Management of Spondylosis Induced Sciatica through Panchakarma w.s.r. to Vata Kaphaja Gridhrasi - A Case Study

Introduction: Low backache alone or along with radiating pain in the lower limb is a common entity encountered in daily clinical practice. Lumbar spondylosis is a major cause of lower back pain and also important clinical, social, economic and public health problem affecting the world wide population. Degeneration of the disc that affects the lumbar spine can cause low back pain (referred to as lumbago) or irritation of a spinal nerve to cause pain radiating down the leg (sciatica). So Lumbar spondylosis induced sciatica can be compared with Gridhrasi in Ayurveda on the basis of sign and symptoms described in Ayurvedic classics. Material and Methods: Presented case was 59-year-old male patient having the symptoms of Vata- Kaphaj Gridhrasi in bilateral leg (left>right). Panchakarma treatment such as Valuka Swedana (sand fomentation), Abhyanga (oil massage), Vashpa Swedana (steam bath), Erandamooladi Niruha Basti (herbal medicated enema) and Kati Basti (oil application on Lumbar region) along with oral Ayurvedic medicines were used. Discussion: Assessments were made using VAS (Visual Analogue scale) Pain score, SLR (Straight leg raise) test and Finger to floor test (FTF). At the end of the treatment, there was significant improvement in sign and symptoms of sciatica and overall improvement in quality of life of the patient

MANAGEMENT OF ASTHI-MAJJAGATA VATA W.S.R. TO AVASCULAR NECROSIS (AVN) OF FEMORAL HEAD STAGE 3 BY PANCHAKARMA - A CASE STUDY

Avascular necrosis (AVN), also called osteonecrosis, aseptic necrosis, or ischemic bone necrosis, is a condition that occurs when there is loss of blood supply to the bone, an interruption to the blood supply causes bone to die. If not stopped this process eventually cause the bone to collapse. It is the most challenging condition of the present era in orthopedics. In Ayurveda it can be co-related with the Asthi Majja Gata Vata due to similar sign and symptoms of Avascular necrosis of neck of femur. Aim and objectives: To assess the efficacy of Manjisthadi Kshara Basti, Rooksha Choorna Pinda Swedana, Pizhichil and Shastikashali Pinda Swedana in the management of AVN. Objective was to stop the further deterioration of the hip joint and to reduce the chances of surgical intervention in managing AVN. Materials and methods: A diagnosed and non operated case of Avascular necrosis of stage 3 with complaints of pain of bilateral hip joint, restricted movements and limping gait approached the out-patient division of the hospital and was managed by Rooksha Choorna Pinda Swedana, Manjisthadi Kshara Basti, Pizhichil and Shastikashali Pinda Swedana. Observation and Result: Significant improvement was noticed after the treatment. Pain was reduced significantly with improvement in range of movement. Patient was able to walk and climb stairs after the treatment without pain and stiffness. There was reduction in VAS scale, marked improvement was noticed in Harris Hip Score