Ayurvedic approach to Cervical Myelopathy - A Case Report
Abstract
Cervical myelopathy is a condition describing a compression of the spinal cord at the cervical level resulting in spasticity, hyperreflexia, hand clumsiness and gait disturbances. This progresses in a stepwise manner with functional decline and significant paralysis. Decompression surgery is necessary if conservative treatment fails. Sarvangavata is the one disease in Ayurveda which has the similar clinical features as myelopathy. Here is the case of 59 years old male with reduced strength in both upper and lower extremities, difficulty in getting up from lying position, standing and walking without support, difficulty in grasping and gripping objects, bladder and bowel incontinence for 6 months and was diagnosed with Cervical Myelopathy. MRI of Cervical Spine showed C4–C5 canal stenosis with myelopathy. Udwartana, Parisheka Sweda, Abhyanga, Shashtika Shali Pinda Sweda, Basti and Shamanoushadhis were given for the duration of 42 days and assessments were done on the basis of Medical Research Council (MRC) Scale for Muscle Strength, Modified Japanese Orthopaedic Association (mJOA) Score and Myelopathy Disability Index, there was marked improvement in these scales.
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References
Nagoshi N, Tsuji O, Okada E, Fujita N, Yagi M, Tsuji T, et al. Clinical indicators of surgical outcomes after cervical single open-door laminoplasty assessed by the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire. Spinal Cord. 2019 Aug;57(8):644-651.
Wu JC, Ko CC, Yen YS, Huang WC, Chen YC, Liu L, et al. Epidemiology of cervical spondylotic myelopathy and its risk of causing spinal cord injury: a national cohort study. Neurosurg Focus. 2013 Jul;35(1):E10.
Eli MB, Wiliam FY. Cervical spondylotic myelopathy: a brief review of its pathophysiology, clinical course, and diagnosis. Neurosurgery. 2007;60(1):1-35.
Jamson JL, Kasper DL, Longo DL, Fauci AS, Houser SL, Loscalzo J. Harrison’s principles of internal medicine, Diseases of spinal cord. 21st ed. New York: McGraw-Hill Medical Publishing Division; 2022. p. 3452. Chapter 442.
Acharya YT. Charaka Samhita with Ayurveda Dipika commentary of Chakrapani Datta. Sutra Sthana 20/11. Reprint ed. Varanasi (India): Chaukambha Orientalia; 2014. p. 113.
Singh SK, Rajoria K. Ayurvedic management in cervical spondylotic myelopathy. J Ayurveda Integr Med. 2017;8:49-53.
Fehlings MG, Skaf G. A review of the pathophysiology of cervical spondylotic myelopathy with insights for potential novel mechanisms drawn from traumatic spinal cord injury. Spine. 1998;23:2730-7.
Gangasahay P, editor. Pt. Kashinath Sastri Vidhyotini Hindi commentator of Caraka Samhita of Agnivesa. 2nd vol., Chikitsa Sthan Vatavyadhi chikitsa Adhayay chapter 28 verse 59e61. Varanasi: Chaukumba Sanskrit Sansthan; 2006. p. 788.
Gangasahay P, editor. Pt. Kashinath Sastri Vidhyotini Hindi commentator of Caraka Samhita of Agnivesa. 2nd vol., Chikitsa Sthan Vatavyadhi chikitsa Adhayay chapter 28 verse 239e242. Varanasi: Chaukumba Sanskrit Sansthan; 2006. p. 817.
Vagbhatta AV, Tripathi RD, editor. Astanga Samgraha. Sutrasthana, chap. 3:63. Varanasi: Chaukhamba Sanskrit Pratishthana; 2003. p. 50.
Agnivesha. Charaka Samhita. Edited by Trikamji YA. Varanasi: Chaukhambha Krishnadas Academy; Sutra Sthana; 14:44. p. 90.
Nishteswar K, Vaidyanath R. Sahasrayogam; Sanskrit text with English translation, Taila Prakarana chapter 09, verse 3. Reprint ed. Varanasi: Chaukambha Sanskrit series office; 2020. p. 110.
Jyani R, Mohar M, Verma K, Dixit R. Effect of Shashtika Shali Pinda Sweda & other Ayurvedic Intervention in Cerebral palsy: A case report. Ayushdhara. 2023;10(3):51-53.
Sharma S, editor. Sidha Basti kalpa Adhyaya, chapter 5, verse 24. In: Kalpasthana. Ashtanga Samgraha of Vriddha Vagbhatta. 4th ed. Varanasi: Chaukhamba Sanskrit Series Office; 2016. p. 605.
Sen GD. Bhaisajya Ratnawali with Hindi commentary by Siddhi Nandan Mishra. Amavata Chikitsa Adhyaya-29. Varanasi: Chaukhambha Subharti Prakashan; 1987. p. 612.
Srikantha Murthy KR, editor. Astanga Hridaya; English commentary. Varanasi: Krishnadas Academy; 1991.
Nadkarni AK, Nadkarni KM. Indian Materia Medica. Mumbai: Popular Prakashan.
Hasnat H, Shompa SA, Islam MM, Alam S, Richi FT, Emon NU, et al. Flavonoids: A treasure house of prospective pharmacological potentials. Heliyon. 2024 Mar 9;10(6):e27533.
Nishteswar K, Vaidyanath R. Sahasrayogam; Sanskrit text with English translation, Gutika Prakarana chapter 9, verse 54. Reprint ed. Varanasi: Chaukambha Sanskrit series office; 2020. p. 346.
Hariprannaji VP. Rasayogasagara; vol-1, verse 1813-5. Varanasi: Chaukambha Krishnadas Academy; p. 192.
Rasa Tantra Sara-Sidha Yoga Sangraha kharaliya Rasayana 37.
Das G, Mishra B, Shastri AD. Apasmara Rogadhikara verse 40-43. In: Shastri RD, editor. Bhaishajya Ratnavali Vidhyotini Hindi Vyakhya-Vimarsha-Parishista Sahita. Reprint, 131-2 ed. Varanasi: Chaukhambha Sanskrit Prakashan; 2005. p.
Das G, Mishra B, Shastri AD. Raktapitta Rogadhikara verse 102-6. In: Shastri RD, editor. Bhaishajya Ratnavali Vidhyotini Hindi Vyakhya-Vimarsha-Parishista Sahita. Reprint, 131-2 ed. Varanasi: Chaukhambha Sanskrit Prakashan; 2005. p. 701.
Varuni BG. An open-labeled clinical study to evaluate the safety and efficacy of Anuloma DS in improving constipation. Indian J Clin Pract. 2023 Jul;34(2).
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