Raynaud’s Disease is a rare disorder that affects the arteries. Arteries are blood vessels that carry blood from the heart to different parts of body. Raynaud’s sometimes is called a disease, syndrome, or phenomenon. In Raynaud’s disease, smaller arteries that supply blood to the skin become narrow, limiting blood flow to affected areas (vasospasm). Women are more likely than men to have Raynaud’s disease, also known as Raynaud’s phenomenon or syndrome. It appears to be more common in people who live in colder climates. The disorder is marked by brief episodes of vasospasm, or narrowing of small blood vessels or capillaries. Vasospasm of the arteries reduces blood flow to the fingers and toes. Raynaud’s disease causes some areas of the body, such as the fingers and toes — to feel numb and cold in response to cold temperatures or stress. Signs and symptoms During a Raynaud’s attack, the arteries become very narrow for a brief period. As a result, little or no blood flows to affected body parts. This may cause these areas to:
Numb, prickly feeling or stinging pain upon warming or stress relief. Mostly it takes around 15 minutes or more time to restore the normalcy of blood circulation.
Causes
There are two main types of Raynaud’s—primary and secondary. In primary Raynaud’s (also called Raynaud’s disease), the cause isn’t known. Primary Raynaud’s is more common and tends to be less severe than secondary Raynaud’s. Secondary Raynaud’s is caused by an underlying disease, condition, or other factor such as:
Pathophysiology
Vascular tone is controlled by complex interactions between endothelial cells, the muscular layer, soluble mediators and neuronal stimulation. The imbalance between strong vasoconstricting and weaker vasodilatory events is central to the pathophysiology. Some of the underlying pathological mechanisms may be intrinsic disturbances of endothelial or vascular smooth muscle cells; some may be extrinsic, encompassing neuro-regulation and soluble mediators.
Diagnosis
Treatments
Treatments include lifestyle changes like avoiding cold temperatures. Dressing for the cold in layers and wearing gloves or heavy socks will help in mild cases. medicines like calcium channel blockers, alpha blockers, prescription skin creams, and ACE inhibitors, and vasodilators. In rare cases, surgery to block the nerves in the hands or feet that control the arteries and Botox injection are needed.
Prognosis
Primary Raynaud’s (Raynaud’s disease) and secondary Raynaud’s (Raynaud’s phenomenon) have no cure. However, treatments can reduce the number and severity of Raynaud’s attacks.
Complications If secondary Raynaud’s is severe, in rare cases, reduced blood flow to the fingers or toes can cause tissue damage. It can lead to skin sores or gangrene.
Disease & Ayurveda According to Ayurveda, movement is the function of Vaata dosha. When Vaata vitiates in the bold vessels it is called Siraagata Vaata. Nidana Dhaatukshaya (degeneration of body tissues) Aavarana (obstruction in the channels) Purvaaroopa Not mentioned Samprapti Due to the causative factors, Vaata dosha is vitiated and gets lodged in the blood vessels and cause the disease. Lakshana Aadhmaana and riktata of siras – alternate distension and emptying of blood vessels Divisions Not mensioned Prognosis Yaapya Chikithsa Treatment of siraagatavaata includes local and whole body treatments. Bringing back the vitiated Vaata into its normal ciurse is the main target. T includes snehana or oleation(when aama is not present) , daahakarma(local cauyerisation with heat) and upanahanam (bandage ) Samana Snehanam Upanaaham Sodhana Daahakarmam Then treatment of wound should be done Commonly used medicines Gulguluthiktakam Kashayam Kaisoraguggulu Guduchisatwa Patolakaturohinyadi kashayam Brands available AVS Kottakal AVP Coimbatore SNA oushadhasala Vaidyaratnam oushadhasala Home remedies Preventive measures for episodes of Raynaud’s attacks:
Use chemical hand warmers.
Set the air conditioner to a warmer temperature. Use insulated drinking glasses. 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 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 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://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139949/ doi: 10.1191/1358863x02vm455oa. A clinical study was done to investigate the clinical efficacy of a standardized Ginkgo biloba extract (Seredrin) in the treatment of Raynaud’s phenomenon in patients with no apparent, associated condition such as systemic sclerosis. There was a significant effect in the number of attacks per day in treatment group over placebo.
https://doi.org/10.1161/CIRCULATIONAHA.104.523324 To investigate the effects of sildenafil on symptoms and capillary perfusion in patients with Raynaud’s phenomenon, a double-blinded, placebo-controlled, fixed-dose, crossover study was done in 16 patients with symptomatic secondary Raynaud’s phenomenon resistant to vasodilatory therapy. Patients were treated with 50 mg sildenafil or placebo twice daily for 4 weeks. Sildenafil is an effective and well-tolerated treatment in patients with Raynaud’s phenomenon. 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.
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