After failed spinal surgeries, Apollo AyurVAID resolved his Sciatica pain

Integrated Summary

Clinical Status

Allopathy

Ayurveda

Vital Parameters

1. BP:120/80 mm of hg
2. Pulse:76/min
3. Weight:89.6 kg
4. Height192 cm
5. BMI:24.30

Astasthana Pariksha

- Nadi:vatha pitha
- Malam:Saama
- Mutra:Prakrutha
- Jihva:Swetha
- Shabda:Sadharana
- Sparsha:Prakrutha
- Drik:Prakrutha
- Akruti:Madhyama

Examinations

- GC:Fair
- CVS:NAD
- RS:NAD
- PA:Soft, tenderness++ Epigastric region,Right iliac region
- RS: NVBS

Gait: Antalgic SLR : Left leg – Less than 45 degree. Numbness- ++ on holding left leg for 2-3 seconds in same position Right leg- 70 degree pain starts in back of thigh and lower back

CNS Examination: Sensation over right foot: Superficial sensation present
Deep sensation: Altered
Reflex: Ankle joint reflex absent

Dasa Vidha Pariksha

1. Prakriti:Vatha pitha
2. Vikriti:vatha
3. Sara:Asthi sara
4. Samhanana:Avara
5. Pramana:Madhyama
6. Satmya:Madhura, Lavana
7. Satva:Madhyama
8. Aharashakti:Avara
9. Vyayam Shakti:Avara
10. Vaya:Madhyama
11. Desha:Jangalam
12. Kala:Greeshma

Rogi Bala - Madhyamam

Roga Bala - Balwan

DSQ findings	Rating
1. ADRS	Med
2. ADSS	High

NidanaPanchaka

1. Nidana - Rooksha aahara, Athyayana, Athichinthanam
2. Purvaroopa - Shoola
3. Roopa - Shoola, Daha
4. Updrava: Kukshishoola, Supthatha
5. Arishta Lakshana: NA
6. Samprapti
A. Dosha - Vatha vrudhi Kapha kshaya
B. Dushya - Rasa raktha mamsa asthi sira kandara
C. Agni - Vishamagni
D. Ama - Saama
E. Srotas - Mamsavaha, Asthivaha
F. Sroto Dushti Prakara - Sanga

Lab Tests: Nil

RogaSamprapti Flow Chart

- Rooksha, katu aahara +Athi chinthana+Athi ayana
- Vata vrudhi
- Kapha kshaya
- Vata vikara

Differential Diagnosis with reasoning

Lumbago :
Pain felt in the low back area and tends to radiate into the groin, buttock and upper thigh. The pain often moves around, and radiates below the knee.

Sciatica :
Radicular pain that radiates down the leg along the specific course of a compressed spinal nerve.

Differential Diagnosis with reasoning
Vatha vyadhi-Gradhrasi
Khanja
Pangu

Evidence Based Diagnosis with References
Lumbago
Digestive disorders

Evidence Based Diagnosis with References
Vatavyadhi-Gradhrasi
Agnimandhya

Chikitsa Vivechana: Ahara+Vihara+Aushadh+Kriya

Details of Allopathy medicine if continued
Pariet 20 mg 1/day
Rameron 50 mg 0-0-1
Tab.Inderal 10 m 1-0-0
Faverin 50 mg 0-0-1

Type – IPT
Duration – 13 days

Primary Treatments: Choorna pinda sweda,Vasti poorva karmas

Main Treatments:Abhyanga,Jambeera pinda sweda,Kati vasthi,Lepa,Kayaseka,Vasthi,Shastika shali pinda sweda.

Post Treatments:

Paschatha karmas of vasthi

FROM DATE	TO DATE	PROCEDURE	TREATMENT MEDICINES
18/04/15	24/04/15	Sarvanga abhyanga	Body-Sahacharadi taila+Narayana taila+karpasasthyadi taila, head-Dhanwantaram taila
18/04/15	18/04/15	Choornapinda sweda	Kottamchukkadi choornam+ shatapushpa choorna
19/04/15	24/04/15	Jambeera pinda sweda	Sahacharadi taila+Narayana taila+Karpasasthyadi taila
19/04/15		Kativasti	Kottamchukkadi taila+Murivenna taila+karpasasthyadi taila
19/04/15		Lepam	Murivenna taila+ Kottamchukkadi choornam+Marma gulika+ Egg white
25/04/15		Kayaseka	Body-Sahacharadi taila+Narayana taila+karpasasthyadi taila, head-Dhanwantaram taila
23/04/15	25/04/15	Vasti	A.V- Dhanwantaram mezupakam+Pippalyadi taila, K.V- Erandamoola kashaya+Dhanwantaram mezupakam+Pippalyadi taila+Shatapushpa kalka+madhu+saindhava lavana
25/04/15	30/4/15	Shashtikashalipinda sweda

Chikitsa Paddhati with details of dose of medicine.

Internal medicines during IP treatments:

Guggulu thikthakam Kashayam -15ml+Maharaja prasarinyadi thailam-10 drops at 7 AM
Maharasnadi kashayam-10 ml+Punarnavadi kashayam-10 ml+Yogaraja guggulu-2 11 AM
Dhanuantharam Kashayam-15 ml+Chandraprabha vati -2 at 6 PM
Manasamithra vatakam-2 warm milk at bedtime
Palsineuron after 2-0-2 after food

Internal medications after discharge date for 2 months:

Maharasnadi kashayam -15ml+Dhanwantharm 101-10 drops+ ½ glass warm water- mixed together and to be taken at 7 a.m and 11 a.m.
Dhanwantaram kashayam-15 ml+ Tab. Yogaraja guggulu -2+ ½ glass warm water- mixed together to be taken at 6 p.m or 7 p.m.
Tab. Palsineuron 2-0-2, after breakfast and dinner.

External medications:

Mahanarayana taila+ karpasasthyadi taila- mixed together; warm the oil and aplly over low back, hip joints and legs 30 min before bath.

Outcome

Samyak Lakshanas achieved (Control Charts Summary attached)
Standardised Outcome Scale-Low back Abredien Scale

	Before treatment	After treatment
Back pain severity score	76%	45.3 %

Other outcomes as per following table to be duly filled

#	Outcome Parameters	N	R	TSD	T	TED
1.	Sleep (Nidra)	Avara	Pravara	Pravara	Pravara	Pravara
2.	Appetite (Agni)	Fair-Vishamagni	Fair	Good	Poor	Good-Samagni
3.	Bowels (Mala)	Constipated-Saama	Clear	Clear	Clear	Clear-Niraama
4.	Urination (Mutra)	Prakrutha	Prakrutha	Prakrutha	Prakrutha	Prakrutha
5.	Stress (Manas)	Stressed	Stressed		Relaxed	Relaxed
6.	Vitality (Ojus)	Less	Less	Good	Good	Good
7.	BP	120/80	124/84	120/80	120/80	120/80
8.	Pulse	76	-	-	-	72
9.	Weight, Kg	89.6	-	-	-	85.2
10.	Diet (Ahara)	Poor	-	-	-	Good
11.	Exercise (Vyayama)	No exercise	-	-	-	No exercise
11.	Lifestyle (Vihara)	Poor	-	-	-	Good

Patient’s Outcome Scale

#	Presenting Complaint	Weightage	Status_TSD	Status_TED	Status_1 Week	Status_1 Month
1.	Low back ache radiating to LEFT LEG	60%	1	4	Awaiting	-
2.	Numbness legs	-	1	4	Awaiting	-
3.	Vibrating feeling on legs	30%	1	2	Awaiting	-
4.	Nervousness	-	1	3	Awaiting	-
5.	Irregular bowels	10%	1	3	Awaiting	-
6.	Burning sensation in chest and stomach pain	-	1	3	Awaiting	-
	WEIGHTED AVERAGE SCORE-----> -	-	-	-	-	-
	IMPROVEMENT SCORE----->	-	-	0.0	2.0	2.0
	IMPROVEMENT %----->	-	-	0%	100%	100%

Adverse Incident Report (Drug or Treatment): No adverse incidents reported

Attachments:

Conclusion

During treatment period he has well responded for all treatments. His pain and numbness were gradually reducing during the treatment days, and he was not under NSAID during the treatment period. Basti karma has stopped on 3rd day as patient not willing to continue the same. Patient did not have any adverse events during the course of treatments. His pain in low back has reduced from 8 to 3 on VAS (0-10) along with significant reduction in numbness and no vibrations in lower limbs. His back pain severity score has reduced from 76 to 45.3%. He found overall improvement in his quality of sleep, improved digestion and general health. Further he is advised to continue all his internal medication along with diet and regimen for another 2 months for sustained relief.

Patient's Stories

Back Pain, Sciatica

Severe Back Pain and Sciatica Cured through Ayurveda Treatment @AyurVAID

Cervical Radiculopathy, Sciatica & Sinusitis

Magnificient Relief from Cervical Radiculopathy, Sciatica & Sinusitis @AyurVAID Medanta, Gurugram

Patient’s testimonials

Sciatica, Disc Prolapse

I was suffering from a severe spine problem, for which I had consulted several Allopathic doctors...

Sciatica

I am suffering from Sciatica and right from the diagnosis to treatment, I have hopes...

After spinal surgeries for Sciatica failed, his numbness & pain were resolved at AyurVAID

Brief Medical History