Abstract

*Vd. Shankar Mane, Vd. Deepak Parida, Vd. Shital Mane

ABSTRACT

Background: Cervical radiculopathy is a common cause of neck pain with radiation to the upper limb, often associated with functional disability and reduced quality of life. In Ayurveda, such presentations can be understood under the spectrum of Manyastambha, sometimes co-existing with Amlapitta-like manifestations. Evidence-based case reports are needed to document outcomes of Ayurvedic interventions in such conditions. Case Presentation: A 64 year old woman with a known history of type 2 diabetes mellitus for 3–4 years (well controlled on oral hypoglycemic agents) presented with pain in the neck region radiating to the right upper limb, neck stiffness, right shoulder pain, occasional vertigo, and tingling in both hands for 2.5 months. She also reported Udar Daha (epigastric burning), Hrill?sa (nausea), and Amlodg?ra (sour belching) for 1–2 years. Conventional analgesics and physiotherapy had provided only temporary relief. Clinical assessment suggested cervical radiculopathy with associated gastrointestinal symptoms comparable to Amlapitta. Intervention: An integrated Ayurvedic treatment plan was administered for 7 days on an inpatient/outpatient basis. Local therapy included Jamb?ra Pi??a Sveda using Kottamchukk?di Taila and Lepa with B?jra?ga Lepa and Rasna C?r?a over the cervical and shoulder region. Oral medications included Cap. Cervilon 2 capsules twice daily on an empty stomach, Laghus?tshekhara Rasa 1 tablet twice daily, and Gandharva Har?tak? 1 tablet at night, along with a set of neck exercises. Outcomes: After 7 days, the patient reported marked reduction in neck pain, radiation, and tingling; neck stiffness and shoulder pain decreased, and vertigo episodes reduced. Gastrointestinal complaints (Udar Daha, Hrill?sa, Amlodg?ra) also improved. Functional status and sleep quality were better, with no reported adverse effects. Symptomatic improvement was maintained on follow up (duration to be specified). Conclusion: This case suggests that an integrated Ayurvedic approach combining localized Sveda, Lepa, and internal medications alongside neck exercises may be beneficial in the management of cervical radiculopathy with associated Amlapitta like symptoms. Further controlled studies are needed to validate these findings.