Cervical spondylosis: A case based exploration of Panchakarma therapeutic Potential

Abstract

Background: People's modern lives are mostly dependent on and hooked to digital lifestyles due to the nature of their jobs prolong sitting works for hours in one spot can lead to cervical issues, such as cervical spondylosis. This degenerative condition is persistent age-related wear and tear on the cervical spine's disc and vertebrae is known as cervical spondylosis. In Ayurveda cervical spondylosis can be corelated to the Manyastambha which is one among the 80 types of vata vyadhi. Aim and Objective: To study the effect of Greeva basti (localised cervical oil pooling therapy) and Kukutanda pinda sweda (hens’ egg bolus fomentation) along with Internal medication in the management of Manyastambha. Materials and methods: A 29-year-old female patient came with complaints of pain and stiffness in the back of neck region and mild radiating pain to left shoulder. Patient had complaints since three years and increased since six months used many medications but didn’t get any relief. X-ray finding shows Disc space narrowing at C4-C5, C5-C6 and Straightening of cervical Lordosis due to paraspinal muscle spasm. According to Ayurveda the treatment of vata vyadhi is snehan (oleation) and swedan (Fomentation). So, the treatment like Greeva basti and Kuktanda pinda (hen’s egg bolus) sweda are advised for nine days and followed by Ayurvedic internal medicines for one month. Result: The patient was assessed with subjective and objective parameter before and after treatment. The score of pain reduced from 3 to 0, stiffness from 2 to 0, range of neck movements Flexion from 3 to 0, extension from 3 to 1, lateral flexion rt and lt from 2 to 0, rotation of neck from rt and lt 2 to 0.  Conclusion: A treatment protocol, consisting of Greeva basti (localized oil pooling therapy) and Kukutanda pinda sweda (hens’ egg bolus fomentation), and oral herbal medications, significantly improved cervical spondylosis symptoms by 90% and enhanced cervical curvature, as confirmed by radiographic evidence.