Ayurvedic management of quadriparesis (Sarvanga roga) due to cervical disc herniation: A case report

Abstract

Cervical disc herniation is most common after lumbar disc herniation. Nerve impingement due to cervical disc herniation causes symptoms that correlate with Sarvanga roga (~quadriparesis). The present case is of a 44-year-old male who reported neck pain, stiffness, and reduced power in bilateral upper and lower limbs, due to which he was unable to walk on his own and unable to perform daily living activities. Ayurveda holds bountiful resources for the management of Vata (~Dosha responsible for movement and cognition) disorders. This patient was treated with oral medicines along with Panchakarma therapy on the line of treatment of Vatavyadhi (~disorders due to Vata). The result was assessed using the Modified Ashworth scale for muscle tone, Medical Research Council scale for muscle power, National Institute for Neurological Disorders and Stroke grading for deep tendon reflex, and Katz Index of Independence in Activities of Daily Living. The result obtained after 45 days of treatment helped the patient to walk and perform activities of daily living independently. Treatment provided relief by reducing pain, stiffness, and cervical cord edema and providing strength to local muscles, bones, tendons, and ligaments. This case provided positive hope for serious cases like this, where patients are left with the only option of surgery.