Vd. Pragati Katariya, Vd. Kanika Aggarwal, Vd. Vinod Barwal and Vd. Sumit Srivastava
Cervical radiculopathy refers to pain that travels from neck towards arm. Cervical radiculopathy most often occurs when a herniated disk or an overgrowth of bone puts pressure on part of the nerve. Herniated disc is common cause of cervical radiculopathy. In this condition patient experiences maximum pain in unilateral direction, which gets aggravated with improper posture of neck or cervical extension. The distribution of pain in the upper extremities is dependent on site of nerve compression but feels relief while at rest. According to Ayurveda, based on resembling clinical manifestation this condition can be co-related with Greevagatavata.
Aim: To understand the efficacy of Ayurveda treatment protocol in the management of Cervical radiculopathy (Greevagatavata).
Materials and Method: A 38 years old female suffering from complaints of Greevashoola (neck pain), radiating to right upper limb, which increased while working on laptop/mobile, while reading and while lifting heavy weights since past 2-3years on and off, presented in the OPD of SDACH, Chandigarh. The above complaints exasperated over the last 1 month. Based on clinical presentation and X-RAY findings the condition was diagnosed as cervical radiculopathy (Greevagata vata). A multimodal therapeutic intervention as per Ayurveda with greeva basti, nadi swedan, basti, nasya, were prescribed. Clinical assessment was done before and after treatment based on Neck disability index/questionnaire.
Observation and Results: Before treatment Neck disability index score was 28 and after the complete treatment patient reported relief in symptoms of Ruk (pain), Stambha (stiffness), Spandan (cramping), distribution of pain significantly reduced and score was only 5.
Conclusion: The present case study revealed that the multiple Ayurveda treatment modalities including Shaman and Shodhan Chikitsa (palliative and purification therapies) were effective in the management of Cervical radiculopathy.
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