Advise your experience ... hypothyroidism with cervical spondylitis... It very comman in practice..

40 years female patient no any past medical history. c/o Tingling and Numbness only in Rt.Arm since 6months. Easy fatiguabilty. weight gain 3-4kg. no c/o mood swings,chest pain ,breathlessness. o/e gc mod afeb PR 62bpm BP 110/70mmhg SE-Normal Advised CBC,RBS,Thyroid Profile. Cbc,Rbs =wnl Thyroid Profile Attached. plan. tab.Thyronorm 125ug od bbf Lipid Profile. TPO ecg 2decho. please guid on further investigation and management. if possible please provide any guidlines or protocol for the mangement of Hypothyroidism.

F28, c/o neck pain since 1 month k/c/o Hypothyroidism. no other complaints. spot dx rx..

56 F, C/O pain and stiffness cervical region. Numbness in both hands while sleeping. No H/O DM, HTN, CAD or Trauma. kindly give dx and rx.

45 year old male patient came with history of Stiffness, Spasm, Numbness and Tingling sensation in all extremities since 3 months, First ignored then consulted top neurologist.... Please find the modern diagnosis and management in attached pictures Patient have Kaphaja-Pittaja Prakriti Kostha Madhyama Agni Samanya Occupation Software Developer Nindra Alpa Married (Not having any sexual disabilities) Ahar Satvika Weight 85kg BP 130/90mmhg BMI within limit Family History of DM & HTN but he is having normal BSL and BP After taking this management he is not satisfied, so came to me for Ayurvedic Management.... I ask him to visit tomorrow, as I need time to study this case.... Please help me, how should I approach in this case? Should I take help of Physiotherapist? As patient can't take Panchakarma Chikitsa (I was think to give Snehana Swedana and Vaman Virechan, as its a case of Vata Pitta Dushti) He can't stay here for long.... Please help me in managing this case... If know some classical references for such case, please mention it, or have any research or clinical paper/experience then please let me know......

F59. Neck pain and pain right upper limb. 2months. KCO--Hypothyroidism..