A case series study of Thandagavatham (lumbo sacral strain) with Siddha medicine along with Siddhar Yogam therapy

P.Sugasini¹, N.J.Muthukumar², D. Periyasami ³,

¹ PG Scholar, Dept. of Siddhar Yoga Maruthuvam, National Institute of Siddha, Chennai

² Professor,HOD, Dept. of Sirappu Maruthuvam, National Institute of Siddha, Chennai

³ Lecturer, Dept. of Sirappu Maruthuvam, National Institute of Siddha, Chennai

Abstract

The ancient Siddha system of medicine is not only a medicine but a life science of wellness. Siddhars not only contributed medicine but also knowledge of eternity alchemy and yogic living Siddhars attained longevity by Attanga yogam. Asanam is the part of Attanga yogam, which have both preventive and curative property in the management of various disorders. Lumbo sacral strain is one of the most common problem in middle age group. Which occurs due to sedentary lifestyle, weight lifting, prolonged sitting and driving. More number patients suffering from low back pain .on the basic high prevalence of low back pain and also in National Institute of Siddha considerable number of cases Thandagavatham reported daily .with this background the author has chosen Thandagavatham (Lumbo sacral strain) with Yogam therapy.

Key words : Siddha medicine, Siddhar Yogam Therapy , Thandagavatham , Low back strain

Introduction

Siddha system was bestowed by the great Siddhars, after attaining spiritual knowledge through physical perfection and spiritual salvation, explained by saint Yugi. according to Siddha system of medicine , health is defined as the state of physical , psychological , social and spiritual, components of human being .Siddha system denotes all the objects in this world either living or non living are composed of five elements (Panchabootham),namely ,Mann, Neer, Thee, Kattru ,Aahayam , any changes in the universe will reflect in human body , the physical body is maintained by three vital force (humors )namely Vatham, Pitham, Kabam. When the above humours , get affected by the life style activities or modification they become Kutrams, which turns cause the diseases. Yugi munnivar classified the Vatha disease as 80 types Thandagavatham is one among them the symptoms of Thandagavatham are low back ache, pricking pain, stiffness, lumbo sacral muscle spasm, Lumbar Sacral strain is characterized by non radiating low back pain associated with a mechanical stress or creating an abnormal position that puts the muscle beyond its limit. Lumbar strain is the cause of low back pain in 70% of cases, and is most common between age 20 and 50 Most common cause for repetitive or heavy lifting, prolonged abnormal position of the trunk (rotated, flexed, hyper extended), poor body mechanics or ergonomics, core weakness, and tight/weak hip girdle musculature .

MATERIALS AND METHODS

Inclusion criteria:

· Age : 20-60 years

· Sex: Male and Female

· Patients having the symptoms of

· Pain around the lumbo sacral region

· Lumbo sacral muscle spasm

· Pain associated with activities, and generally relieved with rest

· Pain that worsens when bending, stretching, coughing, or sneezing

· Stiffness in the low back region

Exclusion criteria:

· Patient suffering with Spina bifida, Osteomyelitis, Pott’s spine, Trauma, Ankylosing spondylitis

· Serious systemic illness

· Congenital anomalies of spin

· Post -surgical cases.

TREATMENT PROTOCOL

Adviced yogam

Iyamam, Niyamam - Advised

Conduct of the study

20 patients were selected in NIS Siddhar yogam OPD. 10 patients were treated with Siddhar Yogam along with Amukkura chooranam and 10 patients were treated with Amukkura chooranam only. Before starting the treatment, purgation with Agasthiyar Kuzhambu -130mg at early morning in empty stomach with ginger juice was given for balancing the deranged Uyirthathu and advised to take rest on next day. The Amukkura chooranam was given for 45 days .Before starting Yogam patient advice to follow the Iyamam, Niyamam. Patients were advised to practice Asanam in empty stomach after evacuation of urine and motion for 30-45 minutes every morning. Asanam were taught to the patients. Under my guidance, the patients were asked to do the recommended pattern of asanam at NIS yogam hall on every visit.

RESULTS

GROUP I ( YOGAM ALONG WITH MEDICINE)

GROUP II ( MEDICINE)

DISCUSSION

Among the 20 patients 41% were male and 59% of female. Patients were belonged to different age groups from 20-60. In this study highest incidence was seen in the age between 30-40 years. Occupation of the patients is an important cause for Lumbo sacral strain .This study reveals out of 20 cases, 50% of patients were IT professional, 30% of patients were Drivers, 15% of patients were Farmers,5% patients were tailor.

Universal pain scale In group I before treatment shows mild pain 20%, moderate pain 70%, severe pain 10%,Group II mild pain 30%, moderate pain 70%, .

After treatment group I before treatment shows no pain80% mild pain 20%, Group II no pain 40% mild pain 20%, moderate pain 40%, .

Conclusion

The two group patient were assessed by universal pain scale. The group 1 have noticed significant improvement than group II. Hence the results reveals that Siddhar Yogam therapy is an effective and safe intervention for lumbo sacral strain .

REFERENCE

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