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ISSN (Online) : 2277-4572

AYURVEDIC MANAGEMENT OF CERVICAL SPONDYLOTIC MYELOPATHY: REPORT OF TWO CASES WITH REVIEW OF LITERATURE

Abstract

Author(s): Prasad Mamidi *, Kshama Gupta

Cervical Spondylotic Myelopathy (CSM) is a chronic, progressive, degenerative disease of the cervical spine which impairs patient’s functionality and induces suffering with pain. Symptoms often develop insidiously and are characterized by neck stiffness, arm pain, numbness and weakness of the hands and legs. Here we are reporting two cases of CSM; one came with post surgical sequelae of anterior cervical decompression surgery and other opted Ayurvedic treatment to avoid surgery. Total two assessments were carried out before and after treatment. Criteria of assessment were based on Myelopathy Disability Index (MDI). Both the patients were diagnosed as ‘Sarvanga vata’ and panchakarma procedures like udwartana, patra pottali pinda sweda and vasti along with internal medicines were prescribed for the period of one month. Both the patients got good improvement on MDI (in case I – 55.5% and in case II – 33.3%). Ayurvedic diagnosis of Sarvanga vata or Avrita vata is suitable for CSM patients. Ayurvedic panchakarma procedures like vasti along with internal medicines are found to be useful in the management of post surgical sequelae of anterior cervical decompression surgery in CSM patients and also to postpone the surgery to whom it is indicated.