MRD No: 17410
CONDITION AT THE TIME OF ADMISSION (29/07/16)
52yrs old female patient presented with a history of pain on low back region radiating to back of left leg for 5months. The patient is a teacher by profession. 1month back while the patient was working in the school she felt sudden onset of radiating type of pain in the back of left leg. 5months before she had same complaints. For this she consulted an Allopathic Physician and got only symptomatic relief. Often she felt stiffness, tingling sensation, difficulty in walking, climbing stairs etc. Pain was radiating to both legs more on left side. Also she had swelling and pain on both knees. The conditions got aggravated in cold climate and at night. Patient finds comfort by application of hot water bag. She decided to do Panchakarma treatment for back pain from a best Ayurvedic Hospital in India.
On examination she had Grade I tenderness over L3-L5 and SI joint. Movements were restricted due to pain. SLR was positive. Swelling was present in low back region.
Her MRI findings were:
- Desiccation of L4-L5 and L5-S1 intervertebral discs.
- Minimal diffuse bulges at L4-L5 and L5-S1 discs causing mild indentation of thecal sac and bilateral minimal neural foraminal narrowing with compression of adjacent nerve roots.
- Right sacroilitis.
INTERNAL MEDICINES GIVEN
- Vatari rasam – 25ml bid
- Kaisora guggulu – 1tab bid with Arishtam
- Rasna saptakam kashayam – 60ml bid
- Vatarakshasa Bhasma – 1pkt bid with Kashayam
- Rasasindhooram – 125mg bid with ginger juice
EXTERNAL TREATMENT FOR DISC DESICCATION, DIFFUSE BULGES
- Abhyangam– 25days
- Choorna Vasti – 4days
- Taila Vasti – 5 days
- Kashaya Vasti – 3 days
- Agnikarmam – 2days
- Lepanam – 25 days
- Lavana Kizhi – 3days
- Kati Vasti – 10days
CONDITION AT THE TIME OF DISCHARGE (02/08/16)
Patient got much relief and pain and stiffness reduced significantly. SLR was found to be negative after the treatment. 2nd course of treatment was also taken. Follow up treatment confirmed that the patient is better and actively working.