Case study on Herniated Disk | Slipped Disk
Herniated disk also called as slipped disk or ruptured disk or bulged disk. Herniated disk occurs when the nucleus is pushed out to annulus through tear. Usually spinal disk has soft & jelly like center called nucleus. This nucleus is present in rubber like structure called annulus. Herniated disks can occur any part of the spine, but usually more common in low back.
Case at VHG:
A female patient aged 23 years came with the complaint of sharp pain in her lower back which was associated with the radiating pain to left calf. She was not able to stand even for 5 minutes and was feeling very low with severe pain since 6 months. After the consultation with senior doctor here she followed the prescription. Integrative approach of Ayurveda therapy, medicines, Yoga and acupuncture was advised to her.
MRI Scan of spine:
- At L4-L5: central posterior disk protrusion indenting on the thecal sac & seen causing moderate spinal canal stenosis with bilateral lateral recess narrowing. There is impingement on the bilateral traversing L5 nerve roots.
- AT L5-S1: Mild central posterior disk bulge indenting on the thecal sac & seen causing mild spinal canal stenosis.
Treatment at VHG:
1st line – Acupuncture, Kati basti for 8 days
Elakizhi for 4 days
Navarakizhi for 4 days
2nd line – Yoga therapy for 7 days
Matra basti for 7 days
Pre & Post Assessments
Visual analogue scale & The Roland-Morris Questionnaire(RMQ) questionnaires are used to assess her pain before and after the treatment.
Visual analogue scale (VAS) is one of the pain rating scale. Numeral rating scale is the most commonly used rating scale in VAS were 0 represents no pain and 10 is the worst pain.
Patient came with the VAS -8 and it got reduced to 1 after the treatment and it was almost the negligible.
The Roland-Morris Questionnaire (RMQ) is a self-administered disability measure in which greater levels of disability are reflected by higher numbers on a 24-point scale.
The patient is instructed to put a mark next to each appropriate statement. Add up the total number of marked statements to get a patient’s score.
| Pre | Post |
VAS | 08 | 01 |
RMQ | 16 | 07 |
Conclusion: Integrative approach of Ayurveda, Yoga & Naturopathy helped the patient effectively to reduce her pain and to handle her day today activities. Regular practice of yoga and Ayurveda medicines are helping her to prevent further problem & complications.
