Treatment of cervical spondylosis-

1.Medical
2.Physiotherapy
3.Relaxation
4.Ergonomics
5.Do's and Dont's
Medical Treatment
Usually Analgesics and muscle relaxants are advised . In more severe cases the orthopaedic doctor may suggest cortisone injections near
the joints of the vertebral bodies to ease the swelling of the nerves and relieve pain.

Surgical Treatment
If the medical treatment and
physiotherapy fails, and the condition is severe, where the nerves are affected, surgery may be required.. Decompression of the nerve is
done to relieve the nerve which is compressed by the bones and the disc.
Physiotherapy
The goal of physiotherapy treatment is to relieve pain, and enhance movements of the neck.
Shortwave Diathermy - A disc or heating pad is placed over the back of the neck. The warmth obtained from the shortwave diathermy current
relaxes the muscle and the pain is relieved.
Cervical Traction - Traction is a mechanical device, which supports the head and chin. It is used to relieve the nerve compression by a bone.
Posture correction - Simple postural exercises can be taught to correct the faulty position of the neck.
Motivation is given to maintain the erect posture:
Collars - Two types of collars can be prescribed:
Soft Collar - Soft collar is used during night times to prevent awkward position of the neck during sleep.
Firm Collar - Firm collar steadies the neck and relieve pain, especially during traveling or work. It is removed when the pain subsides.
Relaxation
Relaxation is essential part of treatment. Tension in neck and shoulder muscle, pain, anxiety are all relieved by relaxation.
Relaxation can be done in two ways:
Physical Relaxation.
Mental Relaxation.

Physical Relaxation:
The whole body is relaxed by free suitable and comfortable positions, so that the muscles are freed from tension and the pain is relieved. For
eg., position of relaxation - when you are lying flat on your back.
One pillow under the head
One cushion for the shoulder and
One under knees.
The pillow should be firm and thin
This position will allow relaxation for your body while lying down.
Relaxation while sitting.
The head, neck and shoulder are supported by high backed chair, with a small pillow at lower back.
Feet supported on stool or low bench
Arm, resting on arm of chair or pillow
Ergonomics
Ergonomics concentrates on the architectural design of furnitures like desk, chairs, tables etc. The design of the furniture should be such that
it should support the body structure without causing any undue strain to the muscles of the back and neck .
Do's and Dont's
If you are prone to cervical spondylosis, Avoid bad roads, if travelling by two or four wheelers
Do not sit for prolonged period of time in stressful postures
Do use firm collars while traveling
Do not lift heavy weights on head or back
Do not turn from your body but turn your body moving your feet first
Do turn to one side while getting up from lying down
Do the exercises prescribed regularly
Do use firm mattress, thin pillow or butterfly shaped pillow
Do not lie flat on your stomach.

cervical spondylosis

Cervical spondylosis is a disorder that happens with age. this happens due to degeneration of the bones of spine or the ribs.
The spinal canal narrows down and causes the muscles or the nerves attaching to compress than normal size. and hence the mild
pain starts and ends in severe dysfunction.
Cervical spondylosis, also known as cervical arthritis, cervical osteoarthritis and neck arthritis, is a degenerative osteoarthritis
condition that affects the cervical spine.
The cervical vertebrae are the seven vertebrae between the skull and the chest that form the upper spine. Cervical
spondylosis is often caused by earlier back injuries such as sports injuries and falls.
A specific form of arthritis, which attacks vertebrae and connecting bony, and ligament structures, is known as spondylosis.
Frequently it occurs in the cervical vertebrae. The spines of majority of people above the age of 50 have certain degree of osteo
arthritic changes. But they seldom cause acute symptoms. Certain precipitating factors like trauma, incorrect posture of the body,
pressure while sleeping and excessive intake of sour food usually precipitate these attacks.
In ayurveda this condition is known as griva sandhigata vata. Pain in the back of neck, shoulder and arms, stiffness of the
neck and even paraplegia occur due to this condition. The movement of the spine generally aggravates the pain of the neck. It is
often associated with loss of memory and sleeplessness.
symptoms
Neck or shoulder pain, stiffness of the neck and difficulty turning or bending the neck from side-to-side are also symptoms of
cervical spondylosis. the symptoms of cervical spondylosis may get worse with turning, extending, or bending the neck. Pain that
shoots down the arm, and numbness, weakness or pains in the arm are also symptoms of cervical spondylosis.
Numbness or a feeling of weakness in the shoulders or in the arm area.
Muscles spasm and popping sound near the neck.
Sometimes the pain moves to head
Symptoms of cervical spondylosis are caused by imposition on the spinal cord or the nerves as they exit the spine, or both. eck
and shoulder pain are the most common symptom.
A stiff neck is most often one of the very first signs. Neck stiffness tends to grow progressively worse over time
Radiating pain to the bottom of the skull and/or to the shoulder and down the arm. This radiating pain may seem like a stabbing or
a burning or it might present itself as a dull ache.
Along with pain, cervical spondylosis can be accompanied by parathesias and muscle weakness in the neck, shoulders, arms and
hands, and a syndrome called numb,clumsy hands
causes
1. Cervical spondylosis is caused by chronic degeneration of the cervical spine, the cushions between the neck vertebrae, and joints
between the bones of the cervical spine.
2. A previous neck injury can predispose to a person to cervical spondylosis.
3. Carrying loads on your head (for example, carrying a heavy surfboard down the beach to the waves)
4. Professional dancing.
5. Professional gymnastics.
diagnosis
The following methods are used to diagnose arthritis of the neck:
1. mris particularly useful for viewing the condition of the spinal nerves, mris take pictures from many angles.
2. ct scans provide good views of the encroachment on nervous tissue caused by the remodeling/reshaping of bones.
3. myelogram this imaging technique enhances the visibility of x-rays. they are especially good for seeing problems located at
nerve roots.
dos & donts
1. wheat is better than rice, maida and suji.
2. exposure to cold is avoided.
3. sour things, particularly curd, etc. are strictly prohibited.

can cervical spondylosis be treated?

yes. However, in mild cases, no treatment is required. when treatment is required, it is aimed at relieving pain and preventing
permanent spinal cord and nerve root injury. Treatments include neck brace, anti-inflammatory medication, neck traction, bed rest,
and cortisone injections. In some cases, surgery is necessary to remove bone and disc tissue.
complications of cervical spondylosis
Some common complications of cervical spondylosis are:
1. chronic neck pain
2. progressive loss of muscle function or feeling
3. inability to retain feces
4. use of a neck brace to immobilize the neck
5. urinary incontinence
how does ayurveda interpret these conditions?
Ayurveda understands the functioning of the body as comprising of three basic functions, movement, change and growth & stability,
which are referred to as the three doshas vata, pitta & kapha.
These functions in a state of equilibrium lead to health and in-equilibrium to diseases.
The disturbance to any one of these ultimately leads to problems related to all the three functions.
Treatment in ayurveda is aimed at restoring the equilibrium through correction of the underlying functional in-equilibrium.
Treatment comprises of three approaches, elimination (sodhanam) of the accumulated toxic products of digestion, metabolism and
the disease process, pacification (samanam) and correction of the entities responsible for altered functioning and rasayanam
(rejuvenation) of the bodily tissue to regain and maintain natural strength and vitality.
Vata, the principle of movement is the predominant function with the skeleto-muscular system and the nervous system. Problems
relating to these systems are predominantly caused by vitiated vata. The vitiation of vata is caused by two mechanisms.
One of them is obstruction to vata due to malfunctioning of kapha and pitta. The other one is increase of vata independently as in
the case of the degenerative problems.
The therapeutic approach to the two types of vitiation is different. If vatas functions are deranged due to kapha and pitta, as in the
case of inflammation, correcting them through elimination and pacification is the method to be adopted. For diseases due to vata
alone (the degenerative disorders), the concept is to use medications which arrest the degenerative processes. While fibromyalgia
is a condition where vata is deranged due to pitta and kapha, the other two problems are due to vata alone. The treatment of
cervical spondylosis and herniated disk comprises of use of medications to arrest the degenerative process.

Mahayograj Guggul Benefits, Dosage, How To Use, Side

Effects, Ingredients, Reference
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Mahayograj Guggul is a very famous and versatile Ayurvedic medicine in tablet form. This tablet has Guggulu (commiphora
mukul) as its base.I t is used in a number of diseases. It has potent rejuvenative action. But it contains heavy metal ingredient. So
it should always be taken under strict medical supervision.

Mahayogaraj Guggul benefits:

It is widely used in the Ayurvedic treatment of joint diseases, skin diseases, piles, sprue, diabetes, gout, fistula, bloating,
emaciation, low digestion power, asthma, cold, cough, anorexia, male and female infertility.
Effect on Tridosha - Calms all the three Doshas Vata, Pitta and Kapha.
Mahayograja Guggulu dosage:
1 2 tablets 2 3 times a day, before or after food or as directed by Ayurvedic doctor.
Special co-drinks
Based on the target disease, special co drinks are explained for mahayogaraja guggulu.
For Vata diseases like arthritis it is usually co prescribed with Rasnadi Kashayam
For Pitta imbalance diseases, it is administered with decoction of Kakolyadi group of herbs.
For kapha imbalance disease, it is administered with Aragwadhadi kashayam
For treating diabetes, it is used along with kashayam of Daruharidra Berberis aristata.
For treating anemia, it is administered along with cow urine
For treating obesity, it is administered along with honey
For treating skin diseases, it is given along with neem decoction
For treating gout, it is given with Giloya Tinospora cordifolia
For treating pain and inflammation, it is given with kashayam of long pepper.
For treating rat bite, it is given with kashayam of Patala Stereospermum suaveolens
For treating eye diseases, it is given along with Triphala kashayam
For treating ascites, it is given along with Punarnavadi kashayam.
Mahayograj Guggul Side Effects:
There are no known side effects with this medicine. However, it contains heavy metal ingredients. Hence it should always be
used under strict medical supervision. Self medication with this medicine is discouraged.
Very high dose than prescribed may lead to stomach irritation.
Mahayograj Guggul Ingredients:
Ginger 3 g
Long pepper 3 g
Chavya Piper cubeba 3 g
Pippalimoola Long pepper root - 3 g
Hingu Asa foetia - 3 g
Chitraka Plumbago zeylanica - 3 g
Ajamoda Trachyspermum roxburghianum - 3 g
Sarshapa Mustard - 3 g
Shwetajeeraka Cuminum cyminum - 3 g
Krishnajeeraka Carum carvi - 3 g
Renuka - Vitex agnus-castus - 3 g
Indrayava Holarrhena antidysenterica - 3 g
Patha Cyclea peltata / Cissampelos pariera - 3 g
Vidanga Embelia ribes - 3 g
Gajapippali Piper chaba - 3 g
Katuka Picrorrihiza kurroa - 3 g
Ativisha Aconitum heterophyllum - 3 g
Bharngi Clerodendron serratum - 3 g
Vacha Acorus calamus - 3 g
Murva - Marsdenia tenacissima - 3 g
Triphala Haritaki Terminalia chebula, Vibhitaki Terminalia bellirica, Amla Emblica officinalis 40 g each
Shuddha guggulu Purified resin of Commiphora mukul 180 g
Vanga Bhasma 48 g
Roupya Bhasma - 48 g
Naga Bhasma - 48 g
Loha Bhasma - 48 g
Abhraka Bhasma - 48 g
Mandura Bhasma 48 g
Rasasindhura 48 g

Mahayograj Guggul reference:

Sharangdhara Samhita madhyamakhanda 7/56-69