Spine & Joint Care

Joint degenerative osteoarthritis is referred to as spondylosis.

Degenerative alterations may result from cervical spine OA.

Neck pain that travels to the shoulders or arms or the back of the skull.

Parasthesia & loss of sensation weakness, atrophy, and impaired reflexes

Myelopathy, which is characterised by general weakness, gait dysfunction, loss of balance, and loss of bowel and/or bladder control, can be brought on by direct pressure on the spinal cord.

Because of the compression of the nerves and the lack of blood flow, the patient may experience the phenomena of shocks in their hands and legs.

Asthikshaya is shown sporting compensatory spurs. Spurs that have just formed are an example of vimargagamana of asthibhavas in the spine. The nucleus pulposus of a healthy disc is gifted with kapha, making it appear grey on an MRI.

As vatakopa leads to karshnya, a dehydrated disc with kaphakshaya will appear black on an MRI.

There will be considerable neck pain and movement restrictions. As the upper thrikasthana ages and becomes kaphakshaya, vata dominates and asthivikruthi results.

In severe situations, upadhanthus like snayu, the developing spinal nerves that cause radiating pain in the upper limb comparable to viswachi, may be involved. This kind of upadhathupradoshaja vyadhi is indicated by the presence of shoola and supthi in the hand.

Treatment:

1. Deepana and pachana to enhance agni and remove ama

2. Rookshana sweda

3. Rookshana snigdha sweda

4. Snigdha swedam( sweda with oil)

5. Greeva vasthi

6. Nasya

7. Auttarabhaktika snehapana

Spondylosis, a degenerative condition, literally means “stiffening or fixing of the bone building blocks of the spine as a result of a disease process.”

A vata-dominant sandhiroga that affects the katee region is lumbar spondylosis. The prishta asthisandhis leading to rukshatha and vatakopa also contain kapha kshaya in this instance. As with gridrasi, pain will radiate from the sphink to the pada in the lower limb if upadhatus in the form of nerves sprouting from the katee desha is present.  The characteristic of LS is kateesoola. The spine will take on the shape of a bamboo with less or no chala guna of vata if there is more vatakopa.

Risk factors:

1.  Past spine injury

2.  Severe arthritis

3.  Past spine injury and surgery

Signs and symptoms:

1.  LBP, sciatica

2.  Tenderness of affected vertebrae

3.  Lumbar movements- limited and painful

Clinical features:

1.  Pain worsening at night

2.  Stiffness more in the early morning

3.  Postural changes

4. Dorsal kyphosis

5. Spinal flexion limited

6. Pain gets worse with repeated movements, such as lifting and bending.

Treatment

Creating anulomatha in pakwasaya is the key target in LS. Ashtisaravarshana drugs are to be given during the entire course. Alana data anulomana chikitsa by vasti is of special importance here.