Tag: Palmaris Brevis Spasm Syndrome

Palmaris Brevis Spasm Syndrome Treatment In Ayurveda

Palmaris Brevis Spasm Syndrome

Abstract

Palmaris brevis syndrome is pseudo dystonia which is characterized by abnormal involuntary contractions of the palmaris brevis muscle which is present in the hypothenar eminence. Neuromuscular disease is a disease which affects the peripheral nervous system, the neuromuscular junction is the component of the motor unit. Damage to the structures can cause muscle atrophy, it can be genetic or acquired. Neurological disorders affect the brain as well as the nerves throughout the human body and spinal cord. Structural, biochemical and electrical abnormalities in the brain and spinal cord cause various symptoms. The specific causes of neurological problems include genetic causes, congenital abnormality and lifestyle changes which include malnutrition, brain injury and nerve injury.

Neuroregeneration occurs in the peripheral nervous system. The brain and the spinal cord are enclosed in the skull and are isolated by the blood-brain barrier. In this article, we are going to discuss palmaris brevis syndrome symptoms, causes and its ayurvedic aspect in detail.

Palmaris Brevis Spasm Syndrome

Introduction

The palmaris brevis is a thin quadrilateral muscle located on the hypothenar eminence and ulnar canal. It is a rare and benign condition of localised muscular hyperactivity causing intermittent twitching of the palmaris brevis muscle and this muscle is supplied by the ulnar nerve. It arises from the tendinous fasciculi from the transverse carpal ligament and palmar aponeurosis. The Palmaris brevis muscle tenses the skin during a grip action helps to deepen the hollow of the palm and has fatigue-resistant fiber-type action. The palmaris brevis is absent in approximately 3 % of the patient. It is located on the ulnar side of the hand and arises from the tendinous fasciculi, these muscles are inserted into the skin on the ulnar border and occasionally on the pisiform bone. The palmaris brevis act to fold the skin on the hypothenar eminence transversally. It is a striated muscle which plays a role in protecting the neurovascular bundle to grasp the thing and improve gripping which is characterized by spontaneous involuntary contractions of the palmaris brevis muscle. The Palmaris brevis is the only muscle which is innervated by the superficial branch of the ulnar nerve (C8-T1). This muscle has a fatigue-resistant fibre type which supports the protective function of ulnar nerve vasculature in grasping tasks.

Causes

  • The exact cause of palmaris brevis syndrome is unknown
  • Acquired causes such as C8 root compression
  • Ulnar nerve injury can result in palmaris brevis spasm syndrome

Risk Factors

  • Workers who use the vibratory tools
  • Who uses and works continuously keyboards and mouse

Signs and Symptoms

  • Irregular and involuntary dimpling of the hypothenar eminence
  • Hyperactivity of the palmaris brevis muscle.
  • It can be familial, bilateral and mostly seen in children.
  • Three is subjective numbness in the small finger and ulnar half of the ring finger.

Investigations

  • Electromyography (EMG)
  • CT Scan
  • MRI (Magnetic resonance imaging)

Diagnosis

  • Anterior horn cell disease  

Management

  • Lignocaine block of the ulnar nerve
  • Phenytoin and carbamazepine
  • Injection of botulinum toxin

Ayurvedic Aspect and Treatment of Palmaris Brevis Spasm Syndrome

  • Ayurveda is a life science which usually focuses on the treatment of the disease from its root cause as well as on dietary and lifestyle management. Ayurveda basically has three doshas- Vata, Pitta, and Kapha. When these doshas are under normal limits then the individual is healthy and some of the vitiations or imbalance causes the disease. Vata represents the balancing element of the body, it distributes the heat and coldness throughout the body and balances the physiological activities.
  • Vata controls the functions of the body and is considered the remote control of the body, it helps to supervise the functions of the mind and perceptions. It governs the neurological functions of the body, all contractions and relaxations of the blood vessels and muscles are controlled by the Vata doshas. When the hamper of the doshas is seen it results in various symptoms such as numbness, muscle twitching and relaxation of the muscles.
  • Vata doshas cause emaciation which causes the destruction of tissues and leads to muscle weakness and a nervous breakdown which includes numbness, pain, and scaling of the body.
  • The main protocol is to maintain and correct the vitiated Vata doshas which will eventually correct the brevis spasm syndrome.
  • Prana Vata and Vyana Vata are mainly responsible for carrying out most of the activities of the body including musculoskeletal development which enables movements.

Herbs Useful for Palmaris Brevis Spasm Syndrome

Eranda

Eranda (Castor) can be used externally and internally which is helpful in relieving pain and useful in neurological disorders. It helps to balance the Vata and Kapha doshas and it can enter the minute channels of the body. Eranda is helpful in abdominal tumors and helps to relieve the pain in the lower back, in urinary tract disorders and in rheumatoid arthritis. Useful in bronchitis, many skin diseases and in hepatitis. Improves digestion, ascites and balances the Vata doshas.

Rasna

Rasna (Pluchea lanceolata)is an ayurvedic herb which is useful in the treatment of pain, indigestion and in general debility. Its main action is to control the poison level in the body. Rasna is helpful in the enlargement of the abdomen and helps to relieve the ama doshas. Helpful in treating joint pain, known as a uterine tonic and has analgesic properties.

Kantakari

Kantakari (Solanum surattense) is a very useful herb which is used in respiratory tract disease. It has anti-inflammatory properties, which help to relieve hiccups and in treating pains and aches. Balances the Vata and Kapha Doshas, helps to stimulate the digestive fire and treats the dyspnoea and cough. Helpful in cardiac disorders, which reduces the fat and cholesterol level in the body.

Shyonaka

Shyonaka (Oroxylum Indicum) is known for its analgesic and anti-inflammatory properties. Helps to balance the Kapha and Vata doshas, acts as a purgative and is an effective remedy for constipation. Detoxify the blood which helps in cleansing the wound. Useful in gynaecological disorders and give relief to tonsils and are beneficial in heart disorders. Shyonaka has antifungal and antibacterial properties.

Herbal Remedies by Planet Ayurveda for Palmaris Brevis Spasm Syndrome

Planet Ayurveda is an eminent GMP-certified, ISO 9001:2015 certified and US- FDA registered Ayurvedic company which adheres to the objective of manufacturing quality Ayurvedic products as mentioned in a number of the ancient texts of ayurveda. The medicines manufactured here are free from any additives, preservatives and from any kind of chemicals and artificial flavouring agents which causes side effects on the body. The formulations which are prepared at planet Ayurveda are pure and devoid of any adulteration. These products are organic, vegetarian and gluten-free. For Palmaris brevis spasm syndrome planet, ayurveda provides herbal remedies which will show great results.

Products List

  1. Neurogenie Capsules
  2. Ashwagandha Vati
  3. Mahavat Vidhwansan Ras
  4. Balarisht
  5. Vata Balance

Herbal Remedies For Palmaris Brevis Spasm Syndrome
Herbal Remedies For Palmaris Brevis Spasm Syndrome

Products Description

1. Neurogenie Capsules

Neurogenie Capsules are polyherbal capsules made by planet ayurveda consisting of Brahmi (Bacopa monnieri), and Ashwagandha (Withania somnifera). These capsules help to promote neurological functions. It helps to promote the health of the muscle and provides coordination of nerve conduction. These capsules are rich in antioxidants which help to reduce the free radicals from the body, pacify the Vata doshas and are effective in neurodegenerative disorders.

Dosage- 1 capsule twice daily with plain water after meals.

2. Ashwagandha Ghan Vati

Ashwagandha Ghan Vati are herbal tablet formulations which are made by planet Ayurveda using Ashwagandha (Withania somnifera). Ashwagandha helps to maintain the overall health of the body. It helps to improve digestion and works as a diuretic and reduces the symptoms of asthma, reduces the inflammation of the uterus. Improves the neurological impulses and pacifies the Vata doshas and helps in proper movements and sensations.

Dosage- 2 tablets twice daily with lukewarm water.

3. Maha Vatvidhwansan Ras

Maha Vatvidhwansan Ras is a classical ayurvedic formulation which is helpful in pacifying the Vata doshas which consist of various ingredients such as Shuddha Parada (Purified Mercury), Tamra Bhasma (Calx of copper), Pippali (Piper longum), Tankan Bhasma (Calx of borax) and many more. It is helpful in balancing the tridoshas of the body which maintains healthy conditions. This tablet is used in shoulder dislocation pain and promotes the strength of bones and joints. Is an excellent anti-inflammatory and has analgesic properties.

Dosage- 1 tablet twice daily before or after meals.

4. Balarisht

Balarisht is a famous ayurvedic formulation which is made by planet ayurveda and helps to provide strength to the nerves and muscles. It contains various ingredients such as Bala (Sida cordifolia), Ashwagandha (Withania somnifera), Ksheer kakoli (Fritillaria roylei) and many more. It is known for its best nerve tonic, which helps to improve strength and has anti-inflammatory properties. It is used in various disorders such as Paraplegia, nasal congestion and in erectile dysfunction.

Dosage- 2 teaspoons twice daily with an equal amount of water.

5. Vata Balance

Vata Balance is polyherbal capsule which are made by planet ayurveda using various ingredients such as Bilwa (Aegle marmelos), Shyonak (Oroxylum indicum), Gambhari (Gmelina arborea), Shalparni (Desmodium gangeticum) and many more. These herbs are useful in pacifying the Vata dosha and regulating the normal functioning of Vata dosha and alleviating the irregular and involuntary spasmodic condition of the palmaris brevis muscle.
Dosage- 1-2 capsules twice daily

Contact Planet Ayurveda Support Team to provide you the costing / ordering and delivery information at – costing.planetayurveda@gmail.com or Call at 0172-521-4040 (India), +91-172-521-4040 (Outside India) or Whatsapp at (+91) 9915-593-604

Conclusion

Palmaris brevis syndrome is pseudo dystonia which is characterised by abnormal involuntary contractions of the palmaris brevis muscle which is present in the hypothenar eminence. The palmaris brevis is absent in approximately 3 % of the patient. It is located on the ulnar side of the hand and arises from the tendinous fasciculi, these muscles are inserted into the skin on the ulnar border and occasionally on the pisiform bone. The Palmaris brevis is the only muscle which is innervated by the superficial branch of the ulnar nerve (C8-T1). Prana Vata and Vyana Vata are mainly responsible for carrying out most of the activities of the body including musculoskeletal development which enables movements. Further, we discussed herbal remedies by planet ayurveda which will provide great relief to maintain a healthy body.

Palmaris Brevis Spasm Syndrome Causes And Treatment By Ayurveda

Abstract

Neurological disorders are disorders that occur due to abnormality in the brain, neurons, nerves, and spinal cord due to structural deformity, damage due to injury, metabolic issues, and other various factors. These factors can result in a number of symptoms including pain, spasms, involuntary contraction and relaxation of the muscles, altered body functions, and others. In Ayurveda, there are three basic doshas, if within normal limits result in a healthy person and vitiation of the same cause diseases. Vata dosha is responsible for all the movements and neurological functions and vitiation of the vata dosha results in diseases related to the neurological system. Palmaris brevis spasm syndrome (PBSS) is also a neurological disorder that affects the palmar brevis muscle. In the following text, we shall see some detail of the condition and also discuss its management in the contemporary system of medicine as well as in the traditional system of the Indian medicinal system of Ayurveda. Let’s discuss it!!Palmaris Brevis Spasm Syndrome

Introduction

Palmaris brevis is a tiny rhomboid-shaped muscle that arises from the transverse carpal ligament and palmar aponeurosis and is inserted into the ulnar border of the palm of the hand and the action of the muscle is to elevate dimpling if the hypothenar eminence. The superficial branch of the ulnar nerve supplies the palmaris brevis muscle. It must be noted that the palmaris brevis muscle is not under voluntary control and its contraction is completely involuntary. Palmaris brevis spasm syndrome (PBSS) is characterized by spontaneous, irregular, and involuntary dimpling or contraction of the palmar brevis muscle. It can be bilateral or unilateral. In Ayurveda, the correlation of the Palmaris brevis spasm syndrome (PBSS) can be best established with vata dosha vitiation. We shall see its details further in this article. Now let’s see the causes, classification, features, management, and Ayurvedic aspect of the condition.

Causes of Palmaris brevis spasm syndrome (PBSS)

  • The exact cause of Palmaris brevis spasm syndrome is unknown
  • Acquired causes such as C8 root compression
  • Ulnar nerve injury can result in Palmaris brevis spasm syndrome

Risk factors

  • Workers or those who use vibratory tools
  • Who works continuously using a keyboard and mouse

Signs and symptoms

  • Irregular and involuntary dimpling of the hypothenar eminence
  • Hyperactivity of the palmaris brevis muscle

Investigations 

  • Electromyography (EMG)
  • CT Scan
  • MRI

Differential diagnosis

  • Anterior horn cell disease

Management of Palmaris brevis spasm syndrome

  • Lignocaine block of ulnar nerve
  • Phenytoin and carbamazepine
  • Injection botulinum toxin

Ayurvedic aspect and management of Palmaris brevis spasm syndrome 

  •  Ayurveda is a life science that focuses on the treatment of the disease from its root cause as well as on dietary and lifestyle management. Ayurveda has three basic dosha – vata, pitta, and kapha. All these doshas within normal limits result in a healthy individuality and any type of vitiation among them causes diseases. Vata dosha governs all the neurological functions of the body and all the contractions, relaxations of the muscles, movement of the blood in the vessels, etc. When the vata dosha stays within its normal limits all these functions are normally performed and the vitiation of the vata dosha hampers these processes and results in a number of symptoms including numbness, loss of sensory and motor functions, muscle twitching, irregular contractions and relaxations of the muscles, etc.
  • Palmaris brevis muscle spasm syndrome is a condition that is characterized by the irregular and involuntary contraction of the palmar brevis muscle.  As the contractions and relaxations of the muscles are controlled by the vata dosha and its normalcy these functions properly and vitiation leads to improper and uncoordinated contractions and relaxations. So on this ground, it can be said that the palmaris brevis spasm syndrome is due to the vata dosha vitiation and hence can be considered as a disorder of vata and can be named as vata roga.
  • The management protocol is composed of correcting the vitiated vata dosha which will eventually correct the spasm of the palmaris brevis muscle.
  • Herbs including Erand (Ricinus communis), rasna (Pluchea lanceolata), Shalparni (Desmodium gangeticum), Prishniparni (Uraria picta), Brihati (Solanum indicum), Kantakari (Solanum surattense), Gokshur (Tribulus terrestris), Gambhari (Gmelina arborea), Agnimantha (Clerodendrum phlomidis), Patla (Setreospermum suaveolens), shyonak (Oroxylum indicumn) ands bilva (Aegle marmelos), ashwagandha (Withania somnifera), bala (Sida cordifolia) and many other of great help in managing the condition of Palmaris brevis spasm syndrome.
  • Herbal formulations including that vatchintamani ras, maha vidhwansan ras, rasnadi kwath, Baladi taila, sahachara taila, amritadi taila, rasna taila, chyawanprash, and many others are much helpful in vata roga which is regarded as Palmaris brevis spasm syndrome.

Herbal Remedies for Palmaris brevis spasm syndrome by Planet Ayurveda

Planet Ayurveda is an eminent GMP-certified, ISO 9001:2015 certified and US-FDA registered Ayurvedic Company, which adheres to the objective of manufacturing quality Ayurvedic products as mentioned in a number of ancient texts of Ayurveda. Formulations are manufactured without additives and preservatives and other kinds of chemicals or artificial flavoring agents which can have a number of side effects on the human body. Products manufactured at Planet Ayurveda are pure and devoid of any kind of adulteration. The products are purely organic, vegetarian, gluten-free, and halal-certified. Planet Ayurveda presents its product that effectively manages the condition of Palmaris brevis spasm syndrome.

Following is the list of formulations that are helpful in managing Palmaris brevis spasm syndrome 

Product List

1.  Neurogenic Capsules

2.  Ashwagandhaghan Vati

3.  Maha Vatvidhwabsan Ras

4.  Balarisht

5.  Vata Balance

Herbal Remedies For Palmaris Brevis Spasm Syndrome
Herbal Remedies For Palmaris Brevis Spasm Syndrome

Product Description

1. Neurogenic Capsules

Neurogenic capsules are composed of herbs that are mentioned as medhya in Ayurvedic texts. These herbs promote and improve neurological functions as per Ayurvedic texts. The formulation contains the herbs Brahmi (Bacopa monnieri) and ashwagandha (Withania somnifera). As these are beneficial in promoting muscle health and nerve conduction and coordination. The herbs used in pacifying the vata dosha. Neurogenic Capsules are therefore helpful in numbness, pain, reduced motor and sensory function, and other conditions of the neurological system. Therefore, these capsules effectively manage the condition of Palmaris brevis spasm syndrome.

Dosage: One capsule twice a day.

2.  Ashwagandhaghan Vati

Ashwagandhaghan Vati is filled with the effectiveness of the herb ashwagandha (Withania somnifera) that possesses rasayana properties. Ashwagandha provides overall wellness. It rejuvenates the body cells. Further, it strengthens the muscles and helps in the demyelinating and degenerative conditions of the neurons. Therefore this property helps in the alleviation of associated symptoms of the above-said conditions and pacifies the vata dosha. Further, it improves neurological impulses thus helping in proper movements and sensations. With all these actions, Ashwagandhaghan Vati is helpful in managing Palmaris brevis spasm syndrome. 

Dosage : Two tablets twice a day 

3.  Maha Vatvidhwabsan Ras

Maha vatvidhwansan ras is a classical herbomineral formulation that is an effective remedy to pacify the vitiated vata dosha. The formulation contains Shuddha parada (purified mercury), shuddha Gandhak (purified sulphur), Naga bhasma (lead calx), Loha bhasma (iron calx), Abhrak bhasma (calx of purified Mica), Pippali – long pepper (Piper longum), Black pepper (Piper nigrum), Shuddha Vatsanabha (purified Aconitum ferox), Bhringaraja (Eclipta alba), Amalaki (Emblica officinalis) and many others. As the name of the formulation suggests it primarily corrects the vitiated vata dosha. Correcting the vata dosha proves to be a formulation of choice in managing the condition of Palmaris brevis spasm syndrome.

Dosage: One tablet twice a day with plain water after meals

4.  Balarisht

Balarisht is a classical herbal formulation that provides strength to the nerves and muscles. The formulation is composed of Bala (Sida cordifolia), ashwagandha (Withania somnifera), Dhataki Pushpa (Woodfordia fruticosa), Ksheer Kakoli (Fritillaria role), Erand Mool (Ricinus communis), Rasna (Pluchea lanceolata), Badi Elaichi (Amomum subulatum), Laung (Syzygium aromaticum), Khas (Vetiveria zizanioides), Gokshur (Tribulus Terrestris) and various others. Balarisht helps in Palmaris brevis spasm syndrome by pacifying the ata dosha and by strengthening the muscles and nerves. As it provides strength to these structures which helps in the proper conduction of the nerve impulses and also the regulation of the contraction and relaxation of the muscle. Hence this formulation is of great help in managing the above-mentioned condition.

Dosage : Two tsp twice a day with an equal amount of water

5.  Vata Balance

Vata balance is a product of Planet Ayurveda which is filled with properties of herbs shalparni (Desmodium gangeticum), prishniparni (Uraria picta), brihati (Solanum indicum), kantakari (Solanum surattense), gokshur (Tribulus terrestris), gambhari (Gmelina arborea), agnimantha (Clerodendrum phlomidis), patla (Stereospermum suaveolens), shyonak (Oroxylum indicum) ands bilva (Aegle marmelos). All the herbs are known to pacify the vata dosha and thus manage the condition of Palmaris brevis spasm syndrome by regulating the normal functioning of the vata dosha and alleviating the irregular and involuntary spasmodic condition of the palmar brevis muscle.

Dosage : One capsule twice a day

CONTACT  PLANET AYURVEDA  TO PROVIDE YOU WITH THE    COSTING / ORDERING AND DELIVERY INFORMATION AT – COSTING.PLANETAYURVEDA@GMAIL.COM OR CALL AT +91-172-5214040

Conclusion 

As we discussed Palmaris brevis spasm syndrome, we came to know that the condition causes irregular and involuntary spasms of the palmaris brevis muscle which causes dimpling of the hyp[othenar eminence. Furthermore, the exact cause of the condition is unknown, and in Ayurveda, the condition is compared with the vata dosha vitiation as the vata dosha is responsible for muscle contractions and relaxations. Hence, by pacifying the vata dosha, the condition can be corrected. In the contemporary system of medicine, there is no proper management available to cure the condition though some of procedures can be performed which can cause a number of side effects. Whereas, the side-effects of free science help in managing the condition through herbal and herbomineral formulations that manage the condition positively and come up with positive results. Above mentioned products or formulations effectively pacify the vata dosha which eventually manages the Palmaris brevis spasm syndrome impeccably.