Ayurvedic Treatment of CARPAL TUNNEL SYNDROME

Ayurvedic Treatment for Carpal Tunnel Syndrome starts from External application to internal medications to Panckarma and bloodletting. The Carpal tunnel is the passageway from the wrist to the hand. It is made of tendons, ligaments, and bones. The median nerve passes through this tunnel and provides sensation to your thumb, index finger, middle finger, and the thumb side of the ring finger. If the median nerve compression occurs then carpal tunnel syndrome manifested.

  • SIGNS AND SYMPTOMS OF CARPAL TUNNEL SYNDROME
  • CAUSES OF CARPAL TUNNEL SYNDROME
  • PATHOPHYSIOLOGY OF CARPAL TUNNEL SYNDROME
  • DIAGNOSIS OF CARPAL TUNNEL SYNDROME
  • TREATMENTS FOR CARPAL TUNNEL SYNDROME
  • PROGNOSIS OF CARPAL TUNNEL SYNDROME
  • COMPLICATIONS OF CARPAL TUNNEL SYNDROME
  • CARPAL TUNNEL SYNDROME AND AYURVEDA
  • NIDANA- AYURVEDIC CAUSES OF CARPAL TUNNEL SYNDROME
  • PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF CARPAL TUNNEL SYNDROME
  • SAMPRAPTI – AYURVEDIC PATHOGENESIS OF CARPAL TUNNEL SYNDROME
  • LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF CARPAL TUNNEL SYNDROME
  • AYURVEDIC PROGNOSIS OF CARPAL TUNNEL SYNDROME
  • CHIKITSA- AYURVEDIC TREATMENT FOR CARPAL TUNNEL SYNDROME
  • AYURVEDIC LOCAL TREATMENT FOR CARPAL TUNNEL SYNDROME
  • AYURVEDIC SAMANA TREATMENT FOR CARPAL TUNNEL SYNDROME
  • AYURVEDIC SHODHANA TREATMENT FOR CARPAL TUNNEL SYNDROME
  • COMMONLY USED AYURVEDIC MEDICINES FOR CARPAL TUNNEL SYNDROME
  • HOME REMEDIES FOR CARPAL TUNNEL SYNDROME
  • DIET AND BEHAVIOUR FOR CARPAL TUNNEL SYNDROME
  • YOGA FOR CARPAL TUNNEL SYNDROME
  • RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF CARPAL TUNNEL SYNDROME

SIGNS AND SYMPTOMS OF CARPAL TUNNEL SYNDROME

  • Burning, tingling, numbness in the palms, thumb, index, and middle fingers
  • Weakness in the hand
  • Difficulty in holding things
  • Tingling that may travel up the forearm toward the shoulder
  • Shock-like sensations that radiate to the thumb and index, middle, and ring fingers

CAUSES OF CARPAL TUNNEL SYNDROME

  • Anatomic differences in the amount of space for the median nerve.
  • Doing activities in extreme flexion or extension of the hand and wrist for a prolonged period can increase pressure on the nerve.
  • Repeating the same hand and wrist movements over a prolonged period may aggravate the tendons in the wrist, causing swelling that induces pressure on the nerve.
  • Hormonal changes during pregnancy can cause swelling.
  • Health conditions like Diabetes, rheumatoid arthritis, and thyroid gland imbalance are associated with carpal tunnel syndrome.

 

PATHOPHYSIOLOGY OF CARPAL TUNNEL SYNDROME

Due to the above-mentioned causes, the median nerve gets compressed. Nerve compression hinders the conduction of impulses. So the numbness, tingling sensation, weakness are manifested.

DIAGNOSIS OF CARPAL TUNNEL SYNDROME

  1. ESAMI
  •  Ispezione
  • Palpation – pressing on the nerve may trigger symptoms
  • Movimenti – Flexion, Extension of wrist
  1. INDAGINI
  •  Raggi X
  • Nerve conduction study
  • Elettromiografia

 

TREATMENTS FOR CARPAL TUNNEL SYNDROME

  • A splint that holds the wrist can help relieve symptoms of tingling and numbness.
  • A few cases may require surgery.
  • Medications – Non-steroidal anti-inflammatory drug, Analgesic.
  • Treatment of underlying pathology.
  • Ultrasound therapy

PROGNOSIS OF CARPAL TUNNEL SYNDROME

  • Prognosis is based on the cause of the disease, duration, and condition of the patient

COMPLICATIONS OF CARPAL TUNNEL SYNDROME

  • Atrophy of muscles
  • Weakness of muscles

CARPAL TUNNEL SYNDROME AND AYURVEDA

  • In Ayurveda, Carpal tunnel syndrome falls under Vatavyadhi or a Vata dosha imbalance disorder.
  • According to Ayurveda, it may be considered as Vata vyadhi with mamsakshaya
  • Vata vyadhi can be correlated to neurological or neuromuscular disorders. The causes and pathogenesis of diseases caused by vitiation of Vata dosha, in general, are the exclusive cause and pathogenesis of pain, numbness, tingling sensation.

 NIDANA- AYURVEDIC CAUSES OF CARPAL TUNNEL SYNDROME

  • Eccesso di consumo di cibi untuosi e freddi
  • Esercizio fisico eccessivo.
  • Soppressione degli impulsi naturali.
  • Trauma
  • Lesioni

PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF CARPAL TUNNEL SYNDROME

  • Dull intermittent pain and numbness in the wrist on movement.

SAMPRAPTI – AYURVEDIC PATHOGENESIS OF CARPAL TUNNEL SYNDROME

  • I dosha vata, pitta e kapha si muovono attraverso tutti i canali di circolazione. A causa della natura sottile di vata, esso spinge gli altri due dosha.
  • Il vata aggravato, avendo provocato questi due dosha, si esacerba e riempie i canali vuoti e si muove notevolmente al loro interno o facendosi avvolgere dagli altri dosha.
  • The aggravated vata resides in the wrist joint and produces different kinds of aches and pains.

LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF CARPAL TUNNEL SYNDROME

  • Toda – Pain on wrist joint
  • Sada - debolezza
  • Sosha – atrophy of muscles
  • Sensazione di formicolio
  • Numbness

AYURVEDIC PROGNOSIS OF CARPAL TUNNEL SYNDROME

  • Pain associated with traumatic injuries is difficult to cure – krichra sadhya

CHIKITSA- AYURVEDIC TREATMENT FOR CARPAL TUNNEL SYNDROME

Ayurvedic local treatment for carpal tunnel syndrome

  • Svedam - fomentazione locale
  • Applicazione di lepa antidolorifica

AYURVEDIC SAMANA TREATMENT FOR CARPAL TUNNEL SYNDROME

  • Trayodasanga guggulu
  • Mahayogaraja guggulu

 AYURVEDIC SHODHANA TREATMENT FOR CARPAL TUNNEL SYNDROME

  • NASYA-Ksheerabala

COMMONLY USED AYURVEDIC MEDICINES FOR CARPAL TUNNEL SYNDROME

Amministrazione interna

  • Rasnadi Kashayam
  • Dhanwantharam Kashayam
  • Prasaranyadi Kashayam
  • Punarnavadi kashayam
  • Balarishtam
  • Dhanwanthararishtam
  • Dasamoolarishtam
  • Gandha tailam
  • Rasaraj ras
  • Laksha guggulu
  • Trayodasanga guggulu
  • Mahayogaraja guggulu

Applicazione esterna

  • Dhanya Sweda
  • Dhanymla Dhara
  • Patrapodala Sweda
  • Shashtika Sali panda sweda
  • Pichu with Ksheerabala tailam
  • Talam with Nimbamruthadi Castor oil and Kachuradi Churna
  • Snehadhara - con balaswagandha tailam e ksheerabala tailam

 HOME REMEDIES FOR CARPAL TUNNEL SYNDROME

  • Applicazione di calore sulla zona interessata mediante un asciugamano bagnato con acqua calda
  • Massaggiare la zona dolorosa per 15 minuti (senza esercitare troppa pressione).

DIET AND BEHAVIOUR FOR CARPAL TUNNEL SYNDROME

  • Evitare gli alimenti che producono uno squilibrio vata dosha, come i cibi freddi e secchi, difficili da digerire. Perché lo squilibrio vata aggrava i sintomi.
  • Consumare alimenti facilmente digeribili, latte vaccino
  • Avoid heavy exercises that further aggravate the conditions.
  • Oil massage on affected area advised. Which alleviates vata dosha
  • Riposare adeguatamente.

 

YOGA FOR CARPAL TUNNEL SYNDROME

  • Nadi Shuddi Pranayam - calma la mente e dà sollievo ai dolori.

 

Il paziente deve essere seduto in posizione meditativa con la testa e la colonna vertebrale erette e il corpo rilassato. Il paziente deve chiudere una narice (ad esempio la sinistra se si usa la mano destra e viceversa) con il pollice ed espirare completamente attraverso l'altra narice. Di nuovo, dovrà inspirare profondamente attraverso l'altra narice mentre la narice opposta è ancora chiusa con il pollice.

  • Tadasana
  • Virabhadrasana
  • Anjali mudra

RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF CARPAL TUNNEL SYNDROME

  1. Ayurvedic management of carpal tunnel syndrome: a case study

https://irjponline.com/admin/php/uploads/3082_pdf.pdf

 

  1. Yoga-based intervention for carpal tunnel syndrome: a randomized trial

 

https://pubmed.ncbi.nlm.nih.gov/9820263/