Cervical Spondylosis

This is a disorder in which the discs & vertebrae in the neck degenerate and so has a pulling pressure on the spinal cord in the neck.
Causes

• With aging the bone of the spine overgrows and narrows the spinal canal in the neck. As a result the spinal cord or the spinal nerve roots are compressed causing dysfunction.

Symptoms

• Cervical degeneration is commonly seen after thirty years of age.
• The characteristic clinical features are shooting pain and weakness.
• Leg movements may become jerky or spastic in advanced stages.
• Parasthesla is also seen
• In acute herniated cervical disc problem there will be pain and restricted movements and pain gets aggravated on movement

Treatment principle

• Joints are the seat of kapha.
• It is a vata kapha problem
• The treatment management differs in acute cervical prolapse (avarana) and in degeneration (dhatu ksaya).

Treatment in acute phase
The acute herniated cervical disc should be visualized as kaphavruta vata, asayapakarsya gati and chronic degeneration should be visualized as dhatuksaya. Hence the treatment is done accordingly.
Medicines-

• Rasnasapthakam kasayam –
• Astavargam –
• Rasna pancakam –
• Rasna suntiyadi –
• Maharasnadi –
• Asvagandha curnam
• Bala curnam
• Kapikaccu curnam –
• Aba guggulu –
• Rasnaguggulu –
• Avagaguggulu
• Yogarajaguggulu –

Taila snehapanam

• Karpasastyadi tailam –
• Prasasranyadi tailam –
• Dhanvantaram –

Lepam (kapha/ vatahara/ usna)

• Apply the warm paste of kottancuckkadi curnam or Rasnadi curnam or Nagaradi curnam or Kolakulatthadi curnam with tamarind juice and little vinegar in cervical region.
• Apply it twice daily. Keep it until it gets dry and wipe it off with warm water.
• Valuka sveda
• Ruksasvedam, with dry husk or kulattham (economical) for 20 minutes or until sweat appears.
• Oil should not be applied for first few days.

Once the acute phase is over
Samana snehapanam

• Gandha tailam –
• Dhanvantaram 101 –
• Ksirabala 101 –
• Bala tailam –
• Guggulutiktakam – –
• Varanadi ghrtam –

Asavas / aristas

• Asvagandharistam
• Balaristam – –
• Devadaru aristam –
• Varanadi aristam –
• Guggulu tiktaka aristam –

Tailam can be applied

• Kottancukkadi tailam
• Prasaranyadi tailam
• Karpasastyadi tailam
• Dhanvantara tailam
• Masa tailam
• Sahacaradi tailam
• Prabanjana tailam (all usna virya) are used externally.

Talam

• Ksirabala tailam- rasnadi curnam
• Siro virecana gana oil can also be used in kapha related conditions .in Brmhana phase kshirabala is applied.
• Based on sutram urdhva jathru vikaresu nisl “ guggulutiktakam or varanadi ghrtam can be given 5 to 10 ml slightly melted in half glass of milk at bedtime.
• To strengthen the nerve roots Asvagandaristam or Balaristam 25 ml can be given twice a day after food.