Conservative management of acute prolapsed inter-vertebral disc with ayurveda: A case report

Journal of Ayurveda and Integrative Medicine

Vaishali S. Deshpande¹  Ashutosh Bhosale²  Shailesh V. Deshpande³  Maruti Kadam⁴ 

[1] Corresponding author.;Department of Kayachikitsa, Parul Institute of Ayurved and Research, Parul University, AP - Ishwarpura, Tal - Waghodia, Vadodara, Gujarat, India;Department of Kayachikitsa, Parul Institute of Ayurved, Parul University, AP Limda, Tal – Waghodia, Vadodara, Gujarat, India;Department of Orthopaedics, Moraya Hospital and Research Centre, Satara, Maharashtra, India;

关键词: Ayurveda;    Herniated disc;    IVDP;    Sciatica;    Panchakarma;    Basti;   

DOI  :  

来源: DOAJ

【 摘 要 】

Acute prolapsed inter-vertebral disc (IVDP) is a painful condition that requires immediate treatment by conservative or surgical management. Though majority of patients show remission in symptoms with conservative treatment, regression of herniated disc with non-surgical management has been rarely reported. A 46 years old female patient with acute and severe low back pain, disability and radiating pain towards right lower extremity came to our hospital. Oswestry Disability Index (ODI) score of the patient was 94% indicating bed-ridden condition. MRI of lumbar spine showed diffuse posterior disc bulge between fourth and fifth lumbar vertebra indenting right traversing nerve root and inferior displacement of extruded disc along the body of fifth lumbar vertebra. She was treated according to treatment explained in Ayurveda. She received oral medications, application of medicated oils, fomentation and medicated enema (Basti). After treatment of seven and half months, the patient showed good remission in pain, stiffness and radiculopathy. ODI score reduced to 9% that indicates minimal disability. Follow up MRI showed non significant compression of the nerve root and gross reduction in the inferior displacement of extruded disc. Acute IVDP can be successfully conserved using Ayurveda treatment. The Panchakarma procedures and medicines used in the treatment need further evaluation.

【 授权许可】

Unknown