scholarly journals A CLINICAL EFFECT OF AABHADI CHOORNA ON KATISHOOLA W.S.R. TO ASTHIMAJJAGAT VATA - A CASE STUDY

2018 ◽  
Vol 6 (3) ◽  
pp. 172-175
Author(s):  
Pooja Santosh Gugale ◽  
Mukund .M. More
Keyword(s):  
Clinical Symptoms ◽  
Symptomatic Relief ◽  
Therapeutic Effects ◽  
Intervertebral Disc Space ◽  
Disc Space ◽  
Tingling Sensation ◽  
Inflammatory Drugs ◽  
Ayurvedic Treatment

Katishoola is one of the vatavyadhi and it is the commonest disorder found in clinical practice. According to Ayurveda, Katishoola is the diseases with pain in lumber region. Katishoola can be equated with low back pain .The allopathic system of medicine use non-steroidal anti-inflammatory drugs, analgesics, which is not safe and effective for katishoola. A 60 year old male patient had suffering from progressive pain in lower back and difficulty in bending forward over 25 ˚ and tingling sensation in both leg since last 12 months. X-ray of lumbo-sacral region indicated that patient was suffering from reduced L4-L5 intervertebral disc space and bony ankylosis of L4-L5 and degenerative changes in spine. He was taken modern treatment but doesn’t get satisfactory relief even.  For Ayurvedic treatment he came at opd of kaychikitsa department of Seth Sakharam Nemchand Jain Ayurvedic Hospital, Solapur. He was treated for 21 days with 3 times treatment follow up. The response of the treatment was recorded and therapeutic effects were evaluated through symptomatic relief. Clinical symptoms were significantly reduced and degree of anterior flexion increased from 25˚ to 90 ˚. This regimen is effective in successfully treating katishoola by helping to reduce the symptoms and improving the degree of anterior flexion.

Amavat in pediatric age group (multidisciplinary Ayurvedic approach): a single case study

2020 ◽  
Vol 8 (03) ◽  
Author(s):  
Mayuri Pawar
Keyword(s):  
Clinical Symptoms ◽  
Single Case ◽  
Treatment Protocol ◽  
Oral Intake ◽  
External Application ◽  
Pediatric Age Group ◽  
Patient Reported ◽  
Ayurvedic Treatment

Amavata is a chronic, progressive and crippling disorder caused due to generation of ama and its association with vitiated vata dosha and deposition in shleshma sthana (joints). Clinically resembling with Rheumatoid Arthirtis, it poses a challenge for the physician owing to its chronicity, morbidity and complications. The treasure of Ayurveda therapeutics has laid out detailed treatment line for amavata. A 13years old male patient reported to this hospital with pain and stiffness of metacarpophalangeal joints of right hand followed by pain in corresponding joints of other hand 1 year back. This was succeeded by pain and mild swelling on bilateral wrist, ankle and elbow joints. Based on clinical examination and blood investigations, diagnosis of amavata was made and Ayurvedic treatment protocol was advised with baluka sweda (sudation) as external application, rasnasaptak kashayam and dashmoolharitaki avaleha for oral intake for 30 days. The patient was asked for follow up every 15 days up to total of 45 days. Assessment was done subjectively based on clinical symptoms and blood investigations as objective parameters. There was substantially significant improvement and the patient felt relieved of the pain and inflammation of the joints after the treatment. This case study reveals the potential of Ayurvedic treatment protocol in management of amavata and may form a basis for further detailed study of the subject.

scholarly journals Ayurvedic management of Jalodar (ascites) -A case study.

2021 ◽  
Vol 9 (02) ◽  
Author(s):  
Nitin M. Karhale
Keyword(s):  
Symptomatic Relief ◽  
Modern Science ◽  
Abdominal Distension ◽  
Cow Milk ◽  
Restricted Diet ◽  
Diet Plan ◽  
General Weakness ◽  
Ayurvedic Treatment ◽  
Common Manifestation

Ascites is the accumulation of fluid in peritoneal cavity. It is the most common manifestation of liver dysfunction. In modern science still there is no sure treatment which cure the patient of Ascites totally. it gives only symptomatic relief with time dependent recurrence. In such type of cases ayurvedic treatment therapy gives result without any side effects. In Ayurveda there are 8 types of udarroga are mentioned, and this case will be correlated with Jalodara.. A 45 yrs male patient came to OPD with abdominal distension, bipedal edema, anorexia, icterus, general weakness etc since 1month .He was given nitya virechana with abhayadi modaka and ayurvedic shamana chikitsha as well as restricted diet plan for 3 months with cow milk. after two months of treatment marked improvement was noted in all Symptoms of the patient. Hence it was concluded that ayurvedic management are useful in Jalodara. 

Albert Dereymaeker and Joseph Cyriel Mulier’s description of anterior cervical discectomy with fusion in 1955

2018 ◽  
Vol 28 (4) ◽  
pp. 395-400 ◽  
Author(s):  
Ronald H. M. A. Bartels ◽  
Jan Goffin
Keyword(s):  
French Literature ◽  
Case Series ◽  
Anterior Cervical Discectomy ◽  
Subsequent Paper ◽  
Intervertebral Disc Space ◽  
Disc Space ◽  
Iliac Crest Graft ◽  
Cervical Discectomy ◽  
Time Period

Anterior cervical discectomy with fusion (ACDF) is a very well-known and often-performed procedure in the practice of spine surgeons. The earliest descriptions of the technique have always been attributed to Cloward, Smith, and Robinson. However, in the French literature, this procedure was also described by others during the exact same time period (in the 1950s).At a meeting in Paris in 1955, Belgians Albert Dereymaeker and Joseph Cyriel Mulier, a neurosurgeon and an orthopedic surgeon, respectively, described the technique that involved an anterior cervical discectomy and the placement of an iliac crest graft in the intervertebral disc space. In 1956, a summary of their oral presentation was published, and a subsequent paper—an illustrated description of the technique and the details of a larger case series with a 3.5-year follow-up period—followed in 1958.The list of authors who first described ACDF should be completed by adding Dereymaeker’s and Mulier’s names. They made an important contribution to the practice of spinal surgery that was not generally known because they published in French.

scholarly journals Association between anterior bone loss and anterior heterotopic ossification in hybrid surgery

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Junbo He ◽  
Hao Liu ◽  
Tingkui Wu ◽  
Chen Ding ◽  
Kangkang Huang ◽  
...  
Keyword(s):  
Bone Loss ◽  
Heterotopic Ossification ◽  
Adverse Outcomes ◽  
Hybrid Surgery ◽  
Disc Disease ◽  
Intervertebral Disc Space ◽  
Disc Space ◽  
Significant Difference ◽  
Space Angle

Abstract Background Hybrid surgery (HS) has become an alternative procedure for the treatment of multilevel cervical degenerative disc disease with satisfactory outcomes. However, some adverse outcomes have recently emerged, such as heterotopic ossification (HO) and anterior bone loss (ABL). Furthermore, HO was found mostly located in the posterior and lateral of the cervical intervertebral disc space. The mechanism of anterior heterotopic ossification (AHO) formation may be different, and its relationship with ABL was uncertain. Methods Radiographical and clinical outcomes of ninety-seven patients who had undergone contiguous two-level HS between December 2010 and December 2017 and with a minimum of 2-year follow-up were analyzed. Postoperative radiographs were evaluated and compared to the initial postoperative films to determine the incidence of ABL and AHO. Results The overall incidence rate of ABL was 44.3% (43/97). It was identified in 70.6% of AHO cases (33.3% mild, 41.7% moderate, 25.0% severe) and 38.8% of non-AHO cases (38.7% mild, 45.2% moderate, 16.1% severe). A significant association between ABL and AHO occurrence was found (P = 0.016). There was no significant difference in prosthesis–endplate depth ratio or disc space angle change between the AHO group and the non-AHO group (P > 0.05). Compared with data preoperatively, clinical outcome scores significantly improved after surgery in both the AHO and non-AHO groups, with no significant differences between the two groups (P > 0.05). Conclusion ABL was common in HS, and it related to AHO. The formation of AHO could be an integral part of postoperative bone remodeling, as well as ABL.

Equine non-healing corneal ulcers: a retrospective evaluation of 57 cases (2001–2017)

2020 ◽  
Vol 48 (02) ◽  
pp. 92-97
Author(s):  
Vera J. S. Prucha ◽  
Alexander Tichy ◽  
Barbara Nell
Keyword(s):  
Clinical Symptoms ◽  
Treatment Options ◽  
Treatment Protocol ◽  
Healing Time ◽  
Additional Treatment ◽  
Treatment Protocols ◽  
Corneal Ulcers ◽  
Recorded Data ◽  
Inflammatory Drugs

Abstract Background and objectives Non-healing corneal ulcers (NHCU) are a common problem in equine practice and several treatment options are available with different success and healing times. The aim of this retrospective study was to evaluate and to compare treatment protocols, clinical courses, corneal healing time and outcomes of NHCU. Methods From December 2001 to December 2017, a total of 57 horses with NHCU were presented at the Vetmeduni Vienna. Recorded data included affected eye, signalment, clinical symptoms, season of diagnosis, treatment protocols, complications and corneal healing rate. Results Sixty-three eyes were diagnosed with a NHCU. Follow-up information was available for 48/63 eyes. For those treated medically mean corneal healing time was 15.7 days (± SD 12.0). Medical treatment included topical antibiotics, antimycotics, cycloplegics, and systemic anti-inflammatory drugs. Twelve eyes received treatment with a poly-carboxymethylglucose-sulfate regenerating agent (Cacicol®; Thea Pharma GmbH, Wien, Austria). Other common additional treatments included debridement with an iodine drenched cotton tip (48 eyes; 76.2 %) and diamond burr debridement (30 eyes; 47.6 %). A bandage contact lens (BCL) was used for 10 eyes. Each eye received at least one additional treatment, although none of them led to a statistically significant alteration in healing time. Only usage of a BCL significantly increased healing time when compared to not using a BCL (p = 0.035). When all treatments failed, superficial keratectomy with placement of a conjunctival flap was performed. Secondary complications included stromal cellular infiltration, keratomycosis, keratomalacia, and corneal abscess formation. Conclusions Results correlated with those previously described and thus demonstrated the difficulty and complexity of this disease. Further research is needed to determine an optimal treatment protocol for non-healing ulcers in horses. Clinical relevance Since NHCUs are a commonly encountered problem in equine practice a reliable treatment protocol is required. This study reflects the problems with those ulcers and provides several protocols for possible treatments.

Clinical Study of Navsiddha Taila and Swedana in the management of Katishoola

2018 ◽  
Vol 3 (01) ◽  
Author(s):  
Upasana Priya Ali ◽  
Ranjit Singh
Keyword(s):  
Social Life ◽  
Vertebral Column ◽  
Symptomatic Relief ◽  
Evolutionary Process ◽  
The Body ◽  
Lumbar Region ◽  
Intervertebral Disc Space ◽  
Disc Space ◽  
Sitting Posture ◽  
Cardinal Symptom

In evolutionary process man remain as the only animal, which stands in upright posture. Indeed the presence of curvatures in the vertebral column, man never attains absolute rest in any posture, owing them to suffer with problems related to vertebral column. As the advancement of busy professional and social life, it encourages sedentary behaviour with long working hours at desk jobs, lack of natural movement, improper sitting posture in offices, factories, continuous and overexertion, jerking movements during travelling and sports causing overtaxing of muscles. All of these stressors take their toll on the body, and yield undue pressure over the vertebral column especially over the Lumbar region. This compression over the nerves is because of decreased intervertebral disc space. Somewhere within the core of this lifestyle prevails the unique cause of Katishoola. In Katishoola, Vitiated ‘Vata’ is considered to be the principle Dosha involved because the cardinal symptom of vitiation of this Dosha is pain which is known as Shoola. It is known by the name Low back ache or Lumbago. In the present study use of Navsiddha Taila (Kalpita Yoga) Snehana and Swedana by infrared lamp in bringing symptomatic relief in patients of Katishoola has been chosen.

scholarly journals Os Acromiale-unusual Manifestation as Superior Spur and Bursitis-A Case Report

2019 ◽  
pp. 1-6
Author(s):  
A. Raviraj ◽  
Vidyasagar Maalepati ◽  
K. Abhishek Sugumar ◽  
Vivek Kumar N. Savsani ◽  
Ajith K. Prabhu ◽  
...  
Keyword(s):  
Case Report ◽  
English Literature ◽  
Symptomatic Relief ◽  
Surgical Excision ◽  
Unusual Manifestation ◽  
Os Acromiale ◽  
Superior Surface ◽  
Spur Formation ◽  
Inflammatory Drugs

An Os acromiale is a condition that results from the failure of fusion of the anterior acromial apophysis. It can be asymptomatic. It can also result in subacromial impingement and rotator cuff tear. In this case report of a 39 year-old lady we would like to present the management of the painful bursitis and spur formation on the superior surface of a meso-type of os acromiale. Conservative management in the form of rest, anti-inflammatory drugs and physiotherapy did not provide symptomatic relief. Patient then underwent surgical excision of the superior spur. Open reduction and internal fixation was not carried out. Patient had resolution of pain and no recurrence of symptoms or features of impingement at 6 months follow up. To the best of our knowledge there are limited reports in English literature about this rare subset of patients with symptomatic os acromiale with superior spur formation and with no features of impingement or cuff pathology.

scholarly journals Parapharyngeal space tumors: a serial case study

2019 ◽  
Vol 47 (8) ◽  
pp. 4004-4013
Author(s):  
Kuang-Hsu Lien ◽  
Chi-Kuang Young ◽  
Shy-Chyi Chin ◽  
Chun-Ta Liao ◽  
Shiang-Fu Huang
Keyword(s):  
Parapharyngeal Space ◽  
Clinical Symptoms ◽  
Malignant Tumors ◽  
Neck Mass ◽  
Surgical Approaches ◽  
Common Symptom ◽  
Neck Tumors ◽  
The Mean

Objective Primary parapharyngeal space (PPS) tumors are one of the most challenging head and neck tumors to diagnose and treat. We analyzed our experience in patients with PPS tumors who were treated in our hospital over 13 years. Methods We retrospectively reviewed 16 patients with PPS tumors between 2006 and 2018. The study included clinical symptoms, histological types, surgical approaches, adjuvant therapies, postoperative complications, and prognosis. Results The mean age of the patients was 49.63 ± 17.03 years. A palpable neck mass (56.3%) was the most common symptom. In our series, 78.6% of the tumors were benign, and of these, schwannomas were the most common (6/14, 42.9%). Three surgical approaches were used in our patients, including transmandibular (57.1%), transcervical (21.4%) and transparotid (21.4%) approaches. Few complications were reported, including hoarseness and numbness. Adjuvant therapy was administered depending on pathological parameters of the tumors. No recurrence was observed during a mean follow-up of 60.6 months in patients with malignant tumors. Conclusions Radiological studies of PPS tumors are essential for diagnosis and surgical planning. Excision of PPS tumors using appropriate surgical approaches provides good outcomes.

scholarly journals Laparoscopic therapy of the coeliac artery compression syndrome: a critical analysis of the current standard procedure

2020 ◽  
Vol 102 (2) ◽  
pp. 104-109 ◽  
Author(s):  
M Sahm ◽  
R Otto ◽  
M Pross ◽  
T Scholbach ◽  
R Mantke
Keyword(s):  
Flow Velocity ◽  
Doppler Ultrasonography ◽  
Clinical Symptoms ◽  
Standard Procedure ◽  
Symptomatic Relief ◽  
Current Standard ◽  
Median Arcuate Ligament ◽  
Coeliac Artery ◽  
Arcuate Ligament

Introduction Median arcuate ligament syndrome has been known anatomically for approximately 100 years and results from a compression of the coeliac axis by fibrous attachment of the diaphragmatic crura. Owing to the rarity of the disease and limited available data, many aspects of treatment are controversial. Currently, laparoscopic decompression is considered by several authors as standard surgical procedure. We present an analysis of the clinical routine of MALS therapy. Methods We conducted a prospective observational trial in patients with MALS between March 2016 and August 2018, in which clinical symptoms, diagnostic evaluation, procedures with complication analysis and follow-up data were recorded. Results A total of 18 patients (12 female, 6 male) with MALS, aged between 15 and 65 years, were included in this study. All patients presented with long-standing abdominal pain. Preoperative Doppler ultrasonography showed a flow velocity of the coeliac artery averaging 289.9cm/second in mid-position of the diaphragm, 285.9cm/second in expiration and 199.0cm/second in inspiration. All operated patients underwent laparoscopic decompression; two patients received an angiographic intervention. Postoperatively, a significant decrease of the flow velocity in mid-position of the diaphragm was detected (P = 0.018). At follow-up after 5.2 months, 50.0% of the patients were pain-free, 37.5% reported symptomatic relief and 12.5% showed evidence for a recurrence. Conclusion MALS is challenging both diagnostically and therapeutically. Laparoscopy with release of the median arcuate ligament is an essential part of the therapy and can be confirmed by Doppler ultrasonography. Disease outcome is also influenced by several predictive factors.

scholarly journals Dynamic Lumbar Pedicle Screw-Rod Stabilization: Two-Year Follow-Up and Comparison with Fusion

2010 ◽  
Vol 4 (1) ◽  
pp. 137-141 ◽  
Author(s):  
Ali Fahir Ozer ◽  
Neil R Crawford ◽  
Mehdi Sasani ◽  
Tunc Oktenoglu ◽  
Hakan Bozkus ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Intervertebral Disc ◽  
Body Height ◽  
Good Alternative ◽  
Rigid Fixation ◽  
X Rays ◽  
Disc Disease ◽  
Intervertebral Disc Space ◽  
Disc Space

Background:A lumbar pedicular dynamic stabilization system (LPDSS) is an alternative to fusion for treatment of degenerative disc disease (DDD). In this study, clinical and radiological results of one LPDSS (Saphinaz, Medikon AS, Turkey) were compared with results of rigid fixation after two-year follow-up.Methods:All patients had anteroposterior and lateral standing x-rays of the lumbar spine preoperatively and at 3 months, 12 months and 24 months after surgery. Lordosis of the lumbar spine, segmental lordosis and ratio of the height of the intervertebral disc spaces (IVS) measured preoperatively and at 3 months, 12 months and 24 months after surgery.All patients underwent MRI and/or CT preoperatively, 3months, 12 months and 24 months postoperatively. The ratio of intervertebral disc space to vertebral body height (IVS) and segmental and lumbar lordosis were evaluated preoperatively and postoperatively. Pain scores were evaluatedviaVisual Analog Scale (VAS) and Oswestry Disability Index (ODI) preoperatively and postoperatively.Results:In both groups, the VAS and ODI scores decreased significantly from preoperatively to postoperatively. There was no difference in the scores between groups except that a lower VAS and ODI scores were observed after 3 months in the LPDSS group. In both groups, the IVS ratio remained unchanged between preoperative and postoperative conditions. The lumbar and segmental lordotic angles decreased insignificantly to preoperative levels in the months following surgery.Conclusions:Patients with LPDSS had equivalent relief of pain and maintenance of sagittal balance to patients with standard rigid screw-rod fixation. LPDSS appears to be a good alternative to rigid fixation.

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