Category: Rheumatoid Arthritis

How to Treat Cervical Spondylosis with Ayurveda

What is CERVICAL SPONDYLOSIS

CERVICAL SPONDYLOSIS TREATMENT IN AYURVEDA

It is the disorder related to aging which involves discs, vertebrae, and ligaments in the neck or cervical spine.

It is also known as Arthritis of the Neck, Cervical osteoarthritis, or Degenerative Osteoarthritis.

In cervical spondylosis, edges of the vertebrae start developing osteophytes. After some time the disc becomes thinner and loses its ability to absorb the shock that increases the risk of spondylosis.

If joints in the neck are swollen it is called FACET JOINTS. It makes pressure on the spinal cord or nearby nerve roots that create a tingling or pricking sensation and pain in limbs. In some cases, there is a loss of sensation and coordination. Some people develop difficulty in walking.

ACCORDING TO AYURVEDA

Cervical spondylosis in Ayurveda is described under “GRIVA SANDHIGATA VATA “or also called as “MANYASATAMBH” means stiffness in the neck. The abnormality in Vata doshas is caused by two procedure, in which one is Kapha and Pitta is not functioning properly.

Herbal Remedies for Cervical Spondylosis

The shalok describes that MANYA SATAMBH is a vataj dosha. When abnormal Vayu dosha entered into the nerves of neck, then MANYA SATAMBH develop. In this roga(disease) neck is contracted and stiffened inside.  Neck become stiff, watering from the mouth, teeth chattering is present, the body becomes rigid type. Back part is stretched, yawning or giddiness is present. They are the symptoms of MANYA SATAMBH.

CAUSES OF CERVICAL SPONDYLOSIS

  • OVERGROWTH OF BONES: The body trying to grow extra bones for making a stronger spine. This overgrowth of bones is called BONE SPURS or OSTEOPHYTES. This overgrowth of bones creates pressure on the delicate or soft area of the spine, like on spinal cord and nerves, which starts causing pain.
  • DRYING OF GEL-LIKE MATERIAL IN THE DISCS: In our spinal bones, discs are present between there is thick, pad-like cushions. This material protects from shock, injury, lifting, twisting, and other physical activities. This gel-like material start drying gradually and spinal discs become dehydrated bones rubbing with each other, so this is painful.
  • CRACKS IN THE DISCS:  The spinal discs start because of which gel-like material starts leaking. This leakage material puts pressure on the spinal cord and nerves that results in pain and numbness.
  • INJURY OR ANY TRAUMA: Any trauma to your neck, like during road accident, falling, fighting, etc. damage the spinal discs.
  • STIFFNESS IN THE LIGAMENT: The ligaments of the spinal cord start stiffening that makes your neck stiffed or tight and create restrictions in the movement of the neck.
  • MORE USING OF NECK: In some occupations or professional works and in some hobbies forceful and continues movements of the neck region,  this put the pressure on the spine.
  • Some genetical factors are also responsible for spondylosis.
  • As previously present in the family.
  • Smoking and any drug addiction are also responsible.
  • Overweight and lazy, inactive persons become primary for cervical spondylosis.
  • Any hormonal imbalance.

SYMPTOMS OF CERVICAL SPONDYLOSIS

Normally patients of cervical spondylosis, do not have any symptoms.

The range of clinical features occur from mild to severe or sometimes develop suddenly.

Common symptom is PAIN. Sometimes the pain radiates to the arm and fingers.

The pain mostly accelerates during

  • Person is in standing position
  • During the sitting position
  • While sneezing
  • At the time of coughing
  • When you are tilting your neck backward

Another symptom that is common is the weakness of the muscle. Due to weakening of muscles, it is difficult to grasps the objects and it is harder to lift the objects in arms.

Other common signs are:

  • The neck becomes stiffed
  • Headache mostly occurs
  • On the shoulder& leg region and arm, there is tingling sensation and numbness also occur in legs.

COMPLICATIONS OF CERVICAL SPONDYLOSIS

Cervical myelopathy can create other disabilities at different grading.

  • Tetraplegia
  • A chest infection can occur recurrently
  • Paraplegia
  • Pressure on the sores

Best Exercise for Cervical Spondylitis

EXERCISE FOR CERVICAL SPONDYLOSIS

  • Try to keep your body in a straight position. Make your posture straight during sitting and standing, don’t create a C-type curve shape posture of the spinal area. It is also called NECK STRETCH exercise. Hold this step for at least 5 seconds, and do the 5 repetitions.
  • NECK TILT sideways and also forwardly tilt your neck so that it touches the chest area. Do this for about 5 seconds and repeat this exercise 5 times.
  • NECK TURNING EXERCISE: Just turn your head at one side in a comfortable manner, stretch your neck muscle softly. Repeat this process, in the opposite direction.
  • SHOULDER EXERCISE: Move your shoulder in a round or circular manner, this process stretches your neck and spinal muscle.

LIFESTYLE ADVICE

  • Yoga like Tadasana, bhujangaasan, etc. and other physical activities such as swimming, cycling, light dumbbell, pushups are useful in cervical spondylosis.
  • PHYSIOTHERAPY is also another option for treating cervical spondylosis.
  • Painkiller can be used in severe condition.
  • Avoid physical or mental efforts, try to stay free from mental stress.
  • Take a good hour of sleep during night time. At least 6-7 hours of sleep is necessary.
  • Have a soothing massage with lukewarm oil.
  • Intake of easily digested food should be increased, vegetable soups, dairy products and nuts like almond, cashew nuts are added to your daily life.
  • Start taking of protein, calcium-rich diet.
  • Take a sunbath which is a good source of vitamin D, makes your bones stronger.

HOME REMEDIES FOR CERVICAL SPONDYLOSIS

  • Take two cloves of garlic and crush them. Add this paste to one glass of milk. Put it on a low flame for boiling, when one-fourth part is left, then strain it and divide it into two equal parts. Drink one part in the morning and another one at night time.
  • Take one tablespoon of castor oil before sleeping time.
  • Massage with almond oil or sesame oil on the back give a soothing effect.
  • During pain, you can take one glass of hot milk and add a pinch of turmeric in it. This remedy act as a natural analgesic.
  • An ice pack can be used during pain or stiffness.
  • Heat therapy also is used.
  • Take some cloves of garlic and one tablespoon of ajwain and roasts them until they become reddish brown, now add this material into the warm mustard oil or sesame oil. Massage with this oil mixture.

How Ayurveda Deals With Rheumatoid Arthritis (Ra)

Arthritis is a very common disease that has affected millions of people throughout the globe either in the form of osteoarthritis or rheumatoid arthritis. Rheumatoid arthritis is an autoimmune disorder that primarily affects small joints of hands and feet, further it involves the bigger joints. It is a progressive disease that  disturbs the normal chores of individuals and usually it affects females than males. Those who are affected by rheumatism presents with stiff and inflamed joints along with pain. Initially, it affects joints further it can affect the other organs also.

According to Ayurveda

According to Ayurveda rheumatoid arthritis is called as Aamavata. Here, in this condition, the main involved entities are – Agni, Vata and Ama.

WHAT ARE THE CAUSES OF RHEUMATOID ARTHRITIS?

  • Weak immune system
  • Improper diet and lifestyle
  • Genetic factor
    Risk factors-
  • Obesity
  • Age above 50 are more prone to rheumatoid arthritis.
  •  Smoking and alcohol

FAST FACTS ON RA

  • Swelling and pain increases during the rainy season and cold weather.
  • RA initially affects small joints, with time it affects large joints too.
  • Usually, stiffness occurs in the early morning and as the day passes, person feels better.
  • Stiffness often relieves with mild physical activities.
  • Sometimes symptoms tend to disappear but relapse after a short period of time.
  • It also affects other systems of the body.
  • Initially, RA affects interphalangeal joints, further it can affect bigger joints.

Rheumatoid Arthritis Treatment

SYMPTOMS

Rheumatoid Arthritis

(Reference – Bhavaprakasha / Madhyam khanda / Chikitsa sthana / Chapter no. 26 / Shloka no.7)

  • In this shloka symptoms of Amavata (Rheumatoid arthritis) are explained, they are

Angamarda (Body pains)

  • Vrishchak damsha vat vedanam” means the  character of pain is same as of scorpion bite.

This is the cardinal sign of rheumatoid arthritis.

  • Aruchi (Loss of appetite due to mandagni)
  • Trishna (Increased thirst)
  • Goravam (Heaviness all over the body)
  • Jwara (Low-grade fever)
  • Apaka (Indigestion)
  • Inflammation – Usually swelling is present in all affected joints, especially more at knees.
  • Tenderness
  • Itching – Mostly itching is present along with swelling. Itching occurs due to kapha.
  • Stiffness – Early morning stiffness is also a cardinal sign of amavata. Gentle physical activities relieve stiffness
  • Warm – On touch, the inflamed area is hot /warm.
  • Weakness
  •  Decreased sleep
  • Reduced mobility or functional deformity of affected joints
  • In severe cases, joint deformity (swan neck deformity), arthritis mutilans and nodules can occur.

CATEGORIES

We can categorize amavata on the basis of dosha involvement

  • Vata pradhan amavata – Pain is the prominent feature of vata pradhan amavata.
  • Pitta pradhan amavata – Burning sensation along with redness on the affected joints is the typical sign of pitta pradhan amavata
  • Kapha pradhan amavata – Itching and stiffness on the afflicted joints  are the main features of kaphajanya amavata.

DIAGNOSIS

  • Alone on a clinical basis, we can’t confirm the diagnosis, we need to take the help of some other diagnostic tools to confirm rheumatoid arthritis.

These diagnostic tools are:

  • Rheumatoid factor
  • ESR (Erythrocyte sedimentation rate)
  • C-reactive (CRP)
  • X–ray
  • MRI

MANAGEMENT STRATEGY

  • The main cause of amavata is Mandagni so, the management starts with Agni

Management Strategy includes:

  • Increasing digestive fire
  • Detoxifying the body
  • Symptomatic management
  • Restoring functional deformity.
  • Boosting Immunity

Ayurvedic Treatment of Rheumatoid Arthritis

TREATMENT ACCORDING TO AYURVEDA

  • Treatment includes palliative care as well as detoxifying procedures, they are

Panchakarma

  • Among purification procedures Patra pinda swedana or Valluka Sweda, Upanaha sweda, Virechana, Vaitarna basti or Kshaar basti are helpful. They help to remove toxins and restore the functional deformities.

PALLIATIVE CARE

  • Internal medicines are required to remove toxins,  manage the symptoms and eradicate the cause of rheumatoid arthritis. Thus, Planet Ayurveda offers herbal supplements to manage rheumatoid arthritis by the name of ‘RA CARE PACK’, that includes – Boswellia curcumin, Aamavatantak churna, Joint aid plus, Ashwagandha and Rumogin 5 capsules.

RA CARE PACK

Let us go through their action

BOSWELLIA CURCUMIN

  • These capsules contain Shallaki (Boswellia serrata) and Haridra (Curcuma longa). Shallaki is a well-known herb for its action on joints. It has anti-arthritic and anti–inflammatory properties that help to relieve inflammation, restores the function of affected joints, and reduces the level of cartilage degrading enzyme.
  • Haridra has anti- inflammatory and anti- histamine properties thus relieves inflammation and infections.

Dosage: 2 capsules twice daily with plain water, after meals.

AAMVATANTAK CHURNA

  • The constituents of this formulation are – Ashwagandha, haridra, methi, gorakhmundi, surnanjan, shunthi. These herbs help to eliminate toxins, cleanse the channels of body, relieves stiffness and also these herbs act on digestive fire thus work as an appetizer and reduces the production of Aama.

Dosage: ½ to 1 teaspoon twice daily with plain water, after meals.

ASHWAGANDHA CAPSULES

  • Ashwagandha (Withania somnifera)   is a health tonic that helps to rejuvenate the body, boosts up immunity and also helps to maintain body strength and vigor. In amavata, ashwagandha alters the surroundings of joints so that the toxins will not gather over them.

Dosage: 2 capsules twice a day with plain water, after meals.

JOINT AID PLUS

  • These capsules composed of nirgundi, shallaki, ashwagandha, sounth, guggulu and giloy. It is considered as one of the best herbal supplements for rheumatoid arthritis because the herbs possess anti- inflammatory and analgesic properties. Thus, it reduces inflammation of swollen joints and pains by removing aama from the affected joints.

Dosage: 2 capsules twice daily with plain water, after meals.

RUMOGIN 5 CAPSULES

  • This herbal formulation contains, haldi, shallaki, and trikatu (saunth, maricha, and pippali). Basically, helps to strengthen joints detoxify body

Dosage: 1 capsule twice daily with plain water, after meals.

EXTERNAL APPLICATION

  • a) Lepa application of medicated paste over affected joints is beneficial. For this, you can prefer – vaishnavar churna, panchakola churna, etc.
  • b) Abhyanga – Oil massage is helpful you can use vishagarbha taila, dashmula taila, prasarnyadi taila, brihat saindhava taila, etc.

GUIDELINES

  • YOGA AND PHYSICAL EXERCISES are helpful in this condition to relieve stiffness.

HOME REMEDIES

  • You can add shunthi (dry ginger) powder in your diet, daily consumption of 1 gm of shunthi with lukewarm water on an empty stomach is proven beneficial in this condition.
  • Gomutra – Cow urine is helpful in treating rheumatoid arthritis, you can consume 5 ml of cow urine daily.
  • You can use hot and cold pack compressions alternately.
  • Castor oil is also helpful.

Diet in Rheumatoid arthritis

Avoid

  • Curd, milk, black gram, oily foods, all sea foods, citrus fruits, potatoes, brinjal, red meat, fast food, etc.

In Take

  • Prefer – Shunthi, shigru, rasona, hot water, black pepper, haldi, amla ajwain, hinga, jeeraka, karela, neem, apple, pumpkin, pointed gourd, lentils, etc.