CERVICAL RADICULOPATHY, CERVICAL MYELOPATHY WITH AYURVEDA APPROACH

AYURVEDIC VIEW

1. DR VEENU YADAV MD KAYACHIKITSA

2. NERVE WITH THEIR AREAS

3. BICEPS REFLEX

4. TRICEPS REFLEX

5. SYMPTOMS Pain that spreads into the arm, neck, chest, upper back and/or shoulders, usually only on one side Numbness, tingling or a “pins and needles” feeling in the hand, fingers or arm Muscle weakness in the arm, hand or shoulder Weakened or lost reflexes Headaches or scapular pain

6. CERVICAL MYELOPATHY Myelopathy describes a collection of symptoms that result from severe spinal compression. When something compresses (squeezes) the spinal cord, it can’t function properly. That can lead to pain, loss of feeling or difficulty moving certain parts of the body.

7. CAUSES Cervical spondylosis Cervical herniation Any tumour,lesion Any acute injury

8. SYMPTOMS Pain in your  neck  or  back . Tingling,  numbness  or weakness in your arms, hands, legs or feet. Difficulty with fine motor skills, such as buttoning a shirt or grasping small objects. Balance or coordination issues. Changes to reflexes in your extremities. Loss of  bladder  or  bowel control .

9. DIAGNOSIS Imaging tests, such as  spine X-ray ,  MRI or  CT scan . Myelogram , using contrast dye along with X-rays or CT scans to show the relationship between bones and soft tissue in your spine. Nerve function tests, such as   electromyogram, or  evoked potentials , to measure how your brain and body send messages.

10. MYELOMALACIA Myelomalacia  is a pathological term referring to the softening of the spinal cord. Possible causes of myelomalacia include  cervical myelopathy ,  hemorrhagic infarction , or  acute  injury, such as that caused by  intervertebral disc  extrusion. In advanced stages, this disorder causes  flaccid paraplegia  (impairment of motor function in lower extremities), total  areflexia (below normal or absence of reflexes) of the pelvic limbs and anus, loss of deep pain perception  caudal  (toward the coccyx, or tail) to the site of spinal cord injury, muscular  atrophy  (wasting away of muscle tissue), depressed mental state, and respiratory difficulty due to  intercostal  (muscles that run between the ribs) and diaphragmatic  paralysis .  Gradual  cranial  migration of the  neurological deficits (problems relating to the nervous system), is known as ascending syndrome and is said to be a typical feature of diffuse myelomalacia

11. . Although clinical signs of myelomalacia are observed within the onset (start) of paraplegia, sometimes they may become evident only in the post-operative period, or even days after the onset of paraplegia. Death from myelomalacia may occur as a result of respiratory paralysis when the  ascending lesion  (abnormal damaged tissue) reaches the  motor nuclei  of the  phrenic nerves  (nerves between the C3-C5 region of the spine) in the cervical ( neck ) region.

12. TREATMENT In radiculopathy analgesics like brufen,diclofenac etc Physical therapy Surgery in some cases In myelopathy prognosis is very poor so surgery to avoid the severe complication And same in myelomalacia cases, difficult to treat Sensory loss is irreversible condition

13. In ayurveda all are included under Vata Vyadhi No specific correlation is given From treatment point of view firstly find out the cause In case of vatavyadhi dhatukshyajanya and avaranjanya …… Treatment protocol slightly changed In these disease involvement of kapha and vata doshas And symptoms appear according to them

14. According so some acharyas it greevastambha , vishwachi and some may correlate it with avabhavuka because doshas involvement are same But it is better to avoid these terms And focus on doshas Guggul, ashwagandha, guduchi some drugs which were frequently used. Shunthi , bala , parasarini , dashmoola all are effective. Nervine tonic also used in these disease.

15. Cap manyawin Cap cervigest Cap spondylon Cap palsineuron Cap palsyfine gold Cap palysfine Cap ksheerbala 101 Cap dhanvantar 101 Rasandi guggul