E-ISSN:2456-3110

Case Report

Cervical Spondylosis

Journal of Ayurveda and Integrated Medical Sciences

2025 Volume 10 Number 3 MARCH
Publisherwww.maharshicharaka.in

Ayurveda management of Manya Stambha w.s.r. to Cervical Spondylosis - A Case Study

Rai R1*, Daheriya D2, Shivhare S3, Sharma V4
DOI:10.21760/jaims.10.3.57

1* Ranjana Rai, Post Graduate Scholar 3rd Year, Department of Kayachikitsa, Pt Khushilal Sharma Government Ayurvedic College and Hospital, Bhopal, Madhya Pradesh, India.

2 Diksha Daheriya, Post Graduate Scholar 2nd Year, Department of Kayachikitsa, Pt Khushilal Sharma Government Ayurvedic College and Hospital, Bhopal, Madhya Pradesh, India.

3 Shwetal Shivhare, Associate Professor, Department of Kayachikitsa, Pt Khushilal Sharma Government Ayurvedic College and Hospital, Bhopal, Madhya Pradesh, India.

4 Vivek Sharma, Assistant Professor, Department of Kayachikitsa, Pt Khushilal Sharma Government Ayurvedic College and Hospital, Bhopal, Madhya Pradesh, India.

Background: In today’s fast-paced and stressful lifestyle, many people are experiencing various degenerative diseases. One such condition is Manyastambha, which is becoming increasingly common. Manyastambha refers to a condition where the neck becomes stiff, rigid, and painful, particularly in the cervical region, limiting movement. This condition is listed among the eighty Vata-related disorders and also under disorders affecting the upper limbs. It closely resembles cervical spondylosis in modern medicine, which is a degenerative condition of the cervical spine. The primary symptoms of both include stiffness and pain. If left untreated or severe, it can lead to pressure on the nerve roots, causing sensory or motor disturbances. The prevalence of cervical spondylosis is rising due to factors such as increased work-related stress, poor posture from sitting for long hours, excessive computer usage, long work hours, night shifts, prolonged television watching, sleeping on unsupportive mattresses and pillows, and neglecting overall physical, mental, and dietary health.

Aim: Ayurveda management of Manya Stambha w.s.r. to Cervical Spondylosis - A Case Study.

Methods: This study has been based on subjective parameter.

Results: The Result will be based on subjective parameter.

Conclusion: Through Greeva Basti, Patra Pinda Pottali Swedan, and Ayurvedic treatment management showed a remarkable response to the subjective parameter.

Keywords: Manyastambha, Manya, cervical spondylosis, lifestyle, Ahara, Etiological factors, Nidana

Corresponding Author How to Cite this Article To Browse
Ranjana Rai, Post Graduate Scholar 3rd Year, Department of Kayachikitsa, Pt Khushilal Sharma Government Ayurvedic College and Hospital, Bhopal, Madhya Pradesh, India.
Email: 		Rai R, Daheriya D, Shivhare S, Sharma V, Ayurveda management of Manya Stambha w.s.r. to Cervical Spondylosis - A Case Study. J Ayu Int Med Sci. 2025;10(3):378-382.
Available From
https://jaims.in/jaims/article/view/4098/

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2025-02-16 2025-02-27 2025-03-07 2025-03-17 2025-03-27
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
None Nil Not required 11.45

© 2025 by Rai R, Daheriya D, Shivhare S, Sharma V and Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

J Ayu Int Med Sci 2025;10(3)378
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Ranjana R et al. Management of Manya Stambha w.s.r. to Cervical Spondylosis

Introduction

In today’s fast-paced world, people of all ages are increasingly affected by Vata-related disorders, such as Manyastambha, which impact muscles, bones, joints, and ligaments. Manyastambha refers to the lifestyle-related issues caused by factors such as frequent vehicle use, long-distance travel, prolonged sitting, late working hours, lifting heavy weights, lack of exercise, and consuming unhealthy or unhygienic foods. It is described as a Vata-related condition in Ayurvedic medicine. According to the Amarkosha, the "Manya" (neck region) is associated with the nerves in the cervical area, which is vulnerable to injury due to its structure and mobility. There is limited research and available literature on the management of Manyastambha. Manyastambh term derived from words as “Manya” means nape of neck and “Stambh” means stiffness, rigidity.[1] According to Acharya Sushruta, when Vata and Kapha Doshas become imbalanced in the neck region (Manya Pradesh), it leads to pain and stiffness due to the disruption of the neck nerves (Manya Siras).[2] The early symptom of Vata disorders is Avyakta, which becomes more defined as Atmaroopa. Aggravated Vata (Kupitoanilah) can cause symptoms similar to Manyastambha, such as neck stiffness and pain.[3] The etiological factors responsible for Manyasthamba are sleeping at day time, leaning or sleeping on an uneven place i.e., irregular postures; constantly gazing upwards.[4] Cervical spondylosis is a term that encompasses a wide range of progressive degenerative changes that affect all the components of the cervical spine (i.e., intervertebral discs, facet joints, joints of Luschka, ligamenta flava, and laminae). It is a natural process of aging and presents in the majority of people after the fifth decade of life.[5]

The global incidence of cervical spondylosis is 2.5 cases per 1,000 people, while in India, it is slightly higher at 3.5 cases per 1,000 people. Additionally, approximately 70% of the general population experiences neck pain at some point in their lives. In allopathy, the use of steroids, analgesics, and anti-inflammatory drugs often fails to provide long-term relief and doesn't achieve the goals of ideal treatment. Ayurveda, however, takes a holistic approach, addressing not only medication but also lifestyle changes. This study aims to view the effect of Ayurveda Management of Manyastambha w.s.r. to Cervical Spondylosis.

Methodology

A 40 year old female patient named xyz consulted the Kayachikitsa OPD of Pt. Khushilal Govt Ayurveda Medical College with chief complaint of neck pain and stiffness, nausea, giddiness with associated complain of b/l wrist joints, lowerback pain and b/l knee joint pain.

History of illness

Patient is housewife, who was apparently well before 1.5 years after which she gradually developed neck pain & then stiffness. She took allopathic treatment for condition & got relief. Since 1week her pain & swelling incre. again & she came to our hospital for better Ayurvedic management.

Family history: Nothing specific

Past history: Hypertensive and hypothyroidism has taken regular allopathy medicine

Asthavidha Pariksha

Nadi : Vatakapha
Mutram : Yellowish, 6 to 7 times
Malam : once in a day
Jihwa : coated
Sabda : Normal
Sparsha : Anushnasheeta
Drik : Samanya
Akrithi : Madhyama

Dashvidha Pariksha

Prakrithi : Vata Kaphaj
Vikriti : Rasa, Raktha, Mamsa
Sara : Mamsa Sara
Samhanana : Madhyama
Pramana : Madhyam
Satwa : Madhyama
Sathmya : Sarva Rasa Satmya
Aharashakthi : Madhyama
Vyayamashakthi : Avara
Vaya : Madhyama

Subjective Criteria

1. Ruk (Pain) in Manyapradesha
2. Stambha (Stiffness) in Manyapradesha
3. Weakness
4. Clumsy finger movements
5. Vertigo
6. Radiating pain to Occipito Frontal region, shoulder down to both arms.


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Ranjana R et al. Management of Manya Stambha w.s.r. to Cervical Spondylosis

Grading of Pain

SNPain in ManyapradeshaGrading
a.No painGrade - 0
b.Mild pain, can do strenous work with difficultyGrade - 1
c.Moderate pain, can do the normal work with supportGrade - 2
d.Severe pain, unable to do work at allGrade - 3

Grading of Stiffness

SNStiffness in ManyapradeshaGrading
a.No stiffnessGrade - 0
b.Mild stiffness, can do sternous work with difficultyGrade - 1
c.Moderate stiffness, can do the normal work with supportGrade - 2
d.Severe stiffness, unable to move and do work at allGrade - 3

Grading of Weakness

SNWeaknessGrading
a.No weaknessGrade - 0
b.mild weakness, can do workGrade - 1
c.Weakness present, work with difficultyGrade - 2
d.Weakness present, cannot moveGrade - 3

Grading of Clumpsy finger

SNClumpsy finger movementsGrading
a.Can do work unaffectedlyGrade - 0
b.Can do strenuous work with difficultyGrade - 1
c.Can do daily routine work with great difficultyGrade - 2
d.Cannot do any workGrade - 3

Grading of Vertigo

SNVertigoGrading
a.No VertigoGrade - 0
b.Mild Vertigo, can do workGrade - 1
c.Vertigo present, work with difficultyGrade - 2
d.Vertigo present, cannot moveGrade - 3

Grading of Pain

SNRadiating pain to Occipito Frontal region, shoulder down to both arms.Grading
a.No radiating painGrade - 0
b.Mild pain, can do strenuous work with difficultGrade - 1
c.Moderate pain, can do the normal work with supportGrade - 2
d.Severe pain, unable to do work at allGrade - 3

Range of movements - Flexion

SNFlexionGrading
a.No pain on movementGrade - 0
b.pain is very mild on movementGrade - 1
c.pain is moderate on movementGrade - 2
d.pain is fairly severe on movementGrade - 3
e.pain is severe on movementGrade - 4
f.pain is worst on movementsGrade - 5

Range of movements - Extension

SNExtensionGrading
a.No pain on movementGrade - 0
b.Pain is very mild on movementGrade - 1
c.Pain is moderate on movementGrade - 2
d.Pain is fairly severe on movementGrade - 3
e.Pain is severe on movementGrade - 4
f.Pain is worst on movementsGrade - 5

Range of movements - Lateral bending

SNLateral bendingGrading
a.No pain on movementGrade - 0
b.Pain is very mild on movementGrade - 1
c.Pain is moderate on movementGrade - 2
d.Pain is fairly severe on movementGrade - 3
e.Pain is severe on movementGrade - 4
f.Pain is worst on movementsGrade - 5

Range of movements - Rotation

SNRotationGrading
a.No pain on movementGrade - 0
b.Pain is very mild on movementGrade - 1
c.Pain is moderate on movementGrade - 2
d.Pain is fairly severe on movementGrade - 3
e.Pain is severe on movementGrade - 4
f.Pain is worst on movementsGrade - 5

General Examination

Inspection - Swelling, Redness
Palpation - Tenderness
Percussion - Not specific
Auscultation - Not specific

Investigation
jaims_4098_01.jpg

X-Ray

  • c5 c6 reduced space
  • osteophyte developed
  • T3 -104.28ng per dl

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Ranjana R et al. Management of Manya Stambha w.s.r. to Cervical Spondylosis

  • T4-7.5 ng per dl
  • TSH-3.774micro IU per ml
  • VIT D -22.46 ng per dl
  • VIT B12-201 pg per ml

Treatment Given

SNMedicineTime
1.Ras Rajeshwar Ras1 BD - 15 days
2.Prasarini Plant powder 11.5mg
Bala Roots Powder 11.5mg
Rasna Root Powder 11.5mg		BD 15 Days
3.Hathajoda Churna - 500mg
Pravalpisthi - 200mg		700mg powder BD 15 days
4.Greeva Vasti + Sarvang Patra Pind Swedan
(Vaat Shamak Tail)		15 DAYS

Result

Table showing improvement in the Subjective Parameter

SNSymptomsBTAT
1.Pain in Manya PradeshaSevere pain unable to do work at all (G3)Mild pain can do sternous work with difficulty (G1)
2.Stiffness in Manya PradeshaSevere Stiffness -unable to move and do work at all (G3)Mild Stiffness do sternous work with difficulty (G1)
3.WeaknessWeakness present cannot move (G3)Mild Weakness can do work (G1)
4.Clumpsy finger movementsCan do daily routine work with great difficulty (G2)Can do work unaffectedly (G0)
5.VertigoVertigo present, cannot move (G3)Mild vertigo, can do work (G1)
6.Radiating-occipito frontal, shoulder region down to both armsSevere pain cannot do work at all (G3)Radiating pain (G0)

Table showing improvement in range of movement

SNRange of MovementBTAT
1.FlexionPain is fairly severe on movement (G3)Pain is very mild on movement (G1)
2.ExtensionPain is very severe on movement (G5)Pain is very mild on movement (G1)
3.Lateral BendingPain is the worst on movement (G5)Pain is very mild on movement (G1)
4.RotationPain is worst on movements (G5)Pain is very mild on movement (G1)

Discussion

Hadjod Churna - Hadjod might be useful in the building and functioning of bones. It is rich in vitamin c which increases the cells that build bones, increases the absorption of calcium and also enhances the effect of another vitamin that helps in bone metabolism.

Praval Pisthi - As calcium supplement, anti-inflammatory property

Patra Pinda Swedan - Generally indicated in Vata Kaphaja condition.

Nirgundi Leaves - Analgesic, anti-bacterial, anti-inflammatory properties.

Dhatura Leaves - anti-inflammatory property.

Shigru Leaves - reduce severe pain.

Eranda Leaves - Use to pacify Vata Dosha

Arka leaves - analgesic, anti-inflammatory antimicrobial, Vranashodhan

Action - Patra Pind Swedan helps in increasing blood circulation to the affected area, gets rid of vitiated Dosha. Strengthens the muscle in this area, facilitates release of toxins and reduce inflammation. It also improves the tone of muscle.

Greeva Basti - Greeva Basti is kind of Bahyasnehan and Swedan procedure. Snehan mainly acts against Ruksha Guna caused by Vata and Swedan mainly act against Shitaguna. It also reduces Stambha and Gauravta. Vaatshamak Tail is used in Vatajvyadhi for massage & Puran, here in Greeva Basti this Tail is used as Puran (retention of oil). In Greeva Basti Vaatshamak Tail is absorbed through skin & produce an action according to the properties of Vaatshamak drugs. Vaatshamak Tail has Vedanasthapana, Shothahar & Balya properties. This helps in Vata Shaman and nourishes Dhatu due to its Brimhan property. It is reduced by Ushnaveerya Guna of Vaatshamak drugs and warmth produced during the procedure. Thus reduced pain and stiffness of the cervical region.

Conclusion

Manyastambha or Cervical Spondylosis has a similar etiology and clinical presentation. Through Greeva Basti, Patra Pinda Pottali Swedan,


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Ranjana R et al. Management of Manya Stambha w.s.r. to Cervical Spondylosis

and Ayurvedic treatment management showed a remarkable response to the subjective parameter. Hence it may be concluded that Greeva Basti, Patra Pind Pottali Swedan along with Ayurvedic oral medication effective management in Manyastambha. The symptoms of the patient like stiffness, pain, headache, giddiness and neck movements were relieved with this Ayurvedic Treatment management.

References

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