A 33 year old male came to our clinic with mild right scoliosis with disc bulge L4-L5and L5-S1. Medical history:Family history of scoliosis-noneFamily history of joint disorders:mother having age related right knee OAGestational history- NoneOn any medicines -NoneDiet – pure veg Vital status:Pulse – regularChest- clear Temp- WNLBowel movements-Regular,softSleep – goodMental status – mild stress Chief Complaint:1.Pain in mid and lower back after 15minutes of sitting 2.Morning stiffness till 1 hour3.Difficulty in riding vehicles within 10mins of ride4.Unbearable pain throughout spine once a week Introduction:Mild scoliosis is generally the term used to describe scoliosis,where the Cobb angle ,or the curvature of spine is more than 20 degrees whereas when the disc material protrudes beyond greater than 25% of the disc circumference it is called a disc bulge. Patients present with both the above conditions find difficulties in day today daily routine, while many other symptoms like back pain,improper posture, stiffness can be associated alongside. Most commonly it may arise due to improper positioning while weight lifting ,or Vit D3 deficiency or due to bad posture. Ayurveda classifies it under vata disorder though pitta can be associated signaling inflammation during the start of the condition. So vata pacifying actions like abhyangam with oil and healing energy methodology via Marma therapy is performed to resolve the condition.
The role of two Ayurvedic external therapies namely Abhyangam & Marma therapy was studied In a patient of mild right-sided scoliosis Mahanarayana oil (Dabur)was used for spine abhyangam A different approach to abhyangam was followed which is given below :
Mahanarayana oil (Luke warm) was applied over the whole spine after which abhyangam I.e Ayurvedic massage was performed with both hands from lumbar to cervical region.This action of spine abhyangam was performed to reduce the compression force on spine being antigravity.
The second step of abhyangam was performed laterally on both sides from the mid-portion of the spine in both directions. A medial shift via pressure with hands was thoroughly given on the area of scoliosis towards the midline of the vertebral column.
All the actions were performed 10 times for 5 repetitions daily for 4 weeks.
Secondly, the Marma therapy was performed after abhyangam which included the stimulation of Marma points of the leg and Lower Back namely Shipra/koorch/gulfa/talahridaya/Indravati/gulfa/kukunder/nitamba and katiktaruna etc. Each Marma was stimulated 10 times for 0.8 seconds and for 5 repetitions.
This special technique of abhyangam along with Marma therapy resulted in a total reduction of mild scoliosis and disc bulge at L5-S1 level that was reported in the MRI earlier. However, no changes were noted at the level of L4-L5 disc bulge.
Stress management of the patient was taken care through pranayama and chakra meditation. The patient was treated at Dr Tewari Ayurved Hospital located in Kichha, district-Udham Singh nagar ,Uttarakhand, India for 4 weeks with the above-mentioned procedure. Total therapy time involved per session was 1 hour.
The effects of special abhyangam performed along with Marma therapy resulted in complete resolution of scoliosis and the disc bulge at L5-S1 level. Though no significant change was observed at L4-L5 disc bulge.
However, the patient started experiencing no pain even after an hour of sitting, also the riding vehicle capacity improved to a good extent. The lifestyle of patients was highly improved after 3 months of follow up.
Disclaimer: All Ayurvedic therapies provided aim towards improving the quality of life of the patient and do not advocate medical diagnosis or claim cure of disorders.