Ayurveda Management of Manyastambha (Cervical Spondylitis) – A CARE Guideline based single Case Study
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Abstract
Background: Manyāstambha, a Vāta-pradhāna nānātmaja vyādhi described in Ayurveda, closely corresponds to cervical spondylosis in contemporary medicine. The condition is characterized by chronic neck stiffness, pain, crepitus, and functional limitations resulting from degenerative changes of the cervical spine. Occupational strain and prolonged sedentary behavior have contributed to the early onset of cervical spondylosis among working-age adults, highlighting the need for safe and effective management approaches.
Aim: To evaluate the effect of a structured Ayurveda treatment protocol in the management of Manyāstambha (cervical spondylosis).
Case Presentation: A 46-year-old male IT professional presented with chronic neck pain, stiffness, crepitus, and restricted cervical movements for the past 7–8 years. Based on Ayurvedic clinical assessment, the condition was diagnosed as Vāta–Kapha-pradhāna Manyāstambha.
Intervention: The patient was administered internal Ayurveda formulations including Navajīvana Rasa, Rasnādī Guggulu, Aśvagandhāriṣṭa, Yaṣṭimadhu Cūrṇa, and selected bhasma preparations, along with external Bala–Aśvagandhā Taila abhyanga for a duration of 15 days.
Outcome: Pain intensity reduced from a Visual Analog Scale (VAS) score of 8 to 2. Cervical stiffness reduced by approximately 70%, and the range of cervical movements improved significantly, as assessed using validated clinical grading scales.
Conclusion: The multimodal Ayurveda intervention demonstrated significant symptomatic improvement in Manyāstambha without any adverse effects, suggesting its potential role in the effective management of cervical spondylosis.
This case study has been prepared in accordance with CARE (CAse REport) guidelines.
Keywords: Manyāstambha, Cervical Spondylosis, Vāta Vyādhi, Rasāyana, Navajīvana Rasa, Rasnādī Guggulu, Case Study, Ayurveda
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