ayurvedic view on tennis elbow (snayugata vata)

snayugat vata

1. AYURVEDA CLINICAL CLASSES DR VEENU YADAV MD KAYACHIKITSA

2. TENNIS ELBOW/ स्नायुगत वात

3. Tennis elbow , also known as  lateral epicondylitis or enthesopathy of the extensor carpi radialis origin , is an  enthesopathy (attachment point disease) of the origin of the  extensor carpi radialis brevis  on the lateral epicondyle.  The outer part of the  elbow   becomes painful and tender. The pain may also extend into the back of the  forearm

4. CAUSES Major cause is the overuse of the arm, be it in a sport or one's profession. It is caused due to damage to the specific tendon. Minor tear occur in the tendons which lead to inflammation and pain. Sports such as tennis, badminton, squash or throwing discus Using paint brush while painting the walls, carpentry activities, sculpture making, typing and writing Wear and tear due to age Wiggling clothes after washing them

5. SYMPTOMS Pain on the outer part of the elbow ( lateral epicondyle ) . Point tenderness over the lateral epicondyle—a prominent part of the bone on the outside of the elbow. Pain with resisted wrist extension or passive wrist flexion. Symptoms associated with tennis elbow include, but are not limited to, pain from the outside of the elbow to the  forearm  and wrist pain during extension of wrist.

6. Diagnosis On the basis of physical examination Mri , Xray for excluding some situation. Maudsley's test Cozen’s test

7. S. Vata is developed when the  vata dosha aggravates due to  atichesta , ativyayam , etc. and gets localized in  snayu  of  kurpara sandhi. The vayu responsible for this function, that is,  vyanvayu  is ultimately unable to carry out the function of  kurpara sandhi (elbow joint) and hasta pradesha  (forearm) smoothly. The features such as pain, stiffness, restricted movement, etc. develop in this region. These symptoms may also develop due to  kaphavritta vyana vayu . Hence, it is also considered an important causative factor for manifestation of S. Vata.

8. Treatment plan In some theories we are found that vata and kapha involvement is present. And amaja condition is available for stiffness in the elbow. Acharaya sushruta mentioned - Snehana , Upanaha , Agnikarma , and  Bandhana  for  S. Vata .

9. Ksheerabala taila 101 – is used for oral administration – this rejuvenates the tendon. Bala taila – Massage improves strength of muscles and tendons Sahacharadi taila – Massage is especially useful when there is elbow joint stiffness Prasarini taila – reduces pain, relieves nerve irritation Dhanvantara taila – externally applied to relieve swelling and inflammation. Avartita maharaja prasarini taila – Used to soothe nerve irritation and to heal torn tendons. Murivennam Ksheerabala taila Kottamchukkadi taila Nirgundi taila

10. Dashamoolarishta Balarishtha Asthavarga kashaya Maharasnadi Kashaya Sahacharadi kashaya Rasnasaptaka kashaya Yogaraja guggulu Mahayogaraja guggulu Gokshuradi guggulu Kaishora guggulu Vatavidhwamsa rasa Ekangaveera rasa Mahavatavidwansa rasa

11. Mridu abhyanga with oil given above(ignore in severe cases) Swedana depends upon on the condition But initially prefer patra pinda swedana

12. This is a self-limiting problem and recovery is seen in about 90% of cases within 1-2 years of conservative management. A nti-inflammatory, analgesic drugs, steroids injection, physiotherapy, exercise etc. In modern ,tennis elbow strip is recommended And strength exercise should be done on patient. According to modern science

13. Botox injection Ice fomentation PRP therapy is commonly seen Surgery may be the last option.