Article: DEGENERATIVE CERVICAL MYELOPATHY MANAGEMENT WITH PANCHAKARMA THERAPY: A CASE REPORT

Article Category: Case Reports

DOI: 10.7897/2277-4343.156182

Pages: 1-5

Author: Farheen A Doman * and Varsha Kulkarni

Abstract: Introduction: Degenerative cervical myelopathy (DCM) is a progressive spinal disease characterized by spinal cord dysfunction and severe neurological symptoms such as paraesthesia, abnormal gait, decreased hand dexterity, and quadriparesis. The condition can significantly reduce the quality of life for affected individuals and lead to a high risk of neurological deterioration and complete dependency. This condition can be correlated with Kapha Avruta Vyana Vata, exhibiting clinical features such as Supti (numbness), gouravata (heaviness in the body), Todayuktavedana (pricking type of pain), and Kriyahani (loss of strength). Case History: A 45-year-old male patient presented with reduced strength in both bilateral lower and upper limbs, cervical pain radiating to the bilateral upper limbs, and low backache radiating to the bilateral lower limbs. These symptoms significantly impacted the patient's ability to perform daily activities, ultimately leading to the loss of his job. Results: The treatment approach involved Avaranahara Chikitsa with Agnilepa, followed by a Vatahara line of treatment that included Greeva, Katipichu, Sarvanga Abhyanga, and Matra Basti. Following this Panchakarma therapy, the patient showed notable improvements in strength, mobility, and pain levels. The modified Japanese Orthopaedic Association (mJOA) score improved from 8, indicating severe disability, to 18, indicating significant recovery, demonstrating the positive impact of the treatment. Conclusion: This case report highlights the potential effectiveness of Panchakarma therapy in managing DCM. Currently, no established guidelines outline the best management practices for patients with DCM, emphasising the importance of exploring alternative treatment approaches for this debilitating condition.

Keyword: Degenerative cervical myelopathy, Kapha Avruta Vyana Vata, modified Japanese Orthopaedic Scale (mJOA) and Panchakarma