Kulkarni Satyajit Pandurang, Kulkarni Pallavi Satyajit
Panchakarma department, Manjushree Research Institute of Ayurvedic Science, Pethapur-Mahudi Road, Piplaj, 382610, Gandhinagar, Gujarat, India.
Agadtantra Avum Vidhivaidyak Department, Manjushree Research Institute of Ayurvedic Science, Pethapur-Mahudi Road, Piplaj, 382610, Gandhinagar, Gujarat, India.
J Ayurveda Integr Med. 2025 Jan-Feb;16(1):101071. doi: 10.1016/j.jaim.2024.101071. Epub 2025 Jan 16.
Prolapsed intervertebral disc (PIVD) can lead to debilitating pain and functional limitations. While surgical interventions like Transforaminal Lumbar Interbody Fusion (TLIF) are often employed, recurrence of symptoms is not uncommon. This case report presents the successful Ayurvedic management of a 45-year-old female who developed recurrent lumbar radiculopathy six months after TLIF for PIVD. The patient presented with severe lumbar pain, disability, and bilateral leg discomfort. Diagnosed with "Prushthagraha" according to Ayurvedic principles, she underwent a 43-day treatment regimen. This included Ayurvedic medications and an initial eight-day course of Sarvanga Abhyanga-Mardana (therapeutic massage) and Swedana (sudation therapy). Post-treatment, the patient demonstrated significant clinical improvement, evidenced by a substantial reduction in Oswestry Disability Index (ODI) and Visual Analogue Scale (VAS) scores for both lumbar and leg pain. Furthermore, her walking distance increased from 80 m to 1000 m. This case highlights the potential of Ayurvedic interventions as a complementary approach for managing recurrent lumbar radiculopathy following surgical intervention for PIVD. However, further research with larger sample sizes and controlled study designs is warranted to validate these findings.
腰椎间盘突出症（PIVD）可导致使人衰弱的疼痛和功能受限。虽然像经椎间孔腰椎椎间融合术（TLIF）这样的手术干预措施经常被采用，但症状复发并不罕见。本病例报告介绍了一名45岁女性在因PIVD接受TLIF手术后六个月出现复发性腰椎神经根病，成功采用阿育吠陀疗法进行治疗的情况。该患者表现为严重的腰痛、功能障碍和双侧腿部不适。根据阿育吠陀原则诊断为“Prushthagraha”，她接受了为期43天的治疗方案。这包括阿育吠陀药物治疗以及为期八天的全身按摩（Sarvanga Abhyanga - Mardana）和发汗疗法（Swedana）初始疗程。治疗后，患者显示出显著的临床改善，腰椎和腿部疼痛的奥斯威斯利功能障碍指数（ODI）和视觉模拟量表（VAS）评分大幅降低即为证明。此外，她的行走距离从80米增加到了1000米。本病例突出了阿育吠陀干预措施作为PIVD手术干预后复发性腰椎神经根病管理的一种补充方法的潜力。然而，需要进行更大样本量和对照研究设计的进一步研究来验证这些发现。
