Neck pain

Male/31 years complaint of pain in neck since 5 months no vertigo Pain extends downwards & upwards regularly Aggravation- bending neck forward Better by moving neck backward No headache, nausea X-Ray- normal Appetite, thirst, stool, urine- normal Desire- no Aversion- milk Thermals- hot Patient works in a school as teacher Suggest Treatment doctors

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Advise for exercise of neck that cervical spondylosis suggested and maintain good posture . No need for medicine I think

HOW NECK PAIN IS TREATED :- will perform a physical exam and take complete medical history. Treatment for neck pain depends on the diagnosis. In addition to a thorough history and physical exam, may also need one or more of the following imaging studies and tests to help determine the cause of neck pain: blood tests X-rays CT scans MRI scans electromyography, which allows to check the health of muscles and the nerves that control muscles lumbar puncture (spinal tap) Depending on the results, may refer to a specialist. Treatment for neck pain may include: ice and heat therapy exercise, stretching, and physical therapy pain medication corticosteroid injections muscle relaxants neck collar traction antibiotics if have an infection hospital treatment if a condition such as meningitis or heart attack is the cause surgery, which is rarely necessary Alternative therapies include: acupuncture chiropractic treatment massage transcutaneous electrical nerve stimulation (TENS) Make sure seeing a licensed professional when using these methods.___

Dr Ranjit Kumar Poriya Homeopathy Diagnosis : Cervical Spondylosis. Rx Rt Side Lyco 200, Phytolacca 200. Lt Side Cousticum 200, * Bryonia Alb 30, Laclantthis200, Sticta 30 is Best. Syn & Symptom Selected Only One Medicine.

रोगी वात व्याधि से ग्रस्त है। चिकित्सा संबंधी योग,,,, महानारायण महामासादि तेल को मिलाकर गर्दन की मालिश करें और फिर उस पर एरंड का पत्ता रख कर उपनाह बांध दें। महायोगराज गुगल अन्डी के तेल में मिलाकर सुबह-शाम सेवन कराएं। महारास्नादि क्वाथ 25 ग्राम सुबह-शाम खाने के बाद दें। निश्चित रूप से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Trayodashang Guggulu Maharasnadi Kwath Mahavishagarbha Tail Softly Application Exercises Prescribed by Physiotherapist

Dear Dr. Vivek Jain Sir, Advice for the case. Cap. Spondylon 2 BD. Cap. Flexymuv S G 1 tds. Advice for physiotherapy.

It may be an case of cervical spondylitis or just mild stress or fracture pain which may be due to profesdion of the patient .Treatment aims at removing the causative factor advise the patient to maintain proper structure.Medicines can be given according to cause only.

Cadmium -met 30one dose daily × 15 days

Unani treatment of cervical spondylosis:- In Unani System of medicine the aim of treatment is to reduce disability and morbidity. The basic principles of treatment include Tadil-e-mizaj (Correction of temperament), Istifragh- e-madda (Elimination of causative substance), Taqviyat-e- mafasil (Strenghthening of joints), Taskin-e-dard (Relief of pain). Correcting the derangement of humours (akhlat) through imala-e-mawaad (diversion) or istafraagh (evacuation) of morbid humours is done to restore the normal temperament along with relieving pain and inflammation by musakkinat, mohallilat and muqawwiyat (analgesic, anti- infammatory and tonic drugs) and strenghthening of muscles and nerves through muqawwiyat and riyazat (excercise). Line of treatment is made through both pharmacological (Ilaj bil dawa) and non-pharmacological (Ilaj bil tadbeer) modes along with dietary precautions (Ilaj bil ghiza) as Razi recommended to take vegetables and to avoid meat as it is harmful for wajaul mafasil . 3.1 Ilaj-bil-dawa (Pharmacotherapy) Oral as well as local administration of anti-inflammatory and analgesic drugs are mentioned in Unani literature. . Clinical studies have been carried out to evaluate the effect of different Unani drugs in various types of arthritis (waja-ul- mafasil). The studies have been done to see the anti- inflammatory and analgesic activity in rheumatoid arthritis, knee osteoarthritis, PIVD etc. both oral as well as local medication. . There are many single drugs which have been mentioned in Unani literature like Suranjan (Colchicum luteum Baker) Asgandh (Withiana somnifera), Zanjabil (Zinjiber officinale), Badiyan (Foeniculum vulgare), Muqil (Cammiphora muqul), Qust (Saussurea lappa), Khardal (Brassica nigra Linn), Saqmonia (Convolvulus scammonia), Bozidan (Tanacetum umbelliferum), Mako (Solanum nigrum), Kasni (Chicorium intybus Linn), Nakhona (Astragalus hamosus), Saqmonia (Convolvulus scammonia), Turbud (Operculina terpethum), Shahtara (Fumaria parviflora) among which Suranjaan is the drug of choice in all types of waja-ul-mafasil. Qamar Uddin et al. in a clinical study found the significant effect of a unani formulation in wajaul mafasil (joint pain) . The effect of Unani Medicine in the treatment of different joint pain, like rheumatoid arthritis and osteoarthritis has been also studied by Mohd Ajmal and Shakir Jamil Abdul Azeez , Mushtaq A Payer . Munzij-mushil therapy (concoctive and purgative therapy), is indicated in wajaul mafasil for elimination of morbid humour and to bring humoral balance, using decoction of single drugs like Suranjaan sheerin (Colchecum luteum), Badiyan (Foeniculum vulgare), Bozeedan (Pyrethrum indicum), Chiraita (Swertia chirata), Aftimoon (Cuscuta chinensis), Unnab (Zizyphus vulgaris), Shahm-e-hanzal (Citrulus colocynthis) along with some compound drugs like Majun chobchini, Majun ushba etc. They have been evaluated for joint pain or types of wajaul mafasil M. Jafar and Muzamil Rehman For neck pain local application of musakkhin advia (pain relieving drugs) in the form of Zimad (embrocation) and roghan (oil) like roghan suranjaan, roghan baboona, roghanzaitoon, roghan shibt, roghan susan, roghan qust, roghan akhrot, roghan nargis are recommended . The effect of a topical Unani medicine in the management of waja-ul-mafasil (Arthritis) has been assessed and recommended. Quamri et al. conducted a preliminary clinical trial on the efficacy of Roghane Dafli (Nerium Oleander L.) in non-specific low back pain . Another clinical study was on Roghane Gule Aakh in cervical spondylosis and irqannasa or sciatica . For neck stiffness, if it is due to yabusat or dryness, then tarteeb of whole body and the affected part should be done. And if the stiffness is due to ratubat-e-fuzliya which causes shortening of nerves or stiffness, then mushilat (purgavtives) should be given . 3.2 Ilaj-bil-tadbeer (Regimenal therapy) 3.2.1 Riyazat (Excercise): Riyazat is also an important aspect of therapeutic regimen. Riyazat-e-motadil (exercise within normal limits) is recommended before meals and after the digestion of food eaten 3.2.2 Hammam (Turkish bath) and Dalak (Massage) To provide warmth, hammam are beneficial. Patients are advised to spend 10-15 minutes fully immersed at a temperature between 37℃ and 40℃. This should be followed by an hour of rest in towels . Ghufran et al. did a clinical study on the effect of Dalk Layyen in Cervical spondylosis M. Jafar et al. on Sciatica . 3.2.3 Bukhoor (Medicated steam) The effect of medicated steam of volatile anti-infammatory drugs like Nakhoona, Baboona, Makoh Khushk, Gul-e-tesu and Namak-e-lahori has been proved through various clinical studies . 3.2.4 Fasd (venesection) Fasd is indicated in the management of wajaul mafasil damvi (sanguinous arthritis). Basaliq (Basilic vein) is usually chosen for venesection. When wajaul mafasil is asymmetric the basilic vein of affected site should be used for venesection, when it is symmetric the basilica vein of both sides of the body should be used for venesection . It is a method of evacuation of qualitatively or quantitatively morbid blood by giving incision to superficial vessels 3.2.5 Hijamah (cupping) It is a Unani mode of treatment which is carried out by the application of cup shaped vessels by creating vacuum. It has physiological effect on the body. Cupping influences haematological, circulatory, immunological and neurological systems . Hijamah bila shart (cupping without scarifications) diverts the morbid material, improves blood circulation and lymphatic drainage. Howerver, Hijamah bil shart (cupping with scarification) relieves congestion, removes toxins and evacuates the morbid humour. Both the types of hijamah are indicated for different types of wajaul mafasil . The effect of Hijamah in the management of different types of arthritis has been proved through various clinical studies Low back pain , arthritis , sciatica . Ghufran et al. and shazia et al. carried out clinical studies on significant efficacy of Hijamah bila shurt in cervical spondylosis. The sites for Hijamah has been mentioned in classical Unani literature and recommended by eminent Unani scholars asNuqra and akhdain and akhdain has also been recommended by Jurjani and Kabiruddin . Baghdadi and Hamdani has mentioned Nuqra as a sight for hijamah in cervical spondylosis. Nuqra is a point located at the back of the neck at 7th cervical veretebra and Akhdain is the point at the back of neck bilaterally 3-4 cm lateral to the lower border of C7. 4. Tahaffuzi tadabeer (Prevention) Patients of cervical spondylosis should avoid the exposure to cold, should avoid long hours of office working in same position or heavy lifting, long driving and bad postures. 5. Effect of Hijamah in cervical spondylosis Cervical spine disk loses its elasticity with ageing and causes disk herniation which causes compression on spinal structures [34, 40]. Due to neural and vascular compression there is increased sensitivity to nerves, hypoxia further increases sensitivity . When Hijamah is done over the sites Nuqra (C7) and Akhdain (3-4 cm lateral to the lower border of C7) where the cervical muscles like trapezius, splenius capitis, splenius cervicis and levator scapulae are present, by creating negative suction pressure, improves blood circulation, improves metabolic waste removal thus it relieves vascular congestion and this effect is similar to massage therapy, which is proved to be more effective at decreasing disability than exercise and a safe and better treatment option for chronic neck pain. By increasing circulation it provides heat to the tissues as provided by ultrasound and diathermy . It also enhances nerve root health by improving blood circulation as hypoxia further increases sensitivity . Hijamah decreases the compression and relieves pain and other symptoms as it is done by traction. Also hijamah relieves pain as it is stated by the theory of segment or reflex zone and by releasing esndorphins . It increases cervical range of motion by releasing cervical muscle spasm by applying wet cupping over trapezius muscles which play important role in mobility of neck. 6. Conclusion It can be concluded that Hijamah is an effective method of treatment for cervical spondylosis. It gives the benefits of traction, message, diathermy and exercise in a single modality i.e. Hjamah or wet cupping and improves quality of life of the patients having cervical spondylosis on a very low cost. However, further studies are needed to be done.

Rx Dulcamara 30

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