Study on Samprapti Ghataka in Cervical Spondylosis Radiology
Journal name: Ayushdhara
Original article title: An Observational Study to Assess Samprapti Ghataka in Cervical Spondylosis with Special Reference to Radiological Findings
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Subash Chandra Bose. M
Professor & H.O.D, Dept of Roganidana, J.S.S.Ayurveda Medical College & Hospital, Mysuru, Karnataka, India.
Wadavadagi Shrikant
P.G.Scholar, Dept of Roganidana, J.S.S.Ayurveda Medical College & Hospital, Mysuru, Karnataka, India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: An Observational Study to Assess Samprapti Ghataka in Cervical Spondylosis with Special Reference to Radiological Findings
Year: 2021 | Doi: 10.47070/ayushdhara.v8i5.814
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
Cervical spondylosis is a degenerative condition of the cervical spine, often associated with pain and stiffness in the neck, as well as radiating sensations into the arms. This study examines the relationship between clinical symptoms and radiological findings in patients diagnosed with cervical spondylosis, focusing on determining the Samprapti Ghataka, or pathological progression, within an Ayurvedic framework. Factors contributing to the condition include lifestyle choices, such as prolonged sitting and poor posture, which have become prevalent in contemporary life. The research aims to correlate clinical manifestations with specific structural changes observable through diagnostic imaging.
Radiological Findings in Cervical Spondylosis
A significant aspect of this study involved analyzing radiological findings among 50 subjects diagnosed with cervical spondylosis. The results revealed that approximately 90% of subjects exhibited osteophytic changes, correlating with increased pain and stiffness. Furthermore, 84% showed narrowing of the intervertebral disc spaces, which is associated with dehydration of the discs and subsequent compression of nerve roots. These changes are deemed critical in understanding the pathogenesis of cervical spondylosis, reflecting a disruption in normal anatomical structures and functional integrity, akin to Ayurvedic descriptions of Vata disturbance and its negative implications on tissue health.
Loss of Lordosis and Sclerosis
The study also highlighted the loss of lordosis, observed in 60% of subjects, indicating a structural deformity in the cervical spine. This aligns with the Ayurvedic interpretation of Greevahundana, suggesting a contraction or abnormal posturing of the cervical area. Additionally, 72% of subjects showed signs of sclerosis, an indication of abnormal bone hardening and density. Sclerosis is viewed through the lens of Vata Dosha's influence on bone health, signaling that ongoing stressors lead to significant changes in vertebral structures, causing symptoms often associated with cervical spondylosis.
Conclusion
The findings from this observational study underscore the essential link between clinical symptoms of cervical spondylosis and corresponding radiological evidence. Occupational stress, along with physical strain and lifestyle factors, plays a crucial role in the disease's development. The study's results indicate that radiological evaluations are vital for establishing Samprapti Ghatakas of cervical spondylosis, highlighting the need for integrating Ayurvedic concepts with modern medical understanding. Ultimately, while specific classical references to cervical spondylosis are not available, the findings support its classification within Ayurvedic pathologies related to Vata disturbances and the associated impact on various bodily tissues.
FAQ section (important questions/answers):
What is cervical spondylosis and its common age group?
Cervical spondylosis is a degenerative disorder affecting the cervical spine, leading to pain and stiffness. It's commonly found in individuals aged 30 to 60 years, often due to lifestyle factors like prolonged sitting and poor posture.
How does Ayurveda classify cervical spondylosis conditions?
In Ayurveda, cervical spondylosis is classified as Vataja Nanatmaja Vikara. It is compared to conditions like Greevastambha and Greevasandhigatavata, focusing on the imbalance of Vata dosha leading to structural changes in the cervical region.
What are key radiological findings in cervical spondylosis?
Key radiological findings include osteophytic changes, narrowing of intervertebral disc space, loss of lordosis, and sclerosis. These findings indicate the extent of degeneration and are essential for understanding the pathogenesis of cervical spondylosis.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Study on Samprapti Ghataka in Cervical Spondylosis Radiology�. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Pain:
Pain is a primary symptom in cervical spondylosis and is often described as radiating from the neck to other parts of the body, such as the arm. It can result from degenerative changes like disc space collapse and nerve root compression.
2) Stiffness:
Stiffness in the neck is another common symptom of cervical spondylosis. Patients often experience reduced mobility due to this stiffness, which is related to degenerative changes in the cervical spine.
3) Swelling:
Swelling in the neck can be one of the symptoms associated with cervical spondylosis. It's often seen in conjunction with osteophytic changes and can signify underlying inflammation and degenerative processes.
4) Disease:
Cervical spondylosis is a degenerative disease affecting the cervical spine. It involves changes in the intervertebral discs and vertebrae that can lead to symptoms like neck pain, stiffness, and radiating pain.
5) Kshaya (Ksaya):
Kshaya refers to the depletion or wasting of certain bodily substances or energies in Ayurveda. In the context of cervical spondylosis, it can relate to the depletion of Kapha or the degeneration of tissues.
6) Samprapti:
Samprapti is the Ayurvedic term for the pathogenesis or development of a disease. The study aims to establish the Samprapti for cervical spondylosis, detailing how the disease process unfolds according to Ayurvedic concepts.
7) Ghataka:
[see source text or glossary: Ghataka]
8) Vata:
Vata is one of the three Doshas in Ayurveda, responsible for movement and regulatory functions in the body. Vata's involvement in cervical spondylosis includes causing dryness and degeneration of tissues.
9) Chandra:
Chandra as mentioned refers to Subash Chandra Bose, one of the authors of the study aimed at establishing Samprapti Ghataka in cervical spondylosis.
10) Griva:
Greeva refers to the neck region. In cervical spondylosis, ailments affecting this area can include Greevastambha (rigidity of the neck) and Greevasandhigatavata (degeneration at the cervical joints).
11) Kapha:
Kapha is another Dosha in Ayurveda, associated with lubrication and stability. In the context of cervical spondylosis, the depletion of Shleshaka Kapha (joint lubricant) contributes to degenerative changes.
12) Ayurveda (Ayus-veda):
Ayurveda is a traditional Indian system of medicine used to diagnose and treat diseases, including cervical spondylosis. The study analyzes cervical spondylosis through Ayurveda's unique diagnostic and therapeutic framework.
13) Dosha (Dosa):
Dosha in Ayurveda refers to the three fundamental bodily energies: Vata, Pitta, and Kapha. The pathogenesis of cervical spondylosis often involves an imbalance in these Doshas, particularly Vata and Kapha.
14) Asthi (Ashthi):
Asthi refers to bone in Ayurveda. Abnormal growth or degenerative changes in bones, known as Asthivruddi Lakshana, is a critical aspect of cervical spondylosis as described in the study.
15) Dhatu:
Dhatu are the seven fundamental tissues in Ayurveda. In cervical spondylosis, Dhatukshaya (tissue depletion) particularly affects the Asthi (bone) and the Mamsa Dhatu (muscle tissue).
16) Mamsa (Mamsha):
Mamsa refers to muscle tissue in Ayurveda. In cervical spondylosis, Mamsa Kshaya (muscle depletion) can occur, leading to symptoms like muscle weakness and atrophy.
17) Guna:
Guna are attributes or qualities in Ayurveda. Vata's Ruksha (dry) Guna and Kapha's Snigdha (lubricating) Guna play roles in the development and symptoms of cervical spondylosis.
18) Vatadosha (Vatadosa, Vata-dosha):
Vatadosha signifies the Vata dosha, responsible for movement and decay in the body. Its imbalance plays a key role in the pathogenesis of cervical spondylosis.
19) Vyadhin (Vyadhi):
Vyadhi refers to disease in Ayurveda. Cervical spondylosis is considered a Vataja Vyadhi, indicating that Vata Dosha predominates in its pathogenesis.
20) Asthidhatu (Asthi-dhatu):
Asthi-dhatu refers to the bone tissue. In the context of cervical spondylosis, Asthidhatu undergoes degeneration, leading to symptoms like pain and stiffness.
21) Dhatukshaya (Dhatuksaya, Dhatu-kshaya):
Dhatukshaya means depletion of tissues. Cervical spondylosis involves Dhatukshaya, particularly affecting the Asthi (bones) and possibly leading to conditions such as Mamsa-kshaya (muscle depletion).
22) Discussion:
[see source text or glossary: Discussion]
23) Prasarana:
Prasarana refers to extension movements. In cervical spondylosis, patients may experience pain during Prasarana (extension) of the neck, a characteristic symptom of the disease.
24) Vyanavata (Vyana-vata):
[see source text or glossary: Vyanavata]
25) Apabahuka:
Apabahuka is an Ayurvedic term that can relate to conditions causing restricted movements of the shoulder. Cervical spondylosis can involve similar symptoms and is sometimes compared to Apabahuka.
26) Lakshana (Laksana):
Lakshana means symptoms or clinical features. In cervical spondylosis, Lakshanas include pain, stiffness, and restricted movements of the neck.
27) Prakopa:
Prakopa refers to aggravation. In cervical spondylosis, Vata Prakopa (aggravation of Vata) is a key factor in the disease's development.
28) Vikara:
Vikara refers to disease or disorder. Cervical spondylosis is a degenerative Vikara affecting the cervical spine, involving changes like osteophyte formation and disc space narrowing.
29) Ruksha (Ruksa):
Ruksha means dry. Vata's Ruksha Guna (dry quality) contributes to the degenerative changes seen in cervical spondylosis, like disc dehydration and osteophyte formation.
30) Dushya (Dusya):
Dushya are the tissues or systems affected in a disease. In cervical spondylosis, Dushyas include Asthi (bones), Mamsa (muscles), and associated structures like vertebral discs.
31) Srotas (Shrotas):
Srotas are channels of circulation within the body. In cervical spondylosis, the Srotas, particularly the ones related to bone and muscle tissues, get affected, leading to symptoms.
32) Vataja (Vata-ja):
Vataja refers to conditions caused by predominant Vata Dosha. Cervical spondylosis is classified as a Vataja disorder due to its basis in Vata Dosha's degenerative effects.
33) Food:
The study mentions that faulty dietetic habits can contribute to cervical spondylosis. Ayurveda emphasizes dietary management in addressing such degenerative disorders.
34) Sandhigata Vata (Sandhigata-vata):
Sandhigata-vata indicates Vata disorders in joints, such as degeneration and inflammation. Cervical spondylosis is considered a form of Sandhigata-vata.
35) Shleshakakapha (Slesakakapha, Shleshaka-kapha):
Shleshaka-kapha is a subtype of Kapha dosha that provides lubrication to joints. Its depletion leads to dryness in the joint spaces, contributing to conditions like cervical spondylosis.
36) Greevastambha:
Greevastambha means rigidity of the neck. It is a condition mentioned in Ayurveda, and cervical spondylosis can be compared to Greevastambha due to similar symptoms like neck stiffness.
37) Manyastambha (Manya-stambha):
Manyastambha is another Ayurvedic term for neck stiffness. Cervical spondylosis can exhibit symptoms akin to Manyastambha, involving restricted neck movements.
38) Mamsakshaya (Mamsaksaya, Mamsha-kshaya, Mamsa-kshaya):
Mamsa-kshaya refers to the depletion of muscle tissue. In cervical spondylosis, prolonged disease can lead to Mamsa-kshaya, causing muscle weakness and atrophy.
39) Karmakshaya (Karmaksaya, Karma-kshaya):
Karma-kshaya signifies impaired function. In cervical spondylosis, Vata dosha causes Karma-kshaya of neck muscles and tissues, resulting in restricted movements and stiffness.
40) Vatavyadhi (Vata-vyadhi):
Vata-vyadhi refers to diseases dominated by Vata dosha. Cervical spondylosis is considered a Vata-vyadhi due to the predominance of Vata's degenerative and drying effects.
41) Agnimandya (Agni-mandya, Agnimamdya):
Agnimandya refers to digestive fire impairment. According to Ayurveda, Agnimandya can contribute to the formation of Ama, which may play a role in diseases like cervical spondylosis.
42) Jatharagni (Jathara-agni):
Jatharagni is the digestive fire responsible for digestion and metabolism. Impairment of Jatharagni (digestive fire) is implicated in the pathogenesis of diseases like cervical spondylosis.
43) Agnidushti (Agnidusti, Agni-dushti):
Agnidushti refers to impaired function of Agni (digestive fire). In cervical spondylosis, Agnidushti can lead to the formation of Ama, contributing to the disease's progression.
44) Vishamagni (Vishama-agni, Visamagni):
Vishamagni signifies irregular digestive fire. In cervical spondylosis, Vishamagni can contribute to the disease by leading to improper digestion and Ama formation.
45) Pakvashaya (Pakvasaya, Pakva-ashaya):
Pakvashaya is the colon, often connected to Vata-related conditions. Cervical spondylosis is considered to originate from Vata imbalance, often stemming from Pakvashaya.
46) Karnataka:
Karnataka refers to the state in India where the study was conducted. Specifically, Mysuru, Karnataka, is mentioned in the context of the institution involved.
47) Shleshaka (Slesaka):
Shleshaka relates to Shleshaka Kapha, the subtype of Kapha dosha that lubricates joints. Its depletion is implicated in the development of degenerative conditions like cervical spondylosis.
48) Adhyasthi:
Adhyasthi refers to abnormal bone growth. In cervical spondylosis, osteophytic changes or bony proliferations can be related to Adhyasthi.
49) Samhanana:
Samhanana refers to the structural integrity and form of the body. In cervical spondylosis, despite degenerative changes, the study noted that vertebral alignment remained normal, indicating intact Samhanana.
50) Substance:
[see source text or glossary: Substance]
51) Shunyata (Sunyata):
Shunyata refers to the absence or depletion of certain qualities. In cervical spondylosis, Kapha Shunyata can indicate a loss of lubrication in the joints, contributing to degenerative changes.
52) Upadhatu:
Upadhatu are secondary tissues. In cervical spondylosis, Upadhatus such as Snayu (ligaments) may be affected along with primary Dhatus like Asthi and Mamsa.
53) Madhyama:
Madhyama refers to the middle pathway or Madhyama Roga Marga, indicating diseases affecting deeper tissues. Cervical spondylosis falls into this category as a deeper musculoskeletal disorder.
54) Svabhava (Sva-bhava):
[see source text or glossary: Svabhava]
55) Pradesha (Pradesa):
Pradesha indicates a specific region. In cervical spondylosis, the Greeva (neck) Pradesha is the main area affected, leading to pain, stiffness, and other symptoms.
56) Sthanika:
Sthanika refers to localized conditions. In cervical spondylosis, Sthanika Vata Dosha Prakopa in the cervical spine region leads to symptoms like neck pain and stiffness.
57) Samhita:
Samhita refers to ancient Ayurvedic texts. Terms like Vishwachi, related to cervical spondylosis symptoms, are mentioned in these Samhitas.
58) Stambha:
Stambha signifies stiffness or immobility. Cervical spondylosis often presents with Stambha in the neck, restricting movement and causing discomfort.
59) Asvapna:
[see source text or glossary: Asvapna]
60) Avastha:
Avastha refers to the condition or state of a disease. In cervical spondylosis, the Avastha might involve chronic degenerative changes affecting various tissues.
61) Vriddhi (Vrddhi):
Vriddhi means increase or proliferation. In cervical spondylosis, osteophytic changes signify abnormal Vriddhi of bone, contributing to symptoms.
62) Vertigo:
Vertigo is a symptom of cervical spondylosis associated with dizziness and imbalance, caused by degenerative changes affecting spinal nerves or blood vessels.
63) Vedana:
Vedana means pain. In cervical spondylosis, pain (Vedana) during neck movements like flexion and extension is a common symptom described.
64) Shotha (Sotha):
Shotha refers to swelling or inflammation. In cervical spondylosis, Shotha in the neck can indicate underlying degenerative or inflammatory changes.
65) Sthana:
Sthana means location. The specific Sthana affected in cervical spondylosis is the Greeva (cervical spine), leading to various symptoms.
66) Kriya:
[see source text or glossary: Kriya]
67) Karma (Karman):
Karma refers to actions or functions. In cervical spondylosis, Vata dosha affects neck functions (Karma), leading to symptoms like pain and restricted movement.
68) Rakta:
Rakta means blood. In cervical spondylosis, Rakta along with other Dhatus may undergo Dushti, affecting the pathology and subsequent symptoms.
69) Snayu:
Snayu refers to ligaments or tendons. In cervical spondylosis, Snayu can be involved due to degenerative changes affecting the supporting structures of the cervical spine.
70) Majja:
Majja refers to bone marrow or nervous tissue. In cervical spondylosis, Majja Dushti may involve nerve root compression, leading to symptoms like pain and numbness.
71) Bhava:
[see source text or glossary: Bhava]
72) India:
India is the country where the study was conducted, specifically in Karnataka, emphasizing the relevance of Ayurveda in treating cervical spondylosis.
73) Ayus (Ayush):
AYUSH refers to the systems of medicine including Ayurveda, Yoga, Unani, Siddha, and Homeopathy. The study was published in a journal dedicated to research in these systems.
74) Sanga (Samga, Shanga, Shamga):
Sanga means obstruction. In cervical spondylosis, Srotodushti (channel obstruction) due to Vata and Kapha imbalance can lead to degenerative symptoms.
75) Gati:
Gati indicates movement. In cervical spondylosis, the Vyanavata's improper Gati affects neck movements, leading to symptoms like stiffness and restricted motion.
[Note: The above list is limited to 75. Total glossary definitions available: 81]
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