Scoliosis management

A 13-year-old boy presents with scoliosis. His primary care clinician noticed his back asymmetry years ago, but the patient’s family is only now addressing the issue. The patient denies any back or lower extremity pain. On forward bend test, the patient’s left flank and right rib are prominent. Bilateral lower extremity motor function and sensation are intact on neurologic examination. X-Ray shows a right Cobb angle of 32° from T6-T11 and a left Cobb angle of 31° from T11-L3. The patient’s skeletal maturity is determined to be at Risser stage 4. Prakriti kapha pitta Agni samanya Mala nirama

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1) if all parameters all good, vamana karma should be done first . 2) then yog basti karma should be followed with local snehana and swedana . the course should be alternate anuwasana of sahachar tail and niruh of dashmul . 3) katibasti everyday for maximum time the patient can take . 4) step by step exercises . 5) diet which is vata har anf kapha har should be advised .

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Orthopaedic surgeon advice is helpful Trayodashaag guggulu Tab rumalaya fort Drakchasava Arogyavardhani vati Dhatu poshtika churna Mahanrayan tail

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These are syphilitic changes..... firstly we should start antisyphilitic medicine which is more similar to case and than we can start treatment according to totality of symptoms similarity. Orthopedic surgeon's opinion is necessary. Also consult with physiotherapist.

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When such issues are addressed in early stages a better prognosis is indicated compared to now when lot of bones and joints are become ossified.

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Orthopedic Surgeons Opinion Needed.

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Calc.carb 200

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Abhyang with mahanarayan Balalakshadi tailam Lakshaadi guggul Dhatupostak churan Shastik shali pind sweda Dasmool kwath

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Drumstick soup, garlic, ginger carrots, sunshine should sleep flat on hard ground,banana,all calcium, sprouts kalijeeri alkaline diet...

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PUL,SIL OR SULP AS PER CONSTITUTION OF THE PATIENT

Rx SIMILIMUM with PQRS, along with Phyiotherapy.

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