IntroductionDrooping of eyelids, due to pathological reasons is called ptosis which happens because of trauma, age, or various medical disorders. This condition is called unilateral ptosis when it affects one eye and bilateral ptosis when it affects both eyes. It may come and go or it might be permanent. It can be present at birth, where it’s known as congenital ptosis, or it can be developed later in life, which is known as acquired ptosis. Depending on the severity of the condition, droopy upper eyelids can block or greatly reduce vision depending on how much it obstructs the pupil. In most cases, the condition will resolve, either naturally or through medical intervention. Signs & symptoms One or both upper eyelids sag. In some cases, this can affect the vision. Dry eyes or watery eyes Tired look on face Ache around eyes Causes It can be congenital due to defective development of levator muscles or the condition can be acquired. As a result of a nerve injury or a temporary stye. Eyelid tumours, cysts, or swelling. Complication of LASIK or cataract surgery. Serious conditions like stroke, brain tumour, or cancer. Neuro-muscular diseases like myasthenia gravis Botox injections. Horner’s syndrome. Pathophysiology Ptosis is the result of dysfunction of one or both upper eyelid elevator muscles. These elevator muscles are the levator palpebrae superioris and the Mueller muscle. The levator palpebrae superioris is a striated muscle innervated by the superior division of the oculomotor nerve (cranial nerve III). This muscle is about 40 mm long and originates from the lesser wing of the sphenoid. It continues anteriorly, and at the Whitnall ligament, it travels inferiorly as an aponeurosis. The aponeurosis is 14-20 mm long and inserts into the anterior aspect of the tarsal plate. It also sends attachments to the skin, forming the upper eyelid crease. The levator muscle and aponeurosis is the major elevator of the upper eyelid. The Mueller muscle, a sympathetically innervated smooth muscle, originates from the undersurface of the levator superioris. Approximately 12 mm long, it inserts superiorly on the tarsal border and elevates the upper eyelid by approximately 2 mm. Diagnosis Physical examination Medical history Eye examination using a slit lamp Tensilon test Treatments The treatment for droopy eyelid depends on the underlying cause and the severity. Plastic surgery is the only option in senile and congenital ptosis. Underlying medical conditions, if any, should be managed for the cure of associated ptosis. Glasses that can hold the eyelid up, called a ptosis crutch, are another option. This treatment is often most effective when the droopy eyelid is only temporary. Surgery for ptosis includes the tightening of the levator muscle. This will lift the eyelid up into the desired position. Another alternative is a “sling” operation, in which the forehead muscles are used to elevate the eyelids. Ptosis crutch – A nonsurgical option that involves adding an attachment to the frames of the glasses. This attachment, or crutch, prevents drooping by holding the eyelid in place. There are two types of ptosis crutches: adjustable and reinforced. Adjustable crutches are attached to one side of the frames, while reinforced crutches are attached to both sides of the frames. Prognosis Eyelid drooping is not a fatal or harmful condition to the general health. However, if vision is affected, treatment is needed. The long-term outlook will depend on the cause of the droopy eyelid. Most of the time, the condition is just a cosmetic issue. However droopy eyelids can sometimes be a sign of a serious disease, proper diagnosis is recommended. Complications Severe ptosis can cause amblyopia (lazy eye) or astigmatism. It is important to treat at a younger age, if left untreated, it could affect vision development. Disease & Ayurveda Vaatahatavarthma Nidana Causative factors for eye diseases vitiate mostly Pitta dosha in the body namely,
Purvaaroopa Not specifically mentioned Samprapti Causative factors cause vitiation of doshas which travel through siras (circulatory system) and reach eyes causing the disease. Lakshana Not able to open eyes because of droopy eyelids Divisions Not mentioned Prognosis Asaadhya – No treatment/Incurable Chikithsa Samana Sodhana Commonly used medicines Thriphala choorna+/-ghee Dhanwantharam Kashayam Drakshadi Kashayam Jeevanthyadi ghrutam Brands available AVS Kottakal AVP Coimbatore SNA oushadhasala Vaidyaratnam oushadhasala Home remedies There is no effective home remedy for ptosis. But the following preventive measures can be helpful in the protection of eye from diseases:
Any hard item, tough to bite or chew. Heavy meals and difficult to digest foods – cause indigestion. Junk foods- cause a disturbance in digestion and reduces the bioavailability of the medicine Carbonated drinks – makes the stomach more acidic and disturbed digestion Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire) Milk and milk products – increase Kapha and cause respiratory problems Curd – causes vidaaha and thereby many other diseases
Light meals and easily digestible foods Green gram, soups, honey, fruits and vegetables, cow’s ghee. Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain, etc Behavior: Protect yourself from too much heat or cold. Avoid head bath and tongue scraping. Better to avoid exposure to excessive sunlight, wind, rain, or dust. Maintain a regular food and sleep schedule. Avoid stress. Avoid holding or forcing urges like urine, faeces, cough, sneeze, etc. Avoid sleeping late night and day sleep. Yoga
Yoga can maintain harmony within the body and with the surrounding system. Nadisudhi pranayama Suryanamaskara Bhujangasana All the exercises and physical exertions must be decided and done under the supervision of a medical expert only. Research articles https://pubmed.ncbi.nlm.nih.gov/12925861/ These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake. Writer: Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage. Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India. Dr. Nair is a regular speaker at Ayurveda-related conferences and has visited Germany to propagate Ayurveda. You can write directly to him- Whatsapp – +91 9446918019, +91 8075810816 URLs: https://www.ayurvedaforall.com/ To give you a quick idea about Ayurvedaforall, we are a group of ayurvedic practitioners committed to propagating Ayurveda in its best tradition around the world. Our online store sells authentic ayurvedic formulations backed by professional advice. Now into the seventeenth year of operation, the site has helped us build a dedicated clientele which regularly uses our products and services as well as refers others to us. Needless to say, this has been achieved through our adherence to the highest standards of customer service and professional ethics. Author information
Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with www.ayurvedaforall.com as senior consultant, Ayurveda.
The post Ptosis- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama appeared first on Ayurvedaforall UK Blog. Via https://www.ayurvedaforall.co.uk/blog/ayurvedic-treatment-diet-exercises-research-papers-yoga-pranayama-2/
0 Comments
INTRODUCTION Psoriasis is a deadly chronic skin disease of auto-immune nature. In modern days, due to increased stress & altered diet & unhealthy lifestyle, cases of psoriasis increase and the prognosis is very poor. The social stigma caused by this long-term skin disease is still on the high. Psoriasis causes an important role in the cosmetic aspect, especially in children and youngsters. The most reason for considering this disease as a curse, is that it has no effective & permanent cure or prevention. The scaly skin lesions which are the most obvious sign, may reduce or change site but they can not be permanently cured. Usually, the disease affects the whole body but the lesions are predominantly seen in joints, back of thighs or such areas. 45 to 56 percent of people living with psoriasis have scalp psoriasis. It can affect the scalp, hairline, forehead, back of the neck and skin around the ears. Scalp psoriasis may be an indicator of psoriatic arthritis (Psoriatic arthritis), as many people have both. SIGNS AND SYMPTOMS Psoriatic lesions on the scalp are usually asymmetrical and sharply demarcated, and exhibit silvery‐white scales with pain, itching, or bleeding resulting the person in feelings of embarrassment, and restricting clothing choices. CAUSES Exact cause is unknown. Following factors are considered to play a role in the development of psoriasis.
PATHOPHYSIOLOGY The skin cells on the scalp grow too quickly and make powdery or thick scales called plaques. The areas around them can be red and itchy. The pathogenesis of psoriasis is characterized by increased production of inflammatory cytokines that cause hyperkeratosis. Briefly, interleukin (IL)‐23 and IL‐12 are produced by myeloid dendritic cells, and these cytokines activate naïve T cells to differentiate into Th1, Th17, and Th22 cells, which then produce cytokines responsible for the development of psoriatic plaques such as IL‐17, IL‐22, tumor necrosis factor‐α, and interferon‐γ. DIAGNOSIS Clinical examination Skin biopsy TREATMENTS Common treatment options for patients with scalp psoriasis include topical agents such as vitamin D analogs, corticosteroids, and coal tar. PROGNOSIS Scalp psoriasis can be difficult to treat. It may take time to find a treatment that works well because everyone responds differently to treatments. COMPLICATIONS Scalp psoriasis affects individuals differently. Some people have an occasional flare-up while others deal with the condition frequently. Disease & Ayurveda Ekakushtha/ ekakushtha Nidana Unwholesome diet with opposite potency Improper routine and behaviour Teasing and humiliating other good people Theft Bad deeds which cause emotional stress factors like repentance/fear/anxiety Kapha- Vaatadoshakopanidana – causes for vitiation of the kapha dosha and Vaatadosha Purvaaroopa Absence of sweating Loss of tactile sensation Samprapti Due to the causative factors, vitiated doshas (mainly kapha) vitiate rasadhatu and reaches skin and develop into scaly rashes. Lakshana Absence of sweating Big lesions resembling scales of fish Lesions are scattered all over the body or head Skin resembles the skin of elephant Divisions Not mentioned Prognosis Yaapya in most cases Asaadhya in chronic & complicated cases Chikithsa Treatment of eka/charmakushtha is alleviating the vitiated Kapha and Vaata doshas. It should be done accordingly in each case. If the lesions are wet/oily and swelling is present, kaphadoshahara treatment should be done. If the lesions are dry & flaky, with dark discolouration, Vaatadoshahara treatment should be administered. Other factors like body constitution, age, physical and mental strength of patient, digestion, season etc. also should be considered while treating the kushtha. Samana kshalana – washing with kashayas like aragwadhadikwatha or triphalakwatha lepana – applying external medicines like kasamardalepa, chakramardadi lepa, aragwadhadi lepa etc. Sodhana Vamana with madanaphalakwatha Virechana with erandatailam, or avipathi choornam Kashayavasti Snehavasti (VAsti is especially beneficial in psoriatic arthritis) Commonly used medicines Aragwadhadi kwatham Mahathikthakam ghrutham Avipathi choornam Nimbamruthadi erandam Vajrakam Kashayam Manjishtadi Kashayam Gandhak Rasayan Rasagandhi Mezhu Arogyavardhini Vati Brands available AVS Kottakal SNA Oushadhasala Vaidyaratnam oushadhasala AVP Coimbatore Home remedies No home remedy is there to completely cure psoriasis. But herbs that can help the discomforts of the disease includes the following: Turmeric Aloe vera Neem Apple cider vinegar Baking soda Tea tree oil Epsom salt Oatmeal Diet Pathya Light meals and easily digestible foods Green gram, soups, buttermilk boiled with ginger, turmeric, curry leaves etc. Freshly cooked and warm food processed with cumin seeds, ginger, ajwain etc Maintain a regular food and sleep schedule. Apathya Heavy meals and difficult to digest foods – cause indigestion. Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine Carbonated drinks – makes the stomach more acidic and disturbed digestion Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire) Milk and milk products other than buttermilk- Cause indigestion, increase Kaphadosha, can lead to obstruction in channels and respiratory problems. Curd – causes vidaaha and thereby many other diseases Red chilli and other pungent, hot and spicy food items. BehaviourBetter to avoid exposure to excessive sunlight wind rain or dust. Avoid stress. Avoid sedentary lifestyle as it is one of the main causes of rheumatoid arthritis. Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc. Yoga Salabhasana vajrasana Nadisudhi pranayama Bhujangasana All the exercises and physical exertions must be decided and done under the supervision of a medical expert only. Research articles doi: 10.1111/jdv.13780. Epub 2016 Jul 13. Aretrospective cohort study demonstrated the efficacy of infliximab and ustekinumab in addition to etanercept and adalimumab. doi: 10.1016/j.jaad.2017.05.033. Epub 2017 Aug 2 A placebo‐controlled, double‐blind trial demonstrated the superiority of secukinumab compared with placebo after 12 weeks of treatment on moderate-to-severe scalp psoriasis. These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake. Writer: Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage. Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India. Dr. Nair is a regular speaker at Ayurveda-related conferences and has visited Germany to propagate Ayurveda. You can write directly to him- Whatsapp – +91 9446918019, +91 8075810816 URLs: https://www.ayurvedaforall.com/ To give you a quick idea about Ayurvedaforall, we are a group of ayurvedic practitioners committed to propagating Ayurveda in its best tradition around the world. Our online store sells authentic ayurvedic formulations backed by professional advice. Now into the seventeenth year of operation, the site has helped us build a dedicated clientele which regularly uses our products and services as well as refers others to us. Needless to say, this has been achieved through our adherence to the highest standards of customer service and professional ethics. Author information
Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with www.ayurvedaforall.com as senior consultant, Ayurveda.
The post SCALP PSORIASIS- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama appeared first on Ayurvedaforall UK Blog. Via https://www.ayurvedaforall.co.uk/blog/scalp-psoriasis-ayurvedic-treatment-diet-exercises-research-papers-yoga-pranayama/ IntroductionProstatitis is the swelling and inflammation of prostate gland, a small gland situated directly below the bladder in men. The prostate gland produces fluid (semen) that nourishes and transports sperm. Prostatitis often causes painful or difficult urination. Other symptoms include pain in the groin, pelvic area or genitals and sometimes flu-like symptoms. Prostatitis affects men of all ages but tends to be more common in men 50 or younger. The condition has a number of causes. Sometimes the cause isn’t identified. If prostatitis is caused by a bacterial infection, it can usually be treated with antibiotics. Depending on the cause, prostatitis can develop gradually or suddenly. It might improve quickly, either on its own or with treatment. Some types of prostatitis last for months or keep recurring (chronic prostatitis). Signs & symptoms Signs and symptoms of prostatitis include:
Causes In many cases of prostatitis, the cause isn’t identified. Common strains of bacteria in most cases. It can be acute or chronic bacterial prostatitis. Risk factors for prostatitis include:
Pathophysiology In bacterial prostatitis, sexual transmission of bacteria is common, but hematogenous, lymphatic, and contiguous spread of infection from surrounding organs must also be considered. Prostatitis is characterized by the presence of acute inflammatory cells in the glandular epithelium and lumens of the prostate, with chronic inflammatory cells in the peri glandular tissue. However, the presence and quantity of inflammatory cells in urine or prostatic secretions does not correlate with the severity of the clinical symptoms. A nonspecific mixed inflammatory infiltrate that consists of lymphocytes, plasma cells, and histiocytes is typical in chronic bacterial prostatitis. Viral and granulomatous prostatitis may be associated with HIV infection and is another cause of culture-negative disease. A common viral pathogen of prostatitis in HIV-infected patients is cytomegalovirus (CMV). Mycobacteria, such as Mycobacterium tuberculosis, and fungi, such as Candida albicans, have also been associated with culture-negative disease in this population. Diagnosis Urine tests to check for signs of infection in urine Blood tests for signs of infection and other prostate problems. Post-prostatic massage Imaging tests like an ultrasound or CT scan Treatments Prostatitis treatments depend on the underlying cause. They can include:
Prognosis In acute bacterial infections, when it is happening for the first time, the prognosis is usually good with proper medicines and therapy. In recurrent & chronic cases, the prognosis depends upon the underlying cause. Complications Bacterial infection of the blood (bacteraemia) Inflammation of the coiled tube attached to the back of the testicle (epididymitis) Pus-filled cavity in the prostate (prostatic abscess) Semen abnormalities and infertility, which can occur with chronic prostatitis Disease & Ayurveda There is no direct correlation or description in Ayurveda for prostatitis. But while explaining disorders of the urinary system where urine output is less than normal, Mootrakrucchra can be compared with prostatitis to an extent by their clinical features. Nidana Causative factors for the vitiation of Kapha, Pitta and Vaata Purvaaroopa Not mentioned separately Samprapti Normally, mootravahasrotas works through continuous filtration and filling of vasti by minute and numerous tubules. This process includes Vrkka (Kidney)gavini(ureter), mootravaha dhamanis and siras & nadi (Renal vessels and nerves associated) Vasti(badder) and mootrapraseka (urethral opening). In men, the male reproductive organs including prostate and seminal vesicles are also a part of this area. When the vitiated Kapha & Pitta cause any obstruction in this system, the Vaata gets aggravated and the disease manifests. Lakshana Vaatika Vasti-vamkshana-medhra arti – Severe pain in the bladder and penis/area of urethral opening Alpalpam muhu mootrayet – frequent urination as drops Or Paittika Peeta/Rakta/sadaaha – Yellow/red discolouration with burning sensation Or Kaphaja Vasti-medhara gourava & sopha- Heaviness & oedema of Bladder and penis/area of urethral opening Sapiccham mootram- Turbidity of urine Savibandham mootram- Obstructed urination
In tridoshaja mootrakruchra, sgns & symptoms of all three doshas will be present. Divisions Vaatika Paittika Kaphaja Tridoshaja Prognosis Sadhyam in new and single dosha vitiated Kashtasadhyam in chronic & three doshas involved Chikithsa Ayurvedic treatment for prostatitis depends upon the predominance of vitiated dosha. Considering the swelling and inflammation, the Kapha & Pitta are managed first with caution not to vitiate Vaata. Samana Teekshna-ushna-katu bhojanam(pungent,hot and spicy diet) Diet with Yava (Barley) Ksharam (Alkaline diet and drinks) Kaalaseyam-buttermilk Dhatreephalarasa+ela Madya+ela Kantakariswarasa+honey Sodhana Vamanam Virechanam Sneha-Swedanam Asthapanavasti Anuvasanavasti Uttaravasti Commonly used medicines Bruhatyadi kashayam Veerataradi kashayam Chandanasava Punarnavasavam Brands available AVS Kottakal AVP Coimbatore SNA oushadhasala Vaidyaratnam oushadhasala Home remedies The following might ease some symptoms of prostatitis:
Diet
Heavy meals and difficult to digest foods – cause indigestion. Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine Carbonated drinks – makes the stomach more acidic and disturbed digestion Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire) Milk and milk products – increase kapha, cause obstruction in channels and obesity Curd – causes vidaaha and thereby many other diseases
Light meals and easily digestible foods Green gram, soups. Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc Behaviour: Protect yourself from hot climate. Better to avoid exposure to excessive sunlight wind rain or dust. Maintain a regular food and sleep schedule. Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc. Avoid sedentary lifestyle. Be active. Yoga No hectic exercises or physical activities are recommended in severe cases of prostatitis. Regular stretching and cardio exercises are advised in mild cases. Also, specific yogacharya including naadisuddhi pranayama, & pavanamuktasana is recommended. Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health. Yoga can maintain harmony within the body and with the surrounding system. Pavanamuktasana Nadisudhi pranayama All the exercises and physical exertions must be decided and done under the supervision of a medical expert only. Research articles https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6556531/ https://pubmed.ncbi.nlm.nih.gov/26926407/
These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake. Writer: Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage. Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India. Dr. Nair is a regular speaker at Ayurveda-related conferences and has visited Germany to propagate Ayurveda. You can write directly to him- Whatsapp – +91 9446918019, +91 8075810816 URLs: https://www.ayurvedaforall.com/ To give you a quick idea about Ayurvedaforall, we are a group of ayurvedic practitioners committed to propagating Ayurveda in its best tradition around the world. Our online store sells authentic ayurvedic formulations backed by professional advice. Now into the seventeenth year of operation, the site has helped us build a dedicated clientele which regularly uses our products and services as well as refers others to us. Needless to say, this has been achieved through our adherence to the highest standards of customer service and professional ethics. Author information
Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with www.ayurvedaforall.com as senior consultant, Ayurveda.
The post Prostatitis- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama appeared first on Ayurvedaforall UK Blog. Via https://www.ayurvedaforall.co.uk/blog/ayurvedic-treatment-diet-exercises-research-papers-yoga-pranayama/ Introduction Proctitis is defined as the inflammation of the mucosal lining of the rectum. Inflammation in these areas can cause symptoms such as itching, burning, rectal bleeding, pelvic pressure, and foul-smelling discharge. The distinction between proctitis and anusitis is not overly pertinent, in that the aetiology and the treatment of anusitis and proctitis are similar. Anusitis is simply inflammation of the anal canal. Signs and symptoms
Causes Can be divided into the following three categories:
Pathophysiology
The pathophysiology of proctitis is dependent on the various aetiologies and is not completely understood. In addition, some patients seem more susceptible to this inflammatory condition, with factors such as young age, previous abdominal surgery, hypertension, vasculopathy, and diabetes cited as possible contributing factors. The pathophysiology of proctitis in IBD is believed to be caused by an autoimmune process, though the specific antigen has not been elicited. Infectious aetiologies may be related to the organism itself or to a toxin produced by the organism. Radiation proctitis may be due to cellular injury secondary to ischemia from radiation. Diversion proctitis is thought to be caused by a deficiency of short-chain fatty acids. Ischemic proctitis may be due to mesenteric venous occlusion, aortoiliac surgery, radiotherapy, vascular intervention, atherosclerotic disease, or drug use (e.g., cocaine). Regardless, all three categories of proctitis (IBD, infectious, and non-infectious) result in an unrestrained inflammatory response, with the inflammatory cells being products that mediate cellular-tissue injury. Diagnosis Lab tests like stool cultures, ova and parasite analysis, and faecal smears. Endoscopy Colonoscopy Treatments Medical Therapy Idiopathic proctitis and inflammatory bowel disease If proctitis is idiopathic or related to IBD, steroids, sulfasalazine, mesalamine, 5-aminosalicylic acid (5-ASA) products, and even immunosuppressive medications may be used. Many of these products are available as oral medications as well as enemas and suppositories.
Infectious proctitis If the cause of proctitis is infectious, the treatment is targeted toward the pathogen responsible.
Infectious proctitis due to Salmonella species is usually self-limited, and antibiotics are not required. Maintaining adequate fluid and electrolyte balances and providing supportive care are all that is required. Shigella proctitis is usually self-limited, but the duration may be shortened by the addition of antibiotics. Antibiotics for 1 week may include ampicillin, tetracycline, ciprofloxacin, and trimethoprim-sulfamethoxazole (preferred).
Yersinia proctitis is also self-limited and should not be treated with antibiotics unless systemic septicaemia occurs; in which case, antibiotics (eg, trimethoprim-sulfamethoxazole, aminoglycosides, tetracycline, third-generation cephalosporin) should be used.
Campylobacter proctitis is usually self-limited as well.
E histolytica generally is treated with metronidazole and iodoquinol.
Sexually transmitted proctitis requires treatment similar to the corresponding treatment for a genital infection. Chlamydia trachomatis infection is treated with doxycycline; gonorrheal proctitis is treated with ceftriaxone or cefixime. Syphilitic proctitis responds to intramuscular (IM) penicillin G benzathine, and herpes simplex virus type 2 infection is treated with acyclovir.
C difficile infection generally is treated with intravenous (IV) or oral metronidazole or oral vancomycin. [7] A more aggressive C difficile mutation has been seen and may have a rapidly progressive course toward septicaemia and toxic colitis. In patients who do not appear to be responding to metronidazole and who have leukocytosis (leukocyte count >20,000/µL), therapy should be switched to oral vancomycin. Vancomycin enemas may also be used in individuals in whom oral antibiotics may not reach a part of the colon (e.g., Hartman pouch, ileostomy, colonic diversion). Discontinuation of any other antibiotics should be ordered if the clinical situation allows. Acute radiation proctitis is usually a self-limited condition, but supportive medical management (e.g., hydration, antidiarrheals, and steroid or 5-ASA enemas) may be of benefit. [8] Chronic radiation proctitis involves more extensive medical treatment, including both oral and rectal therapies. Oral medications include 5-ASA, sulfasalazine, steroids, and metronidazole. Another therapeutic approach is the use of WF10, an IV therapy initially developed as an adjunctive AIDS treatment. Initial studies demonstrate control of bleeding within two doses of therapy and maintenance of results with once- to twice-yearly repeat therapy. [9] Rectal therapy for chronic radiation proctitis with sucralfate or pentosan polysulfate has been shown to result in better symptomatic relief than oral anti-inflammatory therapy. Surgical therapies: For patients with ulcerative colitis requiring surgical therapy, a total proctocolectomy should be performed because of the risk of cancer in the remaining rectal stump. [19] Ileostomy or reconstruction with an ileal pouch may be offered after total proctocolectomy. In patients with severe Crohn colitis or proctitis, options range from fecal diversion to proctectomy to total proctocolectomy, depending on the extent of the disease process.
In the infectious causes of proctitis, surgical treatment is rarely required. In cases of severe C difficile colitis, a subtotal colectomy may be warranted.
For patients with radiation proctitis complicated by refractory bleeding, endoscopic therapy seems to be more effective than medical therapy; it also results in less morbidity than surgical therapy. Specifically, argon plasma coagulation (APC) [16, 20, 21] has proved to be superior to formalin and endoscopic laser treatments. Prognosis
Acute cases of proctitis have a good outcome and prognosis. More specifically, once appropriately treated, infectious proctitis tends not to recur. For the more chronic diseases, such as IBD, outcomes and prognoses vary. Most cases are treated with medicine and very few cases are treated surgically. If proctocolectomy is performed, the patient is cured of the disease. But even after a proctectomy, recurrence of Crohn disease ranges from 45-90%. Diversion proctitis generally has a good outcome and prognosis once the diversion is reversed. The outcome and prognosis of radiation proctitis vary with the severity. Outcomes range from requiring a few medical treatments in the form of enemas to surgery. Complication rates for surgical treatment have been reported to be as high as 75%.
Complications
Abscesses—painful, swollen, pus-filled areas caused by infection Chronic or severe bleeding that can lead to anaemia Fistulas—an abnormal passage, or tunnel, between two organs or between an organ and the outside of the body Rectal stricture—an abnormal narrowing of the rectum Ulcers—sores in the lining of intestine.
Disease & Ayurveda Gudasotha Nidana Causative factors for the vitiation of Kapaha and Raktha Absence of proper personal hygiene Purvaaroopa Not mentioned Samprapti Not mentioned Lakshana Pain, redness and swelling in the anus Ulceration of the skin and mucous membrane may be present Divisions Not mentioned Prognosis Saadhya in new cases Kricchrasadhya in chronic cases Chikithsa Samana Lepanam with vranahara dravyas Prakshalana with triphala/nalpamara kwatha Dhoopanam with guggulu Sodhana Raktamoksha with jalooka Treatment of wound Commonly used medicines Guggulupanchapalachoornam Thriphalachoornam Nalpamarachoornam Brands available AVS Kottakal AVP Coimbatore SNA oushadhasala Vaidyaratnam oushadhasala Home remedies Applying neem paste Apple cider vinegar Fomentation of the area Diet
Heavy meals and difficult to digest foods – cause indigestion. Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine Carbonated drinks – makes the stomach more acidic and disturbed digestion Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire) Milk and milk products – increase kapha, cause obstruction in channels and obesity Curd – causes vidaaha and thereby many other diseases
Light meals and easily digestible foods Green gram, soups, fresh fruits and vegetables Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc Behaviour: Protect yourself from hot climate. Maintain personal hygiene Better to avoid exposure to excessive sunlight wind rain or dust. Maintain a regular food and sleep schedule. Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc. Avoid sedentary lifestyle. Be active Yoga Regular stretching and mild cardio exercises are advised. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended. Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health. Yoga can maintain harmony within the body and with the surrounding system. Pavanamuktasana Nadisudhi pranayama Bhujangasana Simple exercises for lungs and heart health All the exercises and physical exertions must be decided and done under the supervision of a medical expert only. Research articles https://pubmed.ncbi.nlm.nih.gov/15365396/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2780078/ PMID: 31898677
The purpose of the study is to look at the benefit of administration of an oral prebiotic amylase resistant starch in reducing the incidence of acute radiation proctitis, a distressing symptom in patients receiving radiation therapy for cancer of the cervix.
Material and methods: The study was conducted between 2011 and 2014 in 104 patients receiving radical chemo-radiotherapy for carcinoma cervix. Patients were randomized in to two arms, one receiving 30 gm of resistant starch and the other digestible starch on a daily basis throughout the course of the external radiotherapy. All patients received standard 4-field box radiation portals, 50 Gy in 25 fractions with 4 cycles of weekly concurrent Cisplatin. At completion of external beam radiotherapy, all patients underwent LDR/HDR brachytherapy. The study was double blinded and allocation was concealed from the investigators. The investigator recorded the radiotherapy related toxicity of the patients according to CTC V 3.0. The incidence and severity of grade 2-4 diarrhoea and proctitis were documented on a weekly basis and compared across the two groups and analyzed. Stool short chain fatty acid concentrations were measured at baseline at 2nd and 4th week and after 6 weeks of completion of radiotherapy in both study placebo arms and reported. The pattern of microbiota in the stool were also estimated in all patients at 4 time points. Two patients who progressed during therapy were not included in the analyses and two patients discontinued the intervention. A per protocol analyses was done.
Results: At analysis there were 50 patients in each arm. The severity of clinical proctitis was found to be similar in both groups of patients with 12.2 % of patients experiencing toxicity of grade 2 and above in digestible starch group versus 14.6% in the resistant starch group. Functional proctitis was similarly graded and it was found that 16.3 % patients in digestible starch group experienced toxicity against 10.2 % patients in the resistant starch group. This difference was seen at 4th week and continued in the subsequent weeks till the end of radiation. Both groups had similar reported toxicity at 6 weeks post intervention and similar incidence of grade 2 and above diarrhea. The resistant starch group was found to have 8% incidence as compared to 2% in the other group at the 5th and 6th week. The short chain fatty acid concentrations were not significantly different in the groups at any point.
Conclusion: The study did not demonstrate a significant benefit in administering resistant starch over and above normal diet to patients receiving pelvic radiotherapy. The reasons may be attributed to concurrent use of chemotherapy and decrease in intestinal probiotics. The use of digestible starch in the control arm may have contributed to lower incidence of the toxicity endpoints as well.
conducted a randomized phase 2 trial to determine the efficacy and safety of 2 doses of a budesonide suppository vs mesalamine suppositories vs combined budesonide and mesalamine suppositories for proctitis.
Methods: We performed a prospective, double-blind, double-dummy, multicenter trial in 337 patients with active proctitis to compare the efficacies of 4 different suppository treatments. Patients were randomly assigned to groups given 2 mg budesonide suppositories (2 mg BUS; n = 89 patients), 4 mg BUS (n = 79), 1 g mesalamine suppositories (1 g MES; n = 81), or the combination of 2 mg BUS and 1 g MES (n = 88). The study was performed from November 2013 through July 2015 at 36 study sites in Europe and Russia. The primary end point was the time to resolution of clinical symptoms, defined as the first of 3 consecutive days with a score of 0 for rectal bleeding and stool frequency.
Results: The mean time to resolution of symptoms in the 4 mg BUS (29.8 days) and combination of 2 mg BUS and 1 g MES (29.3 days) groups resembled that of the standard 1 g MES treatment (29.2 days), but was significantly longer in the 2 mg BUS group (35.5 days). Furthermore, proportions of patients with deep, clinical, and endoscopic remission, as well as mucosal healing, were similar among the 1 g MES, 4 mg BUS, and combination therapy groups, but significantly lower in the group that received 2 mg BUS. No safety signals were observed, and the patients’ treatment acceptance was high (67%-85% of patients).
Conclusions: In a multicenter randomized trial, we found that the efficacy and safety of 4 mg BUS in treatment of active proctitis did not differ significantly from those of 1 g MES. Budesonide suppositories offer an alternative therapy to mesalamine for topical treatment of proctitis.
These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake. Writer: Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage. Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India. Dr. Nair is a regular speaker at Ayurveda-related conferences and has visited Germany to propagate Ayurveda. You can write directly to him- Whatsapp – +91 9446918019, +91 8075810816 URLs: https://www.ayurvedaforall.com/ To give you a quick idea about Ayurvedaforall, we are a group of ayurvedic practitioners committed to propagating Ayurveda in its best tradition around the world. Our online store sells authentic ayurvedic formulations backed by professional advice. Now into the seventeenth year of operation, the site has helped us build a dedicated clientele which regularly uses our products and services as well as refers others to us. Needless to say, this has been achieved through our adherence to the highest standards of customer service and professional ethics. Author information
Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with www.ayurvedaforall.com as senior consultant, Ayurveda.
The post Proctitis- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama appeared first on Ayurvedaforall UK Blog. Via https://www.ayurvedaforall.co.uk/blog/proctitis-ayurvedic-treatment-diet-exercises-research-papers-yoga-pranayama-2/ Premature Ejaculation- Ayurvedic Treatment Diet Exercises Research Papers Yoga & Pranayama1/25/2022
Introduction Premature ejaculation occurs when a man ejaculates sooner during sexual intercourse than he or his partner would like. Premature ejaculation is a very common complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time in his life. As long as it happens infrequently, it’s not cause for concern. However, it is diagnosed with premature ejaculation if: Always or nearly always ejaculate within one minute of penetration Are unable to delay ejaculation during intercourse all or nearly all of the time Feel distressed and frustrated, and tend to avoid sexual intimacy as a result Both psychological and biological factors play a role in premature ejaculation. Although most of men are ashamed of talking about it, premature ejaculation is a common and treatable condition. Medications, counselling and sexual techniques that delay ejaculation — or a combination of these — can help improve the person’s sexual life. Signs & symptoms The key symptoms of premature ejaculation include:
Basically, premature ejaculation can be classified as:
Causes
Sometimes biological factors might be the reason behind premature ejaculation, including:
Pathophysiology Premature ejaculation is believed to be a psychological problem and does not represent any known organic disease involving the male reproductive tract or any known lesions in the brain or nervous system. The organ systems directly affected by premature ejaculation include the following:
Perhaps the most pronounced effect of premature ejaculation, however, is psychological: Both partners are likely to be dissatisfied emotionally and physically by this problem. Attempted pregnancy is a particular concern. If the premature ejaculation is so severe that it happens before commencement of sexual intercourse, conception will not be possible unless artificial insemination is used. Differences in nerve conduction/latency times and hormonal differences in men who experience premature ejaculation compared with individuals who do not are observed. The theory is that some men have hyperexcitability or oversensitivity of their genitalia, which prevents downregulation of their sympathetic pathways and delay of orgasm. Electroencephalography and neuroimaging studies have detected abnormal spontaneous and evoked brain activation responses to erotic stimuli as well as brain structure changes in premature ejaculation patients. Patients with lifelong premature ejaculation have an abnormal brain control network, which may contribute to the reduced central control of rapid ejaculation. A group of nerves in the lumbar spinal cord has been identified as the possible generator of ejaculation. This nerve site is thought to be linked to excitatory and inhibitory dopamine pathways in the brain, which play significant roles in sexual behaviour. Testosterone is thought to play a role in the ejaculatory reflex. Higher free and total testosterone levels have been demonstrated in men with premature ejaculation than in men without premature ejaculation. Some researches show that semen from men with premature ejaculation contained significantly less acid phosphatase and alpha-glucosidase than did the semen of control subjects. The researchers concluded that these biochemical parameters may reflect dysfunction of the prostate and epididymis, possibly contributing to premature ejaculation. Another study shows that many men with premature ejaculation have low serum prolactin levels. Studies suggest that biochemical parameters play only a partial role, along with emotional and psychological factors. Psychological factors have been found to contribute greatly to premature ejaculation, beyond merely reducing the time to ejaculation. Whereas patients with premature ejaculation show significantly lower intravaginal ejaculatory latency time (IELT) overall, IELT in those who fit DSM-5 criteria for premature ejaculation overlaps with IELT in patients who do not fit the criteria. However, whereas a shorter IELT has been the measure of premature ejaculation in many studies, the perception of ejaculation control has been shown to mediate patient or partner satisfaction with sexual intercourse and ejaculation-related distress. Although premature ejaculation probably is not a purely psychological disorder, such associations demonstrate that psychological factors play a significant role in its pathogenesis. Diagnosis Physical examination History taking including sexual history Blood tests for male hormone (testosterone) levels and other routine tests Treatments A wide variety of treatment options are available for premature ejaculation including behavioural techniques, topical anaesthetics, medications and counselling. In most cases, a combination of these techniques is found useful.Behavioural techniques
By repeating as many times as necessary, the person will know how to delay ejaculation and it will become a habit that no longer requires the pause-squeeze technique. Condoms, especially climax control condoms contain numbing agents such as benzocaine or lidocaine or are made of thicker latex, might decrease penis sensitivity, which can help delay ejaculation. Medications External application of topical anaesthetics like anaesthetic creams and sprays that contain a numbing agent, such as benzocaine, lidocaine or prilocaine, are sometimes used to treat premature ejaculation. A prescription cream named lidocaine-prilocaine cream for premature ejaculation (EMLA) is available. Lidocaine sprays for premature ejaculation are available over-the-counter. Although topical anaesthetic agents are effective and well-tolerated, they have potential side effects. For example, some men report temporary loss of sensitivity and decreased sexual pleasure. Sometimes, female partners also have reported these effects. Oral medications – Many medications might delay orgasm, including antidepressants, analgesics and phosphodiesterase-5 inhibitors. Psychological & clinical counselling will help treat premature ejaculation Prognosis In many men, premature ejaculation improves on their own after a brief period. Even for men who require medical treatment, the outlook is usually good. Complications
Disease & Ayurveda Suklagata vaata Nidana Dhaatukshaya (degeneration of body tissues) or Aavarana(obstruction in channels of the body) Purvaaroopa Not mentioned separately Samprapti Due to the causative factors, Vaata gets obstructed or redirected from its normal path. When it reaches the channels that carry sukra, the disease manifests. Lakshana Seeghramutsargam suklasya – premature or early ejaculation of semen Sangam or vikruti to garbha – blockage or deformity of conception/foetus Divisions Not mentioned Prognosis Saadhya in new cases Yaapya in chronic cases with complications Chikithsa Ayurvedic treatment of Suklagatavaata involves both physical and emotional satisfying & pleasure of the patient. Also nutritious diet which improves strength & vitality is advised. If there is any blockage in the channels, medicines for kaayavirechana & sukravirechana should be given first. Ballya, harshana like nourishment therapies should be done only after the peyaadikrama(restricted diet after Panchakarma, here Virechana) Samana Lepanam with suklakara & sothaharadravyas Abhyangam Harshanam Brumhanam Sodhana Virechanam Peyaadikrama Commonly used medicines Chyavanaprasam Sukumaram kashayam Brahmarasayanam Ajamamsarasayanam Brands available AVS Kottakal AVP Coimbatore SNA oushadhasala Vaidyaratnam oushadhasala Home remedies No home remedy has been proven t cure premature ejaculation. But a healthy diet & lifestyle can help improve the condition. Diet
Heavy meals and difficult to digest foods – cause indigestion. Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine Carbonated drinks – makes the stomach more acidic and disturbed digestion Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire) Milk and milk products – increase kapha, cause obstruction in channels and obesity Curd – causes vidaaha and thereby many other diseases
Light meals and easily digestible foods Green gram, soups, nuts, fresh fruits & vegetables Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc Behaviour: Protect yourself from extreme climate changes. Better to avoid exposure to excessive sunlight wind rain or dust. Maintain a regular food and sleep schedule. Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc. Avoid sedentary lifestyle. Be active. Yoga Regular stretching and mild cardio exercises are advised. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended. Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health. Yoga can maintain harmony within the body and with the surrounding system. Yoga for premature ejaculation Pavanamuktasana Nadisudhi pranayama Bhujangasana All the exercises and physical exertions must be decided and done under the supervision of a medical expert only. Research articles https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2721550/ https://pubmed.ncbi.nlm.nih.gov/31351659/ These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake. Writer: Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage. Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India. Dr. Nair is a regular speaker at Ayurveda-related conferences and has visited Germany to propagate Ayurveda. You can write directly to him- Whatsapp – +91 9446918019, +91 8075810816 URLs: https://www.ayurvedaforall.com/ To give you a quick idea about Ayurvedaforall, we are a group of ayurvedic practitioners committed to propagating Ayurveda in its best tradition around the world. Our online store sells authentic ayurvedic formulations backed by professional advice. Now into the seventeenth year of operation, the site has helped us build a dedicated clientele which regularly uses our products and services as well as refers others to us. Needless to say, this has been achieved through our adherence to the highest standards of customer service and professional ethics. Author information
Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with www.ayurvedaforall.com as senior consultant, Ayurveda.
The post Premature Ejaculation- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama appeared first on Ayurvedaforall UK Blog. Via https://www.ayurvedaforall.co.uk/blog/premature-ejaculation-ayurvedic-treatment-diet-exercises-research-papers-yoga-pranayama/ Post Herpetic Neuralgia- Ayurvedic Treatment Diet Exercises Research Papers Yoga & Pranayama1/25/2022 IntroductionPostherpetic neuralgia is the most common complication of shingles. The condition affects nerve fibres and skin, causing burning pain that lasts long after the rash and blisters of shingles disappear. The chickenpox (herpes zoster) virus causes shingles. The risk of postherpetic neuralgia increases with age, primarily affecting people older than 60. There’s no cure, but treatments can ease symptoms. For most people, postherpetic neuralgia improves over time. Signs & symptoms It is generally limited to the area of skin where the shingles outbreak first occurred — most commonly in a band around the trunk, usually on one side of the body. Signs and symptoms might include: Pain that lasts three months or longer after the shingles rash has healed. The associated pain has been described as burning, sharp and jabbing, or deep and aching. Sensitivity to light touch. People with the condition often can’t bear even the touch of clothing on the affected skin (allodynia). Itching and numbness. Less commonly, postherpetic neuralgia can produce an itchy feeling or numbness. Causes It is a complication after an attack of shingles. Greater risk for post herpetic neuralgia is present if:
Pathophysiology Varicella Zoster Virus is a highly contagious DNA virus that remains latent within the sensory ganglia following resolution of chickenpox, which usually occurs during childhood. During Herpes Zoster, Varicella Zoster Virus is reactivated, travels back along the affected neurons away from the sensory ganglia, and propagates in the epidermis. A hallmark of Herpes Zoster is that it is typically unilateral (i.e., not crossing the midline), and in most cases only a single dermatome is affected. The erythematous maculopapular Herpes Zoster rash is usually accompanied by pain and dysesthesia. The rash progresses to clear vesicles similar to the original chickenpox outbreak. Then, over a period of 48–72 hours, pustules form, ulcerate, and eventually scab over. Scabs fall off in 2–3 weeks and scarring may occur. Post Herpetic Neuralgia occurs in the same dermatomes as the Herpes Zoster rash, and stems from damage to peripheral and central neurons that may be a by-product of the immune/inflammatory response that accompanied Varicella Zoster Virus reactivation and migration. When damaged, peripheral and central nerve fibres may develop a lower threshold for action potentials, discharge spontaneously, and exhibit disproportionate responses to stimuli, resulting in peripheral sensitization and pain without painful stimuli (allodynia) Patients with PHN experience three major types of pain: 1) constant pain without a stimulus (often described as burning, aching, or throbbing), 2) intermittent pain without a stimulus (often described as stabbing, shooting, or electric shock-like), and 3) pain brought on by a stimulus but is disproportionate to the stimulus (hyperalgesia) enduring for at least 3 months after healing of the Herpes Zoster-related skin rash. In addition, patients may experience a variety of abnormal sensations (dysesthesias or paraesthesia’s). Diagnosis Physical examination Treatments No single treatment relieves postherpetic neuralgia for everyone. Mostly, a combination of treatments is needed to reduce the pain. Lidocaine skin patches – These are small, bandage-like patches that contain the topical pain-relieving medication lidocaine. The patches are applied, directly to painful skin to deliver temporary relief. Capsaicin skin patch – It uses a patch with a numbing medication on the affected area. Anticonvulsants – Certain anti-seizure medications, including gabapentin and pregabalin, can lessen the pain of postherpetic neuralgia. These medicines have remarkable side effects too. Antidepressants – Certain antidepressants, such as nortriptyline, amitriptyline, duloxetine and venlafaxine, affect key brain chemicals that play a role in both depression and how the body interprets pain. Antidepressants in lower dosage are used effectively in post herpetic neuralgia Common side effects of these medications include drowsiness, dry mouth, lightheadedness and weight gain. Opioid painkillers – in severe cases. Opioids can cause mild dizziness, drowsiness, confusion and constipation. Steroid injections Prognosis The prognosis is good in most of the cases but they may have to take pain medications for about one to three months. For others, the prognosis is fair to poor if the pain is severe, lasts longer than three months, or markedly reduces their quality of life. Complications Chronic pain and associated discomforts like
Disease & Ayurveda Visarpa Nidana Not mentioned separately. Causative factors of Sopha can cause the same Vidaahi food items Purvaaroopa Not mentioned. Samprapti When the vitiated one, two or three doshas get lodged inside or outside of the body, spread very fast and causes inflammation. In baahyavisarpa, the inflammation affects skin and nerves leading to severe pain and other discomforts. Lakshana Sopha – swelling Sphurana – throbbing Nistoda – piercing pain Bheda – stabbing pain Arthi – severe pain Harsha – numbness Divisions
Prognosis Krichhrasadhyam Chikithsa Treatment of visarpa should start with Langhana (fasting) and Rookshana (drying) therapies. After proper aamapaachana, bloodletting should be done to clean the circulation. After bloodletting, Vamana and virechana are indicated. In cases of Visarpa, snehana (use of oils/fats) therapies are contra indicated. Samana Lepanam with Rookshana dravyas Parisheka with soolahara-rooksha & seethadravyas Sodhana Raktamokshanam Vamanam Virechanam Commonly used medicines Guduchyadi kashayam Vilwadi gutika Avipathy Churna Naalpaamaradi kwatham Satadhoutaghrutam Brands available AVS Kottakal AVP Coimbatore SNA oushadhasala Vaidyaratnam oushadhasala Home remedies Shingles cause severe pain & discomforts which cannot be managed at home. No home remedy is proven to cure shingles. Following herbs may help to lessen the suffering. Cold compresses Essential oils Aloe vera Witch hazel Oatmeal Turmeric paste Diet
Heavy meals and difficult to digest foods – cause indigestion. Spicy and hot food items Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine Carbonated drinks – makes the stomach more acidic and disturbed digestion Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire) Milk and milk products – increase kapha, cause obstruction in channels and obesity Curd – causes vidaaha and thereby many other diseases
Light meals and easily digestible foods Gooseberry, pomegranate, grapes etc. Green gram, soups, food items with cold potency. Freshly cooked and warm food processed with minimal spices. Behaviour: Protect yourself from hot climate. Better to avoid exposure to excessive sunlight wind rain or dust. Maintain a regular food and sleep schedule. Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc. Avoid sedentary lifestyle. Yoga Exercise is not advised in cases with severe pain and discomforts. Regular stretching and mild cardio exercises are advised in mild cases. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended. Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health. Yoga can maintain harmony within the body and with the surrounding system. Yoga for neuropathy Pavanamuktasana Nadisudhi pranayama Bhujangasana Simple exercises for lungs and heart health All the exercises and physical exertions must be decided and done under the supervision of a medical expert only. Research articles https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5036669/
These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake. Writer: Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage. Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India. Dr. Nair is a regular speaker at Ayurveda-related conferences and has visited Germany to propagate Ayurveda. You can write directly to him- Whatsapp – +91 9446918019, +91 8075810816 URLs: https://www.ayurvedaforall.com/ To give you a quick idea about Ayurvedaforall, we are a group of ayurvedic practitioners committed to propagating Ayurveda in its best tradition around the world. Our online store sells authentic ayurvedic formulations backed by professional advice. Now into the seventeenth year of operation, the site has helped us build a dedicated clientele which regularly uses our products and services as well as refers others to us. Needless to say, this has been achieved through our adherence to the highest standards of customer service and professional ethics. Author information
Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with www.ayurvedaforall.com as senior consultant, Ayurveda.
The post Post Herpetic Neuralgia- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama appeared first on Ayurvedaforall UK Blog. Via https://www.ayurvedaforall.co.uk/blog/post-herpetic-neuralgia-ayurvedic-treatment-diet-exercises-research-papers-yoga-pranayama/ PMS(Premenstrual syndrome)- Ayurvedic Treatment Diet Exercises Research Papers Yoga & Pranayama1/19/2022 IntroductionPremenstrual syndrome (PMS) is a condition that affects a woman physically and emotionally and causing changes in behaviour during certain days of the menstrual cycle, generally just before her menses. PMS is a very common condition. Its symptoms affect more than 90% of women in the reproductive age. It is important to get a proper diagnosis and treatment for physical and social well-being. Usually, PMS symptoms start five to 11 days before menstruation and typically go away once menstruation begins. Signs & symptoms Signs and symptoms are varied widely in PMS patients. The days affected are also different from person to person. In most cases, it starts at least one week prior to menstruation and ends with the onset of bleeding. The symptoms of PMS are usually mild or moderate. It varies in individuals and in months. The symptoms of PMS include:
Causes The cause of PMS is unknown. But a change in both sex hormones and serotonin levels at the beginning of the menstrual cycle is believed to play a role in PMS by experts. Pathophysiology Premenstrual syndrome (PMS) and premenstrual dysphoric disorder are triggered by hormonal events ensuing after ovulation. The symptoms can begin in the early, mid or late luteal phase and are not associated with defined concentrations of any specific gonadal or non-gonadal hormone. Although evidence for a hormonal abnormality has not been established, the symptoms of the premenstrual disorders are related to the production of progesterone by the ovary. The two best-studied and relevant neurotransmitter systems implicated in the genesis of the symptoms are the GABArgic and the serotonergic systems. Metabolites of progesterone formed by the corpus luteum of the ovary and in the brain bind to a neurosteroid-binding site on the membrane of the gamma-aminobutyric acid (GABA) receptor, changing its configuration, rendering it resistant to further activation and finally decreasing central GABA-mediated inhibition. By a similar mechanism, the progestogens in some hormonal contraceptives are also thought to adversely affect the GABAergic system. The lowering of serotonin can give rise to PMS-like symptoms and serotonergic functioning seems to be deficient by some methods of estimating serotonergic activity in the brain; agents that augment serotonin are efficacious and are as effective even if administered only in the luteal phase. However, similar to the affective disorders, PMS is ultimately not likely to be related to the dysregulation of individual neurotransmitters. Brain imaging studies have begun to shed light on the complex brain circuitry underlying affect and behaviour and may help to explicate the intricate neurophysiological foundation of the syndrome. Diagnosis There are no unique physical findings or lab tests to positively diagnose premenstrual syndrome. A particular symptom to PMS if it’s part of predictable premenstrual pattern. Treatments For many women, lifestyle changes can help relieve PMS symptoms. But in severe cases, medications are needed. The success of medications in relieving symptoms varies among women. Commonly prescribed medications for premenstrual syndrome include:
Prognosis PMS symptoms can recur, but they typically go away after the start of menstruation. A healthy lifestyle and a comprehensive treatment plan can reduce or eliminate the symptoms for most women. Complications Disease & Ayurveda Ayurveda does not consider pain during menses as a single disease but explains this as a sign present in many diseases of female reproductive system. The term kashtartava defines painful menses or menstruation with discomforts. Nidana Unwholesome diet and regimen Not following Ritumaticharya (advised regimen during menstruation and ovulation) Purvaaroopa Not mentioned Samprapti Bleeding during artava is the function of Apaanavayu. Also, Ayurveda explains no diseases in the female reproductive system happens without the affliction of Vaata. Kapha and sometimes Pitta come associated with Vaata to produce diseases of female reproductive system but Vaata derangement especially Apaanavaata affliction is a must. Regarding pain, Vaatadrute ruja naasti explains that Vaata is the causative dosha of Pain sensation. Here, in kashtartava the Apaanavaata gets aggravated and causes pain and discomforts during menses. Lakshana Pain in the abdomen during menstruation Divisions Not mentioned Prognosis Saadhyam in new & uncomplicated in young patients Yaapya in chronic cases with other complications Chikithsa Ayurvedic treatment for painful menses mainly targets the balancing of Vaatadosha, the guardian of normal menstruation. As there are chances of obstruction in the channels that carry blood, cleaning of the body in the form of panchakarma therapies are advised in patients with adequate physical health. Samana Soolahara dravyas Anulomanam Pradesikaswedanam Maatravasti Aamapaachanam Agnideepanam Sodhana Sneha-sweda Virechana Vamana Asthapanavasti Anuvasanavasti Uttaravasti in needed cases Commonly used medicines Sukumaram kashayam Kumaryasavam Dasamoolarishtam Shaddharanam choornam Dhaanwantaram gulika Brands available AVS Kottakal AVP Coimbatore SNA oushadhasala Vaidyaratnam oushadhasala
Home remedies In order to help with PMS, a woman has to ecord her symptoms for a few months to identify the triggers and timing of the symptoms. This will allow her to intervene with strategies that may help to lessen them. Besides getting enough sleep and rest, things that help reduce the problems associated with PMS include:Vitamin supplements like calcium, magnesium, vitamin E and vitamin B-6 Herbal remedies such as ginkgo, ginger, chasteberry (Vitex agnus), evening primrose oil and St. John’s wort. Regular exercise – Physical activity, helps ease menstrual cramps for some women. Use heat – Soaking in a hot bath or using a heating pad, hot water bottle or heat patch on lower abdomen might ease menstrual cramps. Dietary supplements – like vitamin E, omega-3 fatty acids, vitamin B-1 (thiamin), vitamin B-6 and magnesium supplements might reduce menstrual cramps. Reduce stress – Psychological stress might increase the risk of menstrual cramps and their severity. Massaging the abdomen Eating light, nutritious meals several times a day in spite of heavy meals Relaxation techniques or yoga Raising the legs or lying with knees bent Reducing intake of salt, alcohol, caffeine, and sugar to prevent bloating and disturbed digestion Diet
Heavy meals and difficult to digest foods – cause indigestion. Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine Carbonated drinks – makes the stomach more acidic and disturbed digestion Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire) Milk and milk products – increase kapha, cause obstruction in channels and obesity Curd – causes vidaaha and thereby many other diseases Caffeinated drinks
Light meals and easily digestible foods Green gram, soups, sesame oil Fresh fruits like grapes, pomegranate and dates Eat more leafy vegetables Use more ginger in food preparations Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc Behaviour: Protect yourself from extreme climate changes. Better to avoid exposure to excessive sunlight wind rain or dust. Maintain a regular food and sleep schedule. Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc. Avoid sedentary lifestyle. Be active. Avoid stress and emotional hurricanes. Yoga Regular stretching and cardio exercises are advised in non-menstruating days. Also, specific yogacharya including naadisuddhi pranayama, vajrasana, gomukhasana, bhadrasana, bhujangaasana, pavanamuktasana is recommended. Yoga and strenuous exercises are not advised during painful menstruation days. Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health. Yoga can maintain harmony within the body and with the surrounding system. Vajrasana Gomukhasana Bhadrasana Pavanamuktasana Nadisudhi pranayama Bhujangasana All the exercises and physical exertions must be decided and done under the supervision of a medical expert only. Research articles https://pubmed.ncbi.nlm.nih.gov/22611222/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3118460/ These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake. Writer: Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage. Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India. Dr. Nair is a regular speaker at Ayurveda-related conferences and has visited Germany to propagate Ayurveda. You can write directly to him- Whatsapp – +91 9446918019, +91 8075810816 URLs: https://www.ayurvedaforall.com/ To give you a quick idea about Ayurvedaforall, we are a group of ayurvedic practitioners committed to propagating Ayurveda in its best tradition around the world. Our online store sells authentic ayurvedic formulations backed by professional advice. Now into the seventeenth year of operation, the site has helped us build a dedicated clientele which regularly uses our products and services as well as refers others to us. Needless to say, this has been achieved through our adherence to the highest standards of customer service and professional ethics. Author information
Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with www.ayurvedaforall.com as senior consultant, Ayurveda.
The post PMS(Premenstrual syndrome)- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama appeared first on Ayurvedaforall UK Blog. Via https://www.ayurvedaforall.co.uk/blog/pmspremenstrual-syndrome-ayurvedic-treatment-diet-exercises-research-papers-yoga-pranayama/ IntroductionPlantar warts are small growths that usually appear on the heels or other weight-bearing areas of the feet. This pressure may also cause plantar warts to grow inward beneath a hard, thick layer of skin (callus). Plantar warts are caused by Human Papilloma Virus (HPV). The virus enters the body through tiny cuts, breaks or other weak spots on the bottom of the feet. Most plantar warts aren’t a serious health concern and usually go away without treatment eventually. In severe cases, the warts can be removed. Signs & symptoms
Causes Plantar warts are caused by an infection with Human Papilloma Virus (HPV) which enters the body through tiny cuts, breaks or other weak spots on the bottoms of the feet. Pathophysiology Human papillomavirus can survive months to years on surfaces. Infection of a host requires direct contact with viral particles, which can occur through either direct contact via a plantar wart or indirect contact via fomites, such as flooring, socks, shoes, towels, and sports equipment. There is no systemic dissemination or viraemic phase to HPV infection. As such, contact with body fluids, except those directly from the plantar wart itself, does not transmit HPV. Pre-existing microtrauma of the epidermal barrier of the plantar aspect of the foot allows entry of the virus on contact. Once in contact with a host, HPV gains entry to the basal epithelial layer, where actively dividing stem cells are located. In the basal epithelium, the virus binds with cellular receptors and is subsequently taken up by the now-infected cell. After an incubation period of 1 to 20 months, viral DNA is then established within the host cell, usually without integration into the host cell genome. Once infection occurs, 3 outcomes are possible: clearance of the infection with resultant immunity to that particular HPV type, latent infection, or clinically manifested infection as a plantar wart. After infection, if the virus is not cleared, the host basal keratinocyte is stimulated to divide and replicate viral DNA via HPV E1 and E2 proteins. This process produces numerous stem cells that each contain 20 to 100 copies of the viral DNA. The basal stem cells contain very low levels of viral proteins, which enhances the virus’s ability to evade the host’s immune response. As the basal cells undergo normal differentiation into keratinocytes, they progress towards the outer surface of the epithelium. At the same time, the viral genome promoter region is activated, leading to increased production of viral proteins that enhance HPV genome amplification within each differentiating cell. It is thought that E5, a membrane protein produced via the viral DNA template, serves to enhance signaling from growth factor, which in turn maintains the cell’s capacity for DNA replication. Once viral DNA copies are sufficient, L1 and L2 viral coat proteins are expressed by surface keratinocytes. Protein E2 recruits viral DNA copies to the host cell nucleus, where the viral DNA is packaged into capsids composed of proteins L1 and L2. The infectious viral particles can then be released in high numbers from desquamated keratinocytes on the surface of the plantar wart to infect other sites or hosts. The induction of cellular replication throughout the process of viral genome amplification leads to the hyperkeratinized papule that constitutes a plantar wart. Plantar warts tend to develop at areas of increased pressure on the sole of the foot, including the heel and metatarsal heads. Such pressure points are regions of increased microtrauma to the epidermal barrier, which increases the likelihood of HPV invasion. Owing to the pressure exerted on the forming plantar wart, the lesion tends to progress deeper into the skin (creating an “iceberg effect”) as opposed to forming a rounded papule, which can contribute to their resistance to therapy. As a result of normal sloughing of the epithelium, viral particles are released and may be transmitted to surfaces where the virus will lie until picked up by a new host or spread to adjacent sites (autoinoculation). Thus, once a plantar wart develops, the host is susceptible to additional warts developing. Diagnosis
Treatments Most plantar warts are harmless and go away without treatment, though it may take a year or two. If the warts are painful or spreading, treatment is needed such as: Stronger peeling medicine (salicylic acid). Freezing medicine (cryotherapy). Surgical or other procedures If salicylic acid and freezing medicine don’t work, following treatments can be done:
Prognosis Most plantar warts are harmless and go away without treatment, though it may take a year or two. Complications Normal posture or gait can be altered due to pain caused by pressure on the warts. This change can cause muscle or joint discomfort. Charmakeela Nidana Not mentioned separately. Causative factors of kushtha can cause the same Vitiated doshas are Vyaanavaayu and Kapha Purvaaroopa Not mentioned. Samprapti When the vitiated Vyaanavaayu taking along the Kapha dosha gets lodged in skin, it causes rough, firm & hard skin lesion externally resembling a nail. Lakshana A chronic black/skin-coloured lesion which is rough & hard on touch, elevated, and resembling a nail. Divisions Not mentioned Prognosis Krichhrasadhyam Chikithsa Samana Lepanam with Rookshana dravyas Sodhana Sastrachedanam Dahanam Then treatment of wound should be done Commonly used medicines Thriphalakwatham Varanadi kashayam Rasothamadi lepam Brands available AVS Kottakal AVP Coimbatore SNA oushadhasala Vaidyaratnam oushadhasala Home remedies
Diet
Heavy meals and difficult to digest foods – cause indigestion. Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine Carbonated drinks – makes the stomach more acidic and disturbed digestion Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire) Milk and milk products – increase kapha, cause obstruction in channels and obesity Curd – causes vidaaha and thereby many other diseases
Light meals and easily digestible foods Green gram, soups, sesame oil. Fresh fruits and vegetables Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc Behaviour: Protect yourself from cold climate. Better to avoid exposure to excessive sunlight wind rain or dust. Maintain a regular food and sleep schedule. Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc. Avoid sedentary lifestyle. Be active. Avoid walking on rough & uneven surface. Yoga Yoga is not advised in conditions of severe pain & inflammation. But emotional health and skin diseases are directly related and Yoga for calming mind is recommended in plantar warts. Regular stretching and mild cardio exercises are also advised. A specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended. Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health. Yoga can maintain harmony within the body and with the surrounding system. Pavanamuktasana Nadisudhi pranayama Bhujangasana Simple exercises for lungs and heart health All the exercises and physical exertions must be decided and done under the supervision of a medical expert only. Research articles https://pubmed.ncbi.nlm.nih.gov/27215155/ These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake. Writer: Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage. Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India. Dr. Nair is a regular speaker at Ayurveda-related conferences and has visited Germany to propagate Ayurveda. You can write directly to him- Whatsapp – +91 9446918019, +91 8075810816 URLs: https://www.ayurvedaforall.com/ To give you a quick idea about Ayurvedaforall, we are a group of ayurvedic practitioners committed to propagating Ayurveda in its best tradition around the world. Our online store sells authentic ayurvedic formulations backed by professional advice. Now into the seventeenth year of operation, the site has helped us build a dedicated clientele which regularly uses our products and services as well as refers others to us. Needless to say, this has been achieved through our adherence to the highest standards of customer service and professional ethics. Author information
Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with www.ayurvedaforall.com as senior consultant, Ayurveda.
The post Plantar Warts- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama appeared first on Ayurvedaforall UK Blog. Via https://www.ayurvedaforall.co.uk/blog/plantar-warts-ayurvedic-treatment-diet-exercises-research-papers-yoga-pranayama/ IntroductionPiriformis syndrome is an uncommon neuromuscular disorder that is caused when the piriformis muscle compresses the sciatic nerve. The piriformis muscle is a flat, band-like muscle located in the buttocks near the top of the hip joint. This muscle is important in lower body movement because it stabilizes the hip joint and lifts and rotates the thigh away from the body. This enables us to walk, run, shift our weight from one foot to another, and maintain balance. It is also used in sports that involve lifting and rotating the thighs — in short, in almost every motion of the hips and legs. The sciatic nerve is a thick and long nerve in the body. It passes alongside or goes through the piriformis muscle, goes down the back of the leg, and eventually branches off into smaller nerves that end in the feet. Nerve compression can be caused by spasm of the piriformis muscle. Signs & symptoms Pain, tingling, or numbness in the buttocks. Severe pain extending down the length of the sciatic nerve (called sciatica). Tenderness of the muscles in the buttocks. Difficulty in sitting comfortably. Pain can be triggered when the piriformis muscle compresses the sciatic nerve, such as while climbing stairs, applying firm pressure directly over the piriformis muscle, or sitting for long periods of time. Causes Compression or contraction of piriformis muscle on sciatic nerve, which may happen due to trauma or a nearby growth or mass Pathophysiology Piriformis syndrome is most often caused by micro or macrotrauma to the buttocks, leading to inflammation of soft tissue, muscle spasm, or both, with resulting nerve compression. Microtrauma may result from overuse of the piriformis muscle, such as in long-distance walking or running or by direct compression. Involvement of the superior gluteal nerve usually is not seen in cases of piriformis syndrome. This nerve leaves the sciatic nerve trunk and passes through the canal above the piriformis muscle. Blunt injury may cause hematoma formation and subsequent scarring between the sciatic nerve and short external rotators. Nerve injury can occur with prolonged pressure on the nerve or vasa nervorum. Diagnosis There is no definitive test for piriformis syndrome. In many cases, case history, revealing a trauma to the area, repetitive, vigorous activity such as long-distance running, or prolonged sitting will be enough. Diagnosis of piriformis syndrome is made by physical examination of nervous & locomotor systems. Because symptoms can be similar in other conditions, radiologic tests such as MRIs may be required to rule out other causes of sciatic nerve compression, such as a herniated disc. Treatments Avoid positions that trigger pain. Rest, ice, and heat pack may help relieve symptoms. Exercises and stretches help reduce sciatic nerve compression. Osteopathic manipulative treatment helps relieve pain and increase range of motion. Anti-inflammatory medications, muscle relaxants, or injections with a corticosteroid. Iontophoresis – which uses a mild electric current, and Botox injections Surgery may be recommended as a last resort. Prognosis The prognosis is good in most of the patients with piriformis syndrome. Once symptoms are managed, normal activities can be resumed. In some cases, a regular exercise routine is advised to avoid recurrence. Complications Complications are usually due to surgery done for piriformis syndrome. They include:
Disease & Ayurveda Khallwi/grdhrasi Nidana Dhaatukshaya (degeneration of tissues) Aavarana (obstruction to channels in the body) Purvaaroopa Not mentioned Samprapti Due to the causative factors Vaata gets vitiated and gets lodged in the lower limbs, especially nerves & muscles, causing the signs & symptoms. Lakshana Severe pain in the lower limb Difficulty to raise the lower limb Divisions Not mentioned Prognosis Saadhya when the disease is new Krichrasadhya when the disease is chronic Chikithsa Samana Lepana with soolaharadravyas Parisheka with warm soolahara-sothahara dravyas Upanaha with Vaataharadravyas Sirodhara, kateevasti, kateepichu with Vaatahara taila(once there is no aama) Sodhana Sneha (Abhyanga) Sweda (Potalisweda) Vasti Virechana Raktamokshana Daahakarma Commonly used medicines Maharasnadi kashayam Sahacharadi kashayam Rasnerandadi kashayam Dasamoolarasnadi Kashayam Yogarajaguggulu Balaatailam Guggulutiktakaghrutam Brands available AVS Kottakal AVP Coimbatore SNA Oushadhasala Vaidyaratnam oushadhasala Home remedies Medical professionals suggest the following to ease pain & other disturbances in the legs:
Diet
Drink enough liquids. Ensure enough hydration. Heavy meals and difficult to digest foods – cause indigestion. Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine Carbonated drinks – makes the stomach more acidic and disturbed digestion Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire) Milk and milk products – increase kapha and cause obstruction in channels Curd – causes vidaaha and thereby many other diseases
Light meals and easily digestible foods Green gram, soups, sesame oil. Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc Behaviour: Protect yourself from very hot & cold climates. Better to avoid exposure to excessive sunlight wind rain or dust. Avoid lifting heavy weights and other vigorous physical activities. Maintain a regular food and sleep schedule. Avoid sedentary lifestyle. Be active. Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc. Yoga Vigorous exercises are not allowed in painful conditions. Only stretching, moderate walking, and mild cardio exercises are advised. Also, specific yogacharya including bhujangaasana, salabhasana, vajrasana is recommended. Caution must be there to consider the range of movement and flexibility. Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health. Yoga can maintain harmony within the body and with the surrounding system. Salabhasana vajrasana Bhujangasana exercises for leg pain All the exercises and physical exertions must be decided and done under the supervision of a medical expert only. Research articles https://www.ncbi.nlm.nih.gov/books/NBK448172/ These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake. Writer: Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage. Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India. Dr. Nair is a regular speaker at Ayurveda-related conferences and has visited Germany to propagate Ayurveda. You can write directly to him- Whatsapp – +91 9446918019, +91 8075810816 URLs: https://www.ayurvedaforall.com/ To give you a quick idea about Ayurvedaforall, we are a group of ayurvedic practitioners committed to propagating Ayurveda in its best tradition around the world. Our online store sells authentic ayurvedic formulations backed by professional advice. Now into the seventeenth year of operation, the site has helped us build a dedicated clientele which regularly uses our products and services as well as refers others to us. Needless to say, this has been achieved through our adherence to the highest standards of customer service and professional ethics. Author information
Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with www.ayurvedaforall.com as senior consultant, Ayurveda.
The post Piriformis Syndrome- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama appeared first on Ayurvedaforall UK Blog. Via https://www.ayurvedaforall.co.uk/blog/piriformis-syndrome-ayurvedic-treatment-diet-exercises-research-papers-yoga-pranayama/ IntroductionThere’s a type of cyst that develops at the bottom of coccyx or tailbone. It’s called a pilonidal cyst. It can become infected and filled with pus. Once infected, the technical term is “pilonidal abscess,” and it can be painful. It looks like a big pimple at the bottom of the tailbone. It is more common in men than in women. It usually happens more often in younger people. During World War II, more than 80,000 soldiers got pilonidal cysts that put them in the hospital. People thought they were because of irritation from riding in bumpy Jeeps. For a while, the condition was called “Jeep disease.” People who sit a lot, such as truck drivers, have a higher chance of getting one. They can be treated successfully in most cases. If it is inflamed & painful, it can be drained or taken out surgically. Signs & symptoms Pain, redness, tenderness and swelling at the bottom of the spine Pus or blood draining out of it with bad smell Fever Causes The exact cause of pilonidal cysts is not clearly known. But most pilonidal cysts appear to be caused by loose hairs that penetrate the skin. Friction and pressure — skin rubbing against skin, tight clothing, bicycling, long periods of sitting or similar factors — force the hair down into skin. Pilonidal means “nest of hair,” and hair follicles are found inside the cyst while removing it surgically. Experts say ingrown hairs are the most common cause of pilonidal cyst. Another theory is that pilonidal cysts appear after a trauma to that region of your body. A small dimple in the skin between buttocks at birth can be a risk factor for developing pilonidal cyst later in life. Other risk factors include obesity, long & thick hair, sedentary lifestyle, prolonged sitting, and excessive sweating. Pathophysiology It has been postulated that hair penetrates into the subcutaneous tissues through dilated hair follicles, which is thought to occur particularly in late adolescence, though follicles are not found in the walls of cysts. Upon sitting or bending, hair follicles can break and open a pit. Debris may collect in this pit, followed by development of a sinus with a short tract, with a not clearly understood suction mechanism involving local anatomy, eventually leading to further penetration of the hair into the subcutaneous tissue. This sinus tends to extend cephalad, likely owing to mechanical forces involved in sitting or bending. A foreign body-type reaction may then lead to formation of an abscess. If given the opportunity to drain spontaneously, this may act as a portal of further invasion and eventually formation of a foreign body granuloma. Infection may result in abscess formation. Microscopically, the sinus where the hair enters is lined with stratified squamous epithelium with slight cornification. Additional sinuses are frequent. Cyst cavities are lined with chronic granulation tissue and may contain hair, epithelial debris, and young granulation tissue. Cutaneous appendages are not seen in the wall of cysts, meaning the cysts lack epithelial lining, unlike the sinus. Cellular infiltration consists of lymphocytes, and plasma cells in varying proportions. Foreign body giant cells in association with dead hairs are a frequent finding. Diagnosis In most of the cases, physical examination with detailed history can confirm the diagnosis In rare cases, imaging techniques like USG, MRI etc. will be required. Treatments Antibiotics do not heal a pilonidal cyst. But there are therapeutic procedures including: Incision and drainage: This is the preferred method for a first pilonidal cyst. Making a cut into the cyst and draining it. Then any hair follicles are removed and leaves the wound open, packing the space with gauze. Marsupialization: In this procedure, A cut is made and pus is drained. After removing pus and any hair that are inside, the doctor will sew the edges of the cut to the wound edges to make a pouch. Incision, drainage, closing of wound: In this technique, the cyst is drained, but it’s not left open. It is important to obey all instructions by doctor, after a surgery. Try to keep the area clean. Check for any signs of a new infection, such as redness, pus, or pain. Continue regular follow ups to ensure the healing of the cyst. Prognosis A complete cure is possible in most of surgically removed pilonidal cysts, but chance of recurrence is high. Complications Abscess formation. Recurrence of the pilonidal cyst. Systemic infection (infection that spreads throughout the body) Rarely, squamous cell carcinoma, a form of skin cancer Disease & Ayurveda Naadeevrana(sallyaja) Nidana Asaadhuvrtha – inadequate drainage of sopha(swelling) or pooya(pus) Purvaaroopa Not mentioned Samprapti When the foreign body causes inflammation & swelling a cyst like sopha forms. In cases where this sopha is not incised& drained properly, the inflammation spreads into deeper tissues in the form of a tunnel and develops the naadeevrana. Lakshana One open wound on the skin outside the body Pain & swelling, pain will be continuous & severe Reddish,blackish discolouration may be present Continuous and sero-sanguineous pus discharge from the open side Fever and other systemic signs of inflammation will be present in acute infections. Divisions Vatika Paittika Kaphaja Thridoshaja Sallyaja/aaganthu (due to the presence of a foreign body) Prognosis Kricchrasadhya Chikithsa When nadeevrana is formed due to a foreign body, it should be extracted surgically. Once the foreign body is completely removed and the pus is drained out completely, the treatment for wound healing should be done. Symptomatic management for pain relief should be done along with main treatment. Samana Upanaaha – bandage to prepare the area for extraction of sallya inside Poorana – filling up the naadee with herbs Bandhana – bandage of the clear wound after the surgery Kshaalana – washing the area with wound healing medicines Sodhana Paatanam/Chedanam/Vidaaranam – surgical removal of foreign body Sallyanirharanam – extraction of sallya Margapravisodhanam – drainage pus and residual tissue Then treatment of wound should be done Commonly used medicines Varanadi kashayam Dusparsakadi Kashayam Dasamulakaduthryam Kashayam Kankayana Vati Chiruvilwadi kashayam Guggulupanchapalachoornam Kanchanaraguggulu Nalpamaradi kashayam Brands available AVS Kottakal AVP Coimbatore SNA oushadhasala Vaidyaratnam oushadhasala Home remedies Sit bath or soak the area in a tub of warm water Take OTC pain relievers Keep the cyst and area around it clean and dry Diet
Heavy meals and difficult to digest foods – cause indigestion. Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine Carbonated drinks – makes the stomach more acidic and disturbed digestion Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire) Milk and milk products – increase kapha, cause obstruction in channels and obesity Curd – causes vidaaha and thereby many other diseases
Light meals and easily digestible foods Green gram, soups, honey Freshly cooked and warm food processed with cumin seeds, ginger, black pepper, ajwain etc Protect yourself from hot climate. Better to avoid exposure to excessive sunlight wind rain or dust. Maintain a regular food and sleep schedule. Avoid holding or forcing the urges like urine, faeces, cough, sneeze etc. Avoid sedentary lifestyle. Be active. Avoid continuous sitting and squatting. Avoid constipation. Yoga Exercises are completely restricted in cases of a severe infection. In mild cases or after surgery & follow up, regular stretching and mild cardio exercises are advised. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended. Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health. Yoga can maintain harmony within the body and with the surrounding system. Pavanamuktasana Nadisudhi pranayama Bhujangasana Simple exercises for lungs and heart health All the exercises and physical exertions must be decided and done under the supervision of a medical expert only. Research articles https://pubmed.ncbi.nlm.nih.gov/10950015/
These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake. Writer: Dr. Nair offers consultation at two busy clinics in and around Haripad, Alleppey, Kerala, the southern state famous worldwide for authentic ayurvedic treatment and physicians. While offering consultation on all aspects of ayurvedic treatments Dr. Nair has a special interest in Panchkarma, Yoga, and Massage. Through Ayurvedaforall Dr. Nair offers online consultation to patients worldwide and has served hundreds of patients over the last 20 years. In addition to his Ayurvedic practice, he is the chief editor of ayurveda-amai.org, the online portal of Ayurveda Medical Association of India, and the state committee member of Ayurveda Medical Association of India. Dr. Nair is a regular speaker at Ayurveda-related conferences and has visited Germany to propagate Ayurveda. You can write directly to him- Whatsapp – +91 9446918019, +91 8075810816 URLs: https://www.ayurvedaforall.com/ To give you a quick idea about Ayurvedaforall, we are a group of ayurvedic practitioners committed to propagating Ayurveda in its best tradition around the world. Our online store sells authentic ayurvedic formulations backed by professional advice. Now into the seventeenth year of operation, the site has helped us build a dedicated clientele which regularly uses our products and services as well as refers others to us. Needless to say, this has been achieved through our adherence to the highest standards of customer service and professional ethics. Author information
Licensed Ayurvedic doctor focused on providing individual Ayurvedic consultation services. Specialized in work related stress, Womens’ issues, diabetes, Pecos, arthritis, male and female sexual problems and infertility. Interested in academic work as well. Now working with www.ayurvedaforall.com as senior consultant, Ayurveda.
The post Pilonidal Cyst- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama appeared first on Ayurvedaforall UK Blog. Via https://www.ayurvedaforall.co.uk/blog/pilonidal-cyst-ayurvedic-treatment-diet-exercises-research-papers-yoga-pranayama/ |
About UsAyurvedaforall, is a group of ayurvedic practitioners committed to propagating Ayurveda in its best tradition around the world. Archives
March 2023
Categories |