A Study on Frozen Shoulder and its clinical management through Nasaapana and Nasya

The unique position of man as a master mechanic of the animal kingdom is because of skilled movements of his hands and when this shoulder joints get obstructed, we call it as Apabahuka (Frozen shoulder), we do not find satisfactory management in modern medical science. Various effective treatment modalities have been mentioned which reverse the pathogenesis, Shodhana is advised initially followed by Shamana therapies. In the present study 30 patients were selected incidentally and placed randomly into two groups A and B, with 15 subjects in each group. Group A received Amapachana with Panchakola Churna, Jambeera Pinda Sweda and Nasya Karma. Group B received Amapachana with Panchakola Churna, Jambeera pinda Sweda and Nasaapana. In both the groups two months follow up was done. Both groups showed significant improvement in the signs and symptoms of Apabahuka as well as the activities of daily livings, thereby improving the quality of life of the patients. Nasya Karma and Nasaapana provided highly significant results in all the symptoms of Apabahuka. In the present study as per the clinical data, Nasaapana is found to be more effective than Nasya Karma.

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“A COMPARATIVE CLINICAL STUDY TO EVALUATE THE EFFICACY OF SHEETALA JALA NASYA AND MASHA TAILA NASYA WITH RASNADI GUGGULU IN THE MANAGEMENT OF AVABAHUKA WITH SPECIAL REFERENCE TO FROZEN SHOULDER”

November 2020 - International Ayurvedic Medical Journal ◽

10.46607/iamj1608102020 ◽

2020 ◽

Vol 8 (10) ◽

pp. 4669-4676

Author(s):

Maitradevi 1 ◽

Uma Patil

Keyword(s):

Clinical Study ◽

Shoulder Joint ◽

Frozen Shoulder ◽

Treatment Modalities ◽

Daily Routine ◽

Routine Work ◽

Comparative Clinical Study ◽

Group A ◽

Group B

Avabahuka is a disease of Amsa Sandhi (shoulder joint) and it has been described under eighty types of Vata Vyadhi by Acharya Sushruta. Being a disease of shoulder joint, which has greatest range of motion, is of vital importance to the activities of daily routine work. This disease is a hindrance in one’s productivity. Various effective treatment modalities have been mentioned in our classics regarding this disease. In order to reverse the pathogenesis, Shodhana is advised initially followed by Shamana therapies. In the present study 40 patients were selected incidentally and placed randomly into two groups- A and B, with 20 sub-jects in each group. Group- A received Nasya with Sheetala Jala and Group- B received Nasya with Ma-sha Taila followed by Rasnadi Guggulu as Shamanoushadhi for both groups A and B. In both the groups after 7th day of Nasya Karma follow up was done. Assessment was done on the bases of symptomatology. Nasya Karma provided highly significant results in all the symptoms of Avabahuka. In the present study as per the clinical data, ‘Nasya with Masha Taila is found to be more effective than Nasya with Sheetala Jala’.

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EVALUATION OF THE EFFECT OF UTTARABASTI AND MATRABASTI IN KLAIBYA W.S.R.TO ERECTILE DYSFUNCTION

November 2020 - International Ayurvedic Medical Journal ◽

10.46607/iamj02p5042021 ◽

2021 ◽

Vol p5 (4) ◽

pp. 2880-2887

Author(s):

Prakash Meti ◽

Lohith B A

Keyword(s):

Quality Of Life ◽

Erectile Dysfunction ◽

Negative Impact ◽

Treatment Modalities ◽

The World ◽

Significant Negative Impact ◽

Group A ◽

Group B

The condition in which loss or decrease in the capacity of normal erection with sufficient rigidity for penetrative intercourse is described as 'Klaibya'. It can be compared with Erectile dysfunction. Erectile dysfunction (ED) is a highly prevalent condition among men all over the world. It has a significant negative impact on the quality of life of the patients along with their partners. Hence to treat such condition many treatment modalities have been men- tioned in Ayurveda among which Basti has prime role. In the present study Ashwagandha taila is used in the form of Uttarabasti and Matrabasti for 8 consecutive days to know its effect on Klaibya. Follow up of 16 days was done. The results were compared based on the subjective and objective parameters after 24 days. After assessing the parameters, it was observed that Group A Ashwagandha tailaUttarabasti has better role as compared to Group B Ashwagandha TailaMatrabasti in the management of Klaibya. Keywords: Klaibya, Uttarabasti, Matrabasti, Ashwagandha Taila, Erectile Dysfunction

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A COMPARISON BETWEEN SYNTHETIC AND BIOSYNTHETIC MESHES IN THE SURGICAL TREATMENT OF SEVERE GENITAL PROLAPSE: RESULTS AND COMPLICATIONS

Urogynaecologia ◽

10.4081/uij.2009.3.21 ◽

2010 ◽

Vol 23 (3) ◽

pp. 21

Author(s):

S. Dati ◽

V. De Lellis ◽

P. Palermo ◽

G. Carta

Keyword(s):

Genital Prolapse ◽

Pelvic Organ ◽

Wilcoxon Test ◽

Type I ◽

Replacement Surgery ◽

Group A ◽

Group B ◽

Work Up

The effectiveness, tolerability and complications of two surgical procedures using prosthetic materials with different physical and structural properties were assessed with a full Urogynecology work-up, through a retrospective study of 158 patients with severe genital prolapse (POP-Q staging III-IV) selected from November 2006 to April 2009. Eighty-six patients underwent fascial replacement surgery with ProliftTM System with a dual transobturator access in the anterior district and a transperineal posterior access with a synthetic polypropylene type I mesh (Group A). Seventy-two patients who underwent pelvic organ prolapse surgery with Avaulta/Avaulta PlusTM System with a dual transobturator access in the anterior district and a dual transperineal posterior access with a biosynthetic polypropylene type I mesh coated with a film of hydrophilic porcine collagen were placed in Group B. There were no intra and postoperative complications. Results of mean 20.8 month follow-up showed an effective anatomical cure rate of 89.5% in group A and 86.1% in group B and a low percentage of erosive complications, 8.1% and 5.6% respectively. Validated questionnaires for prolapse, the UDI 6 s.f., the IIQ7 s.f. and the PISQ-12 all showed a statistically significant improvement of quality of life in patients undergoing the two procedures (Wilcoxon test: P<0.001).

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Immediate Effect of Muscle Energy Technique and Kalternborn Mobilisation Technique on Pain in Diabetic Patients with Periarthritis of Shoulder

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i42a32758 ◽

2021 ◽

pp. 220-228

Author(s):

Kamya Somaiya ◽

G. D. Vishnu Vardhan ◽

Ashish Bele

Keyword(s):

Quality Of Life ◽

Adhesive Capsulitis ◽

Frozen Shoulder ◽

Diabetic Patients ◽

Tissue Degeneration ◽

Muscle Energy Technique ◽

Group A ◽

Muscle Energy ◽

Group B

Background: Periarthritis Shoulder, also known as adhesive capsulitis, is a condition that results in tissue degeneration, thickening of the joint capsule, and a narrowing of the glenoid cavity. Diabetes mellitus is linked to many debilitating musculoskeletal disorders of the hand and shoulder. Prevalence of adhesive capsulitis or frozen shoulder is estimated to be 11-30 percent in people with diabetes. Various interventions have already been used to prevent pain and improve quality of life. Both Muscle Energy Technique and Kalternborn Mobilization Technique are thought to have a pain-relieving effect. Aim & Objective: The study's aim is to compare the effects of both techniques on pain in diabetic patients. Methods/Design: In this study experimental study, the participants will be divided into two groups: Kalternborn Mobilization Technique Group (A) and Muscle Energy Technique Group (B) based on inclusion and exclusion criteria. Both interventions include 30-45 min session which will be carried out for duration of four days. Outcome will be Pain and Quality of Life and outcome measures will be evaluated at beginning and at the end of intervention period. Result: Successful Completion of trial of Muscle Energy Technique and Kalternborn Mobilisation Technique will provide evidence for best strategy targeting Pain and quality of life in diabetic patients with Periarthritis of Shoulder. Conclusion: The study will be concluded with the significant effect of Muscle Energy Technique and Kalternborn Mobilisation Technique on Periarthritis shoulder of diabetic patients.

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TO EVALUATE THE EFFECT OF UPANAHA SWEDA IN JANUSANDHIGATA VATA WITH VACHADI AND KOLADI YOGAS A COMPARATIVE CLINICAL STUDY

November 2020 - International Ayurvedic Medical Journal ◽

10.46607/iamj1209082021 ◽

2021 ◽

Vol 9 (8) ◽

pp. 1675-1682

Author(s):

Desai Sucheta ◽

Desai Ananta ◽

Borannavar Shaila

Keyword(s):

Clinical Study ◽

Elderly Population ◽

Functional Disability ◽

Signs And Symptoms ◽

Walking Distance ◽

Treatment Modalities ◽

Age Factor ◽

Comparative Clinical Study ◽

Group A

The present scenario of lifestyle is prone to cause many lives deteriorating conditions. Sandhigatavata is one among the Vatavyadhi and the commonest articular disorder affecting the middle-aged, obese, and elderly population. The advancement in working pattern, lifestyle & age-factor, all together have become a prime cause for aggravation of Vata, which accelerates Dhatukshaya (depletion of tissues). Sandhigatavata can be correlated with osteoarthritis (OA) which is one such chronic, degenerative, inflammatory disease that has a great impact on the quality of the life of an individual. OA poses a huge hindrance in the day-to-day activities of the sufferer like walking, dressing, bathing etc. As per Ayurveda, it is caused due to localized accumulation of aggravated Vata in joints, which leads to Shula, Sotha, Vatapoornadritisparsha and functional disability of affected Sandhis. If not treated in time, the disease makes man disable. According to epidemiology the prevalence of osteoarthritis in India is 22-39%. Different treatment modalities like Snehana, Swedana, Lepa, Bandhana, Agni Karma and Raktamokshana are emphasized in Ayurveda to provide better relief from the pain and swelling and restore mobility; for the management of these symptoms, Swedana is the most convenient & best procedure. So, the present study was aimed to assess clinically the effect of Upanaha Swedas in the management of Janusandhigatavata. Objectives: To evaluate and compare the efficacy of Vachadi Upanaha Sweda and Koladi Upanaha Sweda in the management of Janusandhigatavata. Materials and Methods: It was a randomized comparative clinical study; total 40 patients were divided into 2 groups as 20 in each. In Group A, patients were treated with only Vachadi Upanaha Sweda and other group patients were treated with Koladi Upanaha Sweda. Results: Statistical analysis revealed that both the interventions wereeffective in reducing all the signs and symptoms of Janusandhigatavata, however in parameters Shotha, tenderness and walking distance, Koladi Upanaha Sweda showed better response than Vachadi Upanaha Sweda. Conclusion: There is a significant effect of Koladi Upanaha Sweda over Vachadi Upanaha Sweda in Janusandhigatavata both clinically and statistically. Keywords: Janusandhigatavata, knee osteoarthritis, Koladi Upanaha, Vachadi Upanaha, Swedana.

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Efficacy of Endoscopic Posterior Nasal Neurectomy in Treating Eosinophilic Chronic Rhinosinusitis

ORL ◽

10.1159/000519724 ◽

2021 ◽

pp. 1-5

Author(s):

Manman Chen ◽

Ming Xu ◽

Xuefeng Lei ◽

Bin Zhang

Keyword(s):

Chronic Rhinosinusitis ◽

Surgical Recurrence ◽

Eosinophilic Chronic Rhinosinusitis ◽

Group A ◽

Sinonasal Outcome Test ◽

Random Number Table ◽

Group B

Objectives: Recent guidelines have revealed that eosinophilic chronic rhinosinusitis (ECRS) exhibits a strong tendency for recurrence after surgery and impairs quality of life. Neuropeptides play an important neuroimmunological role. The aim of this study was to determine the efficacy of posterior nasal neurectomy (PNN) for the treatment of ECRS by inhibiting type 2 cytokine expression. Methods: Forty-six patients were divided into group A and group B according to a random number table. Group A underwent conventional functional endoscopic sinusitis surgery (FESS) combined with PNN, and group B underwent conventional FESS alone. The subjective and objective symptoms included a 10-cm visual analog scale (VAS), 22-item SinoNasal Outcome Test (SNOT-22) score, nasal speculum Lund-Kennedy score, and paranasal sinus computed tomography (CT) Lund-Mackay score at the 1-year postoperative follow-up. Results: Postoperative VAS (10.33 ± 2.18 vs. 8.38 ± 2.11, p < 0.01) and Lund-Kennedy score (1.95 ± 1.32 vs. 3.14 ± 1.35, p < 0.01) were significantly improved. The rhinorrhea score (1.76 ± 0.83 vs. 2.90 ± 1.14, p < 0.001) in the VAS and the discharge (0.43 ± 0.51, vs. 0.95 ± 0.67, p < 0.01) and edema (0.57 ± 0.60 vs. 0.95 ± 0.59, p < 0.05) scores in the Lund-Kennedy score were observed to have improved significantly in group A compared with those in group B. Conclusions: FESS combined with PNN suppresses edema symptoms, which might significantly decrease the surgical recurrence rate of ECRS in the long term.

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MANAGEMENT OF ASRIGDARA WITH KUTAJASHTAKA AVALEHA AND YASHTIMADHU GHRITA MATRA BASTI - AN OPEN LABEL, DOUBLE ARM, RANDOMIZED CLINICAL TRIAL

November 2020 - International Ayurvedic Medical Journal ◽

10.46607/iamj2008102020 ◽

2020 ◽

Vol 8 (10) ◽

pp. 4701-4709

Author(s):

Stuti Sharma ◽

Meenakshi Pandey

Keyword(s):

Medical Therapy ◽

Signs And Symptoms ◽

Reproductive Age ◽

New Delhi ◽

Open Label ◽

Surgical Interventions ◽

Rectal Route ◽

Group A ◽

Group B

Introduction: The word Asrigdara explains about prolonged, cyclic or acyclic excessive menstrual bleed-ing in Ayurveda. 9-14% of women in their reproductive age lose 80 ml of blood in each cycle. It is the most common cause of Anemia. Traditionally, Heavy Uterine Bleeding is managed with medical therapy and surgical intervention with associated side effects. But due to limitation of medical therapy as well as surgical interventions, it becomes the necessity of time to find out a permanent, easy, effective and less side effect producing care which can be easily administered and accepted by the patient. Objective: To evaluate the clinical efficacy of Kutajashtaka Avaleha orally and combination of Kutajashtaka Avaleha and Yashtimadhu Ghrita matra basti in combating the signs and symptoms of Asrigdara. Materials and Methods: 56 patients were selected from the Stri Roga and Prasuti Tantra OPD, All India Institute of Ayur-veda, New Delhi and randomly divided into 2 groups. Group A was administered with Kutajashtaka Ava-leha orally regularly for the period of 3 months with the doses of 5gm BD after meal with water, while in Group B, Combination of Yashtimadhu Ghrita Matra Basti (60 ml for 7 days in 3 consecutive cycles after meal through rectal route after 7th day of menses) for 3 months and Kutajashtaka Avaleha was given and the follow up period of 1 month without medication was same for both the groups. Results: Kutajashtaka Avaleha orally alone and Combination of Yashtimadhu Ghrita Matra Basti & Kutajashtaka Avaleha oral both gave statistically highly Significant results (P<0.001) but with better results when the treatment was combined and Markedly Improved (51-75% relief) the signs and symptoms. Conclusion: Combination of Yashtimadhu Ghrita Matra Basti & Kutajashtaka Avaleha oral gave more statistically significant results than Kutajashtaka Avaleha orally alone. No adverse effects were reported during the entire trial period.

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Comparative study of ultrasound guided supra-scapular nerve block versus intra-articular steroid injection in frozen shoulder

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20164174 ◽

2016 ◽

Vol 2 (4) ◽

pp. 387

Author(s):

Swapnil P. Sonune ◽

Anil K. Gaur ◽

Shefali Gupta

Keyword(s):

Shoulder Pain ◽

Nerve Block ◽

Comparison Group ◽

Frozen Shoulder ◽

Ultra Sound ◽

Ultrasound Guided ◽

Group A ◽

Lateral Rotation ◽

Group B

Background: Frozen shoulder is one of the most common musculoskeletal problems seen in orthopaedics. Many treatment modes are available however, it is difficult to treat and data on the comparative efficacy of various interventions are limited. Intra-articular corticosteroid injection (IASI) is a commonly used to treat frozen shoulder pain. Supra-scapular nerve block (SSNB) is also effective method to treat pain in chronic diseases that affect the shoulder. The present study was done to compare efficacy of ultrasound guided SSNB and IASI in management of painful frozen shoulder.Methods: 60 patients with painful frozen shoulder were divided in two groups, Group A received ultra-sound guided SSNB with 6 ml 0.5% Bupivacaine; Group B received IASI using 40 mg Triamcinolone. Outcome measures were shoulder ranges mainly lateral rotation and abduction, shoulder pain and disability index and visual analogue scale (VAS). Patients were followed-up on 2nd day, at 1st, 3rd and 6th week.Results: All baseline parameters improved significantly in both groups; however, on comparison Group A showed significant improvement in passive lateral rotation on 2nd day and 1st week follow up (P =0.038 and 0.040 respectively). VAS score showed significance at all follow-up in Group A, whereas, in Group B significance was seen after 1 week. On inter group comparison Group A shows significance on 2nd day (P =0.050), 1st week (P =0.042) and 3rd week (P =0.036).Conclusions:Both SSNB and IASI have efficacy in management of frozen shoulder. But supra-scapular nerve block is better than intra-articular injection and should be considered prior to steroid as it has early onset pain relief, early improvement in ranges, potentially lesser contraindications and side effects.

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GCT-38. RELAPSE PATTERNS OF INTRACRANIAL GERMINOMAS BEFORE AND AFTER ENDOSCOPIC ERA

Neuro-Oncology ◽

10.1093/neuonc/noaa222.257 ◽

2020 ◽

Vol 22 (Supplement_3) ◽

pp. iii335-iii335

Author(s):

Takao Tsurubuchi ◽

Shingo Takano ◽

Ai Muroi ◽

Kei Hara ◽

Masahide Matsuda ◽

...

Keyword(s):

Third Ventricle ◽

Whole Brain Irradiation ◽

Brain Irradiation ◽

Before And After ◽

Group A ◽

Group B ◽

Neuroendoscopic Biopsy ◽

Relapse Patterns

Abstract PURPOSE We evaluated the relapse patterns of CNS germinomas before and after introducing neuroendoscopic biopsy in 2000. METHODS We retrospectively assessed the relapse patterns of 57 patients treated as pure germinoma or germinoma with STGC between 1980 and 2019 at University of Tsukuba, partially containing the patients of the previous report (Takano S et al., World Neurosurg, 2015). Median age was 15 y.o.(7y.o.~38y.o.), and men was 80.7%. Tumor locations were pineal 35, sellar 19, basal ganglia 3, others 11. Group A;1980~1999 was 20, and group B;2000~2019 was 37. From 1980 to 1994, whole brain irradiation(WB) 30.6 Gy plus whole ventricle irradiation(WV) 19.8 Gy. From 1995 to 1999, WV 26~30.6 Gy with Chemotherapy(Chem) or Chem alone. Since 2000, Chem for 3 kurr with WV 24~30.6 Gy, and 6–19.8 Gy as local boost to residual lesion. RESULTS Follow up periods were median 121 M(4.5M~386M; group A), and median 89 M(4 M~231 M; group B). Six patients(30%) recurred in the group A, as ex field 4(1;brain and extramedullary, 1;brain and paranasal sinus, 1;LV & third ventricle, 1;extramedullary), in field 1(LV). Chem only 1(LV & third ventricle). Two patients(5.4%) recurred in the group B, as ex field 2(1;intramedullary, 1;extramedullary). The group A showed CR;18, PR;1, Dead;1(Dissemination), and the group B showed CR;35, PR;1 Dead;1(Encephalopathy). CONCLUSION WV and Chem prevented extrafield recurrence keeping good quality of life. Neuroendscopy biopsy with ETV did not increase CSF seeding.

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A COMPARATIVE CLINICAL STUDY ON THE EFFECTIVENESS OF RASONA TAILA AND GANDHARVAHASTADI ERANDA TAILA IN GRIDHRASI (SCIATICA)

International Journal of Ayurveda and Pharma Research ◽

10.47070/ijapr.v8i10.1632 ◽

2020 ◽

pp. 15-22

Author(s):

Athira.C ◽

Ajay Bhat U

Keyword(s):

Clinical Study ◽

Sciatic Nerve ◽

Statistical Tests ◽

Medical Science ◽

Signs And Symptoms ◽

Lateral Aspect ◽

Painful Condition ◽

Comparative Clinical Study ◽

Group A ◽

Group B

Gridhrasi is a Vyadhi characterized by Stambha (stiffness), Ruk (pain), Toda (pricking pain), Spandana (twitching) etc. Though it is of two types – Vataja and Vatakaphaja, Vata being the prime cause for this condition has to be tackled to gain relief. Gridhrasi, according to its signs and symptoms can be compared to sciatica in modern medical science which is a painful condition in which pain commences from the buttock and radiates into the lower extremity along its posterior or lateral aspect, more or less comprising of the area of distribution of the sciatic nerve. Thus, this study was taken up to evaluate the efficacy of Rasona taila and Gandharvahastadi eranda taila in the management of Gridhrasi (Sciatica). Methods: In the present study, 60 subjects diagnosed with Gridhrasi were randomly selected and assigned into two equal groups Group A and Group B comprising 30 subjects each. Subjects of Group A received Rasona taila 10ml orally in morning before food and subjects of Group B received Gandharvahastadi eranda taila 10 ml orally in morning before food, both for duration of 21 days. The data obtained in both the groups were recorded, tabulated and statistically analyzed using appropriate statistical methods. Results: After obtaining all the necessary data, the results were formulated by applying suitable statistical tests. Group A showed better results statistically when compared to Group B. Conclusion: Rasona taila has better effects than Gandharvahastadi eranda taila both clinically and statistically in reducing the signs and symptoms of Gridhrasi.

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