Proceedings of the Ayurveda Seminar on Viswachi (Cervical Spondylosis)

On 14^th February 2004

• Management of Cervical Spondylosis - By Dr. Dominic Puthoor, (Ortho)

• Ayurvedic Treatment of Viswachi and Differential Diagnosis - By Dr. Sr. Austin BAM, MD

• Ayurvedic Management of Viswachi and Clinical Experience - By Dr. K. Muralidharan and Dr. Reena Ramesh

• Management of Cervical Spondylosis - Role of Physiotherapy - By Dr. Asha Elizabeth MBBS, DPMR, DNB

• Psychological Aspects of Cervical Spondylosis - By Dr. Sailaja Ramkumar

Management of Cervical spondylosis

Dr. Dominic Puthoor, M. S. (Ortho), Amala Institute of Medical Sciences, Thrissur

Patient with neck problem is confused at the different modalities of treatment offered to him. It is better we know each other so that we can help our patients better.

Like him, I too was confused which aspect of cervical spondylosis shall I discuss.

Topic of description

• Anatomy of cervical spine
• Pathology of cervical spondylosis
• Surgery

Anatomy of cervical spine

Following conditions are pertinent in this discussion:

• ACUTE-Cervical disc herniation and Facetal locking
• CHRONIC-Cervical spondylosis
• ACUTE on CHRONIC

What is the surgical treatment of acute disc prolapse? - Just remove the prolapsed portion of the disc.

CERVICAL DEGENERATIVE PROCESS - SPONDYLOSIS

Graying of hair, menopause, need for spectacles in middle age are normal aging processes. Similar aging changes in the vertebral column is called SPONDYLOSIS. Cervical spondylosis is not a disease but a stage in human life. So don't try to treat cervical spondylosis. Treat patient if only he has symptoms. Aim is taking patient back to asymptomatic stage.

Ayurvedic Treatment of Viswachi and Differential Diagnosis

Dr. Sr. Austin, BAM, MD, Research Officer & Consultant Physician, Amala Ayurvedic Hospital

VISWACHI

"Thalam prathyanguleenam thu kantara bahu prushtathah
bahu cheshtapaharanee viswachee nama saa smruthah" (Ah)
"Bahvoah karmakshayakaree viswacheethi hi saa smruthah" (Su. Ni)

KHALWEE

"iswachee gridharasee choktha khalwee theevra rujanwitha" (Ah)
"Khallee thu padajankhoru kateesoolavamodini" (Ch. Chi. 26)

Viswachi is a disease which exhibits weakness or sensational disturbances, disturbances of the movements of the hand. When this disease presents with severe pain it is referred to as Khallwee. According to Nyayachandrika vyakhaya of Susrutha samhita, this disease can occur in two types- One is with vatakapha predominance. In vata predominance pain will be more and numbness, weakness and loss of appetite will be present. "Evamapi vatad vatakaphascha gridharasi samanyatha"

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