Management of abhigataja gridrasi (sciatica): a case study
Journal name: Ayushdhara
Original article title: Management of abhigataja gridrasi (sciatica): a case study
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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S.Kamalakar Puripanda
Consultant Physician, Amrutam Ayurveda Hospital and Panchakarma centre, Visakhapatnam, Andhra Pradesh
M.N. Patrudu
Consultant Physician, Amrutam Ayurveda Hospital and Panchakarma centre, Visakhapatnam, Andhra Pradesh
P.Suresh Varma
Consultant Physician, Amrutam Ayurveda Hospital and Panchakarma centre, Visakhapatnam, Andhra Pradesh
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: Management of abhigataja gridrasi (sciatica): a case study
Year: 2016
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
Sciatica, referred to in Ayurvedic terms as Gridrasi, significantly impacts an individual's daily life, often causing debilitating pain and hindering mobility. Commonly seen in individuals engaged in strenuous activities or those who have suffered trauma, such as from road traffic accidents, sciatica arises due to compression of spinal nerves. The condition is prevalent, and although surgical intervention is sometimes necessary, Ayurveda offers effective treatments, particularly through Panchakarma therapy. This case study presents the successful management of Abhigataja Gridrasi using various Panchakarma techniques.
Panchakarma Therapy: Key Procedures and Benefits
Panchakarma therapy emerged as a crucial approach in the management of Abhigataja Gridrasi, which is characterized by pain radiating from the lower back to the legs. The patient, a 28-year-old male, underwent a series of Ayurvedic treatments, including Abhyanga (oil massage), Kati Basti (a localized oil treatment), and Matrabasti (medicated enema). Following the application of these treatments, additional therapies such as Dhanyamladhara (pouring of a herbal liquid), Patrapinda Sweda (herbal steam therapy), Jambeerapinda Sweda, and Shastikashalipinda Sweda were administered. Each of these procedures targeted inflammation, pain, stiffness, and muscle strength, markedly alleviating the patient's symptoms over time.
Internal and External Medications: Comprehensive Management
In conjunction with Panchakarma therapies, the patient was prescribed a regimen of Ayurvedic medications aimed at reducing pain and inflammation. Key herbal formulations included Rasnaerandadhikashayam, Yogaraj Guggulu, and the neuro-protective Neuro XT. External applications such as Sahacharadhi and Murivenna oils were utilized to enhance musculoskeletal strength and promote healing. The combination of these treatments resulted in a significant reduction of pain and improvement in the patient's quality of life, confirming the effectiveness of a holistic approach to care in managing complex conditions like sciatica.
Conclusion
This case study stands as documented evidence of the successful management of Abhigataja Gridrasi through the application of Panchakarma therapy and Ayurvedic medications. By integrating both treatment modalities, healthcare practitioners can offer patients comprehensive care that not only addresses symptoms but also promotes overall well-being. The experience underscores the potential of Ayurveda in managing chronic pain disorders and encourages further exploration of traditional therapies in contemporary medical practice.
FAQ section (important questions/answers):
What is Gridrasi and what causes it?
Gridrasi, commonly known as sciatica, is characterized by severe pain radiating from the lower back down the leg. It can be caused by spinal nerve compression due to accidents, heavy work, or various spine disorders.
How was the Abhigataja Gridrasi case managed?
The patient diagnosed with Abhigataja Gridrasi underwent Panchakarma therapy, including treatments like Patrapinda, Jambeerapinda, Shastikashalipinda sweda, and Matrabasti, leading to significant pain relief and improved mobility.
What medications were used in the treatment?
The treatment involved several medications, including Rasnaerandadhi Kashayam for pain relief, Yogaraj Guggulu, and Neuro XT, which target inflammation and strengthen the affected area.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for 鈥淢anagement of abhigataja gridrasi (sciatica): a case study鈥�. 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 primary symptom in the case of sciatica (Gridrasi). In this study, the patient experienced severe low back pain radiating to the posterior thigh and slight cervical pain radiating to the shoulders. [see source text]
2) Pinda (Pimda):
Pinda refers to a form of therapeutic massage or steam therapy using herbal packs. The mentioned therapies include Patrapinda Sweda, Jambeerapinda Sweda, and Shashtika Shali Pinda Sweda, each addressing specific symptoms of Gridrasi. [see source text]
3) Gridhrasi (Gridhrashi, Grdhrasi):
Gridhrasi, or Sciatica, is described as a condition where the patient experiences radiating pain from the lower back to the leg, resembling the gait of a vulture (Gridhra). The term highlights such pain extending from Sphik to Kati and down to the lower limbs. [see source text]
4) Kati:
Kati refers to the low back region. In patients with Gridhrasi, pain often radiates from the spine to the Kati and downwards. Therapies such as Katibasti are employed to alleviate pain in this specific area. [see source text]
5) Ayurveda (Ayus-veda):
Ayurveda is the traditional system of medicine practiced in India which involves treatments like Panchakarma. In this case study, Ayurveda was effective in managing Gridhrasi through multiple Panchakarma therapies and herbal medications. [see source text]
6) Disease:
Disease in this context refers to Gridhrasi (Sciatica), which severely affects the patient's ability to walk, stand, or sit. Various Ayurvedic treatments were implemented to manage this disease and improve the patient's quality of life. [see source text]
7) Andhra (Amdhra):
Andhra Pradesh is an Indian state where the patient in the case study received treatment at Amrutam Ayurveda Hospital and Panchakarma Centre in Visakhapatnam. [see source text]
8) Shashtikashali (Sastikasali, Shashtika-shali):
Shashtika-shali refers to a type of rice used in Shashtika Shali Pinda Sweda, a Pinda therapy. This form of treatment is aimed at reducing stiffness and increasing muscle strength in Gridhrasi patients. [see source text]
9) Shashtika (Sastika):
In the context of Shashtika Shali Pinda Sweda, 'Shashtika' refers to the specific type of rice (Shashtika Shali) used. It is part of traditional Ayurvedic therapy to strengthen muscles and relieve stiffness in conditions like Gridhrasi. [see source text]
10) Dhanyamla (Dhanya-amla):
Dhanyamla is a fermented medicinal liquid used in Ayurvedic therapies. Dhanyamla Dhara involves pouring the liquid over the affected area to reduce inflammation and pain in Gridhrasi patients. [see source text]
11) Stiffness:
Stiffness is one of the symptoms addressed by therapies like Patrapinda Sweda and Shashtika Shali Pinda Sweda. The treatments help to alleviate stiffness in the muscles associated with Gridhrasi. [see source text]
12) Guggulu:
Guggulu is a medicinal resin used in Ayurvedic formulations. In the case study, Yogaraj Guggulu tablets were used as part of the internal medication to manage pain and inflammation in Gridhrasi. [see source text]
13) Kandara (Kamdara):
Kandara refers to the tendons or ligaments in the leg. Gridhrasi involves affliction of these structures by Vatadosha, limiting leg extension and causing the characteristic radiating pain. [see source text]
14) Dhara:
Dhara refers to a continuous pouring of medicinal liquids over the skin. Dhanyamla Dhara was used in the treatment protocol for Gridhrasi to alleviate pain and inflammation. [see source text]
15) Patra:
Patra means 'leaf' in Sanskrit. Patrapinda Sweda is a type of therapy that uses leaves of medicinal plants, which are heated and applied to the affected area to relieve pain and stiffness in Gridhrasi. [see source text]
16) Matra:
Matra Basti is a type of Ayurvedic enema therapy used for Vata disorders. It involves administering small amounts of medicated oils to help alleviate symptoms like those seen in Gridhrasi. [see source text]
17) Basti:
Basti refers to enema therapy in Ayurveda, particularly Matra Basti, which is used in the treatment of Gridhrasi to balance Vatadosha and alleviate symptoms of pain and stiffness. [see source text]
18) Shali (Sali):
[see source text or glossary: Sali]
19) Shula (Sula):
Shula means 'pain' in Sanskrit. Various Ayurvedic therapies and medications, including Guggulu and specific oils, are used for their Shulahara (pain-relieving) properties in the treatment of Gridhrasi. [see source text]
20) India:
India is the country where this case study was conducted, specifically at the Amrutam Ayurveda Hospital in Visakhapatnam, Andhra Pradesh. Ayurveda is a traditional Indian system of medicine used in the treatment. [see source text]
21) Hara:
Hara means 'reliever' or 'remover' in Sanskrit. In the case study, various treatments like Shulahara (pain relievers) and anti-inflammatory therapies were used to manage the symptoms of Gridhrasi. [see source text]
22) Roga:
Roga means 'disease' in Sanskrit. The discussed case focuses on the Ayurvedic treatment of Gridhrasi, a neurological roga characterized by radiating pain and restricted movement. [see source text]
23) Bird:
Bird is a reference to the term 'Gridhra' meaning vulture in Sanskrit. The name Gridhrasi (Sciatica) indicates the vulture-like gait of patients due to radiating leg pain. [see source text]
24) Inflammation:
Inflammation is a symptom seen in Gridhrasi. Ayurvedic therapies such as Dhanyamla Dhara and specific oils are used to reduce inflammation and alleviate pain. [see source text]
25) Dhatukshaya (Dhatuksaya, Dhatu-kshaya):
[see source text or glossary: Dhatukshaya]
26) Discussion:
[see source text or glossary: Discussion]
27) Vatadosha (Vatadosa, Vata-dosha):
Vatadosha plays a crucial role in Gridhrasi, especially in the variant caused by trauma, known as Abhigataja Gridrasi. Vatadosha imbalances are corrected using Panchakarma therapies and specific medications. [see source text]
28) Abhyanga (Abhyamga):
Abhyanga refers to a form of oil massage used in Ayurvedic therapy. It is part of the treatment for Gridhrasi to ease muscles, relieve pain, and balance Vatadosha. [see source text]
29) Lakshana (Laksana):
[see source text or glossary: Lakshana]
30) Gridhra (Grdhra):
'Gridhra' signifies a vulture. The term is used in 'Gridhrasi' (Sciatica) to describe the nature of pain and the vulture-like gait caused by the disease. [see source text]
31) Kaphaja:
[see source text or glossary: Kaphaja]
32) Jangha (Jana-ogha, Jamgha):
Jangha refers to the thigh. In Gridhrasi, pain often radiates from the low back down through the Kati, Jangha, and further to the legs. [see source text]
33) Vyadhin (Vyadhi):
'Vyadhi' is a term for disease. Gridhrasi (Sciatica) is categorized under Vata Nanatmaja Vyadhi due to its characteristic symptoms linked with Vatadosha imbalances. [see source text]
34) Nasya (Nashya):
Nasya is an Ayurvedic nasal therapy. The case study mentions using Ksheerabala oil as a treatment administered via nasya for therapeutic effects in managing Gridhrasi. [see source text]
35) Taila:
Taila means oil in Sanskrit. Different medicated oils like Sahacharadhi Taila, Murivenna Taila, and Vishagarbha Taila were used for external application and enemas in the treatment of Gridhrasi. [see source text]
36) Ayus (Ayush):
[see source text or glossary: Ayush]
37) Sphik:
[see source text or glossary: Sphik]
38) Bala:
[see source text or glossary: Bala]
39) Dosha (Dosa):
[see source text or glossary: Dosa]
40) Pada:
Pada means foot in Sanskrit. Gridhrasi (Sciatica) pain often radiates from the lower back eventually down to the Pada, making walking difficult for affected individuals. [see source text]
41) Janu:
Janu refers to the knee. In Gridhrasi, the pain can radiate from the lower back passing through the thigh (Jangha) down to the Janu and the feet (Pada). [see source text]
42) Vata:
Vata is one of the three doshas in Ayurveda. Vatadosha imbalance is a primary cause of Gridhrasi, and treatments aim to restore the balance of Vata to alleviate symptoms. [see source text]
Other Science Concepts:
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