An Integrative Ayurvedic Approach in the Management of Manyastambh (Cervical Spondylitis): A Single Case Study

Cervical spondylosis, is a primarily a degenerative disorder of the area around neck also known as cervical osteoarthritis. Earlier it was believed to be a common agerelated condition affecting the cervical spine, now it is seen in almost in all age groups above 35 years. It results from wear and tear of the vertebral bones, intervertebral discs, and ligaments in the neck. Although most common in individuals above 40 years of age, it can also appear earlier due to lifestyle factors, poor posture, or injury. It is seen that most people with spondylotic changes in the cervical spine remain asymptomatic, and 25% of patients who are asymptomatic are of around 35-45 years in age, 50% are those are above over 45-55 years in age, and 85% of those are above 60 years in age. In Ayurveda cervical spondylosis can be corelated to the Manyastambha and is one among eighty Vataja Nanatmja Vyadhis as well as Urdhwajatrugata Vikaras. Word “Manya” means nape of neck and “Stambha” means stiffness. In Allopathic system of medicine , Cervical Spondylitis is managed with NSAID’S, Muscle relaxants, steroids, Physiotherapy and Traction and in some case with surgery but in most cases results of the treatment are not as desired. Ayurveda has described a treatment regimen which not only is based on treatment through drugs but also involves modification in lifestyle thus providing holistic approach. In this present study, the aim was to review and highlight the effectiveness of different Ayurvedic treatment regimens in patients with Manyastambha.