Kapha that affects health. Understanding Anubandha enables Ayurvedic practitioners to tailor interventions effectively, addressing synergistic effects on the patient’s overall condition.

35) Agnikarma (Agni-karma):
Agnikarma is a therapeutic technique in Ayurveda involving the application of heat for treatment of various ailments. Its mention alongside Raktamokshana indicates integrative approaches within Ayurvedic practices, ensuring a multifaceted understanding of how different modalities can be combined for optimal patient care and healing.

36) Vitiation (Vitiated):
Vitiated characterizes the doshas when they become imbalanced or aggravated, leading to disease conditions. Recognizing vitiated states is crucial for effective diagnosis and treatment plans. This understanding informs therapeutic strategies aimed at restoring dosha balance and alleviating the patient’s symptoms and health concerns.

37) Anuloma:
Anuloma refers to the process of normalization or rectification of bodily functions in Ayurveda. In the context of this case study, it signifies restoring proper flow and balance among doshas, enhancing health outcomes, and addressing symptoms that arise due to improper dosha behaviors.

38) Samhita:
Samhita refers to collections of texts that document Ayurvedic knowledge and practices, serving as vital references for practitioners. Citing classical texts like Sushruta Samhita underlines the depth of Ayurvedic traditions and provides a philosophical foundation for contemporary treatments, enriching the discourse around healing methodologies.

39) Prakopa:
Prakopa denotes the aggravation or intensification of the doshas, leading to disease expression. It is essential to identify Prakopa conditions in the patient for effective intervention. This understanding is integral to developing strategies that address and rectify the underlying imbalances affecting health.

40) Kaphaja:
Kaphaja characterizes disorders arising from the imbalance or excess of Kapha dosha. This classification aids in understanding the nature of the patient's condition and its symptoms, contributing to the development of tailored therapeutic approaches that harmonize all three doshas for improved health outcomes.

41) Quality:
Quality refers to the standard of health achieved by the patient post-treatment. It emphasizes the goal of therapy to enhance life quality through alleviation of pain and discomfort. Achieving a higher quality of life remains fundamental in evaluating the success of the implemented therapeutic strategies.

42) Tantra (Tantrism, Tamtra):
Tantra in Ayurveda refers to the systems, techniques, and methods used in therapeutic practices. Its inclusion in discussing treatment modalities emphasizes the foundational principles guiding interventions and underlines the blend of traditional wisdom with practical application in addressing health issues.

43) Vatika:
Vatika refers to manifestations related to Vata dosha disturbances. In this case, it is essential for understanding the patient's symptoms, guiding treatment selection, and providing insights into balancing Vata and addressing the issues that arise from its misalignment with other doshas.

44) Filling (Filled):
Filled pertains to the process of collecting blood in cups during wet cupping therapy, emphasizing the significance of this step in therapeutic practice. It signifies not only the physical aspect of the procedure but also its role in promoting healing and facilitating the release of toxins.

45) Karma (Karman):
Karma refers to actions or interventions within the Ayurvedic framework that contribute to healing processes. Each Karma, or therapeutic action, seeks to restore balance within the body. Understanding different Karmas supports the development of a comprehensive approach to treating ailments, particularly in this case study.

46) Basti:
Basti denotes another therapeutic treatment in Ayurveda involving enemas for detoxification and healing. Mentioning Basti alongside other interventions underscores the multi-faceted approach of Ayurveda, where various techniques are employed to address and restore bodily harmony, enhancing the patient’s overall well-being.

47) Pulse:
Pulse measurement is critical for assessing the patient's general health and specific conditions prior to treatment. It provides vital information about bodily functions. Monitoring the pulse allows healthcare providers to adapt therapeutic strategies accordingly and ensures that interventions are safe and effective.

48) Visit:
Visit refers to the patient's scheduled appointments for therapy, signifying ongoing interaction between practitioner and patient. Each visit contributes valuable data for assessing treatment progress over time. Regular follow-ups ensure timely adjustments to therapy, ultimately enhancing the patient's recovery and overall experience.

49) Gati:
Gati denotes the motion or movement within the body, particularly concerning the flow of doshas. Understanding Gati helps practitioners recognize how movement affects health and symptom presentation, guiding therapeutic approaches to restore proper dynamics among the doshas and enhance patient well-being.

50) Diet:
Diet represents the nutritional aspects of treatment plans within Ayurveda. It highlights the importance of proper food choices in fostering healing, supporting treatment efficacy, and maintaining balance among doshas, thereby playing a significant role in the patient’s overall recovery and health management.

51) Line:
Line in this context indicates the categorization of treatments as either pharmacological or non-pharmacological. This distinction is important for determining the appropriate strategies to address patient needs effectively. The case study prioritizes non-pharmacological interventions, emphasizing holistic health approaches.

52) Post:
Post refers to the time after the therapeutic procedures, especially regarding follow-up care and monitoring recovery. Evaluating outcomes post-treatment is essential for assessing the efficacy of interventions, ensuring the success of the therapy implemented, and guiding any necessary subsequent actions.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Cupping therapy for cervical lordosis and sacralized lumbar vertebrae.’. Further sources in the context of Science might help you critically compare this page with similair documents:

Raktamokshana, Congenital anomaly, Musculoskeletal pain, Functional disability, Cupping therapy, Chronic neck pain, Therapeutic measure, Dry cupping, Wet cupping, Deep relaxation, Cervical Lordosis, Pain Rating, Self Rated Functional Improvement, Cervical Range of Motion.

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