Ayurveda management of an acute intervertebral disc prolapse (IVDP): A case report

IF 1.7 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE

Journal of Ayurveda and Integrative Medicine Pub Date : 2025-05-01 DOI:10.1016/j.jaim.2024.101113

Praveen Balakrishnan, Emy S. Surendran, Lisha S. Raj

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Abstract

Intervertebral disc prolapse (IVDP) or disc herniation is a moderately common disorder in males during their third to fifth decade of life. Conservative treatments are limited and surgery is an effective treatment option, but without much benefits in the long-term follow-up. Many claims of effects of Ayurveda interventions for IVDP are made, but evidence of effects of Ayurveda interventions in acute cases is meagre. This case report highlights the effects of Ayurveda management (following a multimodal approach with lepa, upanaha, pinda sweda, and vasti) within a short period of time of 26 days, in an acute case of IVDP. The Oswestry Disability Index reduced from 45 to zero and Functional Rating Index from 40 to 2. There was a linear reduction in pain and numbness in weekly follow up using the visual analogue scale. This case report highlights the role of Ayurveda treatments in the management of acute cases of intervertebral disc prolapse to achieve result within a short span of time.

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阿育吠陀治疗急性椎间盘突出（IVDP）： 1例报告

椎间盘脱垂（IVDP）或椎间盘突出是一种中等常见的疾病在男性的第三至第五十年的生活。保守治疗是有限的，手术是一种有效的治疗选择，但在长期随访中没有太大的好处。许多关于阿育吠陀干预IVDP的效果的说法被提出，但阿育吠陀干预在急性病例中的效果的证据很少。本病例报告强调了阿育吠陀治疗（遵循lepa， upanaha， pinda sweda和vasti的多模式方法）在26天的短时间内对急性IVDP病例的影响。Oswestry残疾指数从45降至零，功能评级指数从40降至2。在使用视觉模拟量表的每周随访中，疼痛和麻木有线性减少。本病例报告强调了阿育吠陀治疗在治疗急性椎间盘突出症中的作用，可在短时间内达到效果。

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