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Thursday 11 November 2021

CUBITAL TUNNEL SYNDROME – Ayurvedic Treatment, Diet, Exercises, Yoga & Pranayama

The cubital tunnel is a space of the dorsal medial elbow which allows passage of the ulnar nerve around the elbow. Cubital tunnel syndrome causes aching pain, numbness etc due to the compression of the ulnar nerve.

  • SIGNS AND SYMPTOMS OF CUBITAL TUNNEL SYNDROME
  • CAUSES OF CUBITAL TUNNEL SYNDROME
  • PATHOPHYSIOLOGY OF CUBITAL TUNNEL SYNDROME
  • DIAGNOSIS OF CUBITAL TUNNEL SYNDROME
  • TREATMENTS FOR CUBITAL TUNNEL SYNDROME
  • PROGNOSIS OF CUBITAL TUNNEL SYNDROME
  • COMPLICATIONS OF CUBITAL TUNNEL SYNDROME
  • CUBITAL TUNNEL SYNDROME  AND AYURVEDA
  • NIDANA- AYURVEDIC CAUSES OF CUBITAL TUNNEL SYNDROME
  • PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF CUBITAL TUNNEL SYNDROME
  • SAMPRAPTI – AYURVEDIC PATHOGENESIS OF CUBITAL TUNNEL SYNDROME
  • LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF CUBITAL TUNNEL SYNDROME
  • AYURVEDIC PROGNOSIS OF CUBITAL TUNNEL SYNDROME
  • CHIKITSA- AYURVEDIC TREATMENT FOR CUBITAL TUNNEL SYNDROME
  • AYURVEDIC LOCAL TREATMENT FOR CUBITAL TUNNEL SYNDROME
  • AYURVEDIC SAMANA TREATMENT FOR CUBITAL TUNNEL SYNDROME
  • AYURVEDIC SHODHANA TREATMENT FOR CUBITAL TUNNEL SYNDROME
  • COMMONLY USED AYURVEDIC MEDICINES FOR CUBITAL TUNNEL SYNDROME
  • HOME REMEDIES FOR CUBITAL TUNNEL SYNDROME
  • DIET AND BEHAVIOUR FOR CUBITAL TUNNEL SYNDROME
  • YOGA FOR CUBITAL TUNNEL SYNDROME

SIGNS AND SYMPTOMS OF CUBITAL TUNNEL SYNDROME

  • Burning, tingling, numbness in the hand,  ring finger and little finger
  • Weakness in the hand
  • Difficulty in  holding things
  • Aching pain in the elbow during movement
  • Tingling that may travel up the forearm toward the shoulder
  • Shock-like sensations that radiate to the little finger and ring fingers

CAUSES OF CUBITAL TUNNEL SYNDROME

  • Anatomic differences in the amount of space for the ulnar nerve.
  • Doing activities in extreme flexion or extension of the elbow for a prolonged period can increase pressure on the nerve.
  • Repeating the same elbow movements over a prolonged period may aggravate the tendons in the elbow, causing swelling that induces pressure on the nerve.
  •  Arthritis
  • Bone spurs
  • Injuries
  • Fracture and dislocations

PATHOPHYSIOLOGY OF CUBITAL TUNNEL SYNDROME

Due to the above-mentioned causes, the ulnar nerve gets compressed. Nerve compression hinders the conduction of impulses. So the numbness, tingling sensation, weakness are manifested.

DIAGNOSIS OF CUBITAL TUNNEL SYNDROME

  1. EXAMINATIONS
  • Inspection
  • Palpation – pressing on the nerve may trigger symptoms 
  • Movements Flexion, Extension  of elbow joint
  • INVESTIGATIONS
  • X – rays
  • Nerve conduction study
  • Electromyography

TREATMENTS FOR CUBITAL TUNNEL SYNDROME

  • A splint that holds the elbow can help to relieve symptoms of tingling and numbness. 
  •  A few cases may require surgery.
  • Medications – Non-steroidal anti-inflammatory drug, Analgesic.
  • Treatment of underlying pathology.
  • Ultrasound therapy

PROGNOSIS OF CUBITAL TUNNEL SYNDROME

  • Prognosis is based on the cause of the disease, duration  and condition of the patient

COMPLICATIONS OF CUBITAL TUNNEL SYNDROME

  • Atrophy of muscles
  • Weakness of muscles

CUBITAL TUNNEL SYNDROME AND AYURVEDA

  • In Ayurveda,cubital tunnel syndrome falls under Vata vyadhi or a Vata dosha imbalance disorder.
  • According to Ayurveda, it may be considered as Vata vyadhi with mamsakshaya
  • Vata vyadhi can be correlated to neurological or neuromuscular disorders. The causes and pathogenesis of diseases caused by vitiation of Vata dosha, in general, are the exclusive cause and pathogenesis ofpain, numbness, tingling sensation.

NIDANA- AYURVEDIC CAUSES OF CUBITAL TUNNEL SYNDROME

  • Excess consumption of ununctuous, cold food
  • Excessive physical exercise.
  • Suppression of natural urges.
  • Trauma
  • Injuries

PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF CUBITAL TUNNEL SYNDROME

  • Dull intermittent pain and numbness in the elbow on movement.

SAMPRAPTI – AYURVEDIC PATHOGENESIS OF CUBITAL TUNNEL SYNDROME

  • Vata, pitta and kapha dosha move through all channels of circulation. Due to the subtle nature of vata it impels the remaining two doshas.
  • The aggravated vata having provoked these two doshas, exacerbated and fills up the empty channels and moves greatly inside them or by getting enveloped by the other doshas.
  • The aggravated vata resides in the elbow joint and produces different kinds of aches and pains.

LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF CUBITAL TUNNEL SYNDROME

  • Toda – Pain on elbow joint
  • Sada – weakness
  • Sosha – atrophy of muscles
  • Tingling sensation
  • Numbness

AYURVEDIC PROGNOSIS OF CUBITAL TUNNEL SYNDROME

  • Pain associated with traumatic injuries is difficult to cure – krichra sadhya

CHIKITSA- AYURVEDIC TREATMENT FOR CUBITAL TUNNEL SYNDROME

Ayurvedic local treatment for cubital tunnel syndrome

  • Svedam – local fermentation
  • Pain-relieving lepa application

AYURVEDIC SAMANA TREATMENT FOR CUBITAL TUNNEL SYNDROME

  • Dasamoolarishtam
  • Gandha tailam along with milk
  • Rasaraj ras
  • Laksha guggulu
  • Trayodasanga guggulu
  • Mahayogaraja guggulu

 AYURVEDIC SHODHANA TREATMENT FOR CUBITAL TUNNEL SYNDROME

  • NASYA-Ksheerabala

COMMONLY USED AYURVEDIC MEDICINES FOR CUBITAL TUNNEL SYNDROME

Internal administration

External application

  • Snehadhara – with balaswagandha tailam and ksheerabala tailam
  • Shashtika Sali panda sweda

HOME REMEDIES FOR CUBITAL TUNNEL SYNDROME

  • Heat application on the affected area by a towel dipped with hot water
  • Massage the painful area for 15 minutes ( NOT too much pressure )

DIET AND BEHAVIOUR FOR CUBITAL TUNNEL SYNDROME

  • Avoid food items which produce vata dosha imbalance like cold and dry food, hard to digest. Because vata imbalance aggravates the symptoms.
  • Consume easily digestible food items, cow’s milk
  • Avoid heavy exercises which further aggravate the conditions.
  • Oil massage on affected area advised. Which alleviates vata dosha
  • Take proper rest.

YOGA FOR CUBITAL TUNNEL SYNDROME

  • Nadi Shuddi Pranayam    – calms the mind and gets relief from aches and pains

The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.

                              ·       Tadasana·       virabhadrasana

  • Anjali mudra


source https://ayurvedapc.blog/2021/11/11/cubital-tunnel-syndrome-ayurvedic-treatment-diet-exercises-yoga-pranayama/

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