Spinal Injury-induced Paraplegia Improvement after Panchakarma

JOURNAL TITLE: Journal of Research in Ayurvedic Sciences

1. Panchakshari D Patil
2. Anup B Thakar
3. Rajkala P Patil
Publishing Year
Author Affiliations
    1. Central Ayurveda Research Institute for Cardiovascular Diseases, New Delhi, India
    1. Institute of Post Graduate Teaching & Research in Ayurveda Jamnagar, Gujarat, India
    1. Central Ayurveda Research Institute for Cardiovascular Diseases, New Delhi, India
  • Article keywords
    Adharangaghata, Panchakarma, Yapana basti


    Spinal cord injury (SCI) is life-disrupting condition. Historically, it has been associated with very high mortality rates. Paraplegia is impairment of the motor or sensory functions of the lower extremities often including the lower part of the trunk. It is usually caused by SCI. The area of spinal canal that is affected in paraplegia is the thoracic, lumbar, or sacral regions. Here, an attempt is made to explain the case of a 26-year-old female with burst fracture L1 (AO type A) with American Spinal Injury Association (ASIA) paraplegia with bowel bladder involvement due to a fall from height. Pedicle screw fixation was performed at three vertebral bodies (D12, L1, and L2). Even after surgery, complete motor and sensory deficit was present in bilateral lower limb, bowel, and bladder. According to the Ayurvedic view, patient was diagnosed as a case of “Adharanghata” and was planned for Panchakarma procedures as Udwartana (powder massage), Virechana, and Yapana Basti for 2 months. Outcomes: Patient's spinal cord independent measure (SCIM) score improved to 88/100, which was 51/100 at the beginning of Panchakarma. Patient developed motor and sensory activities of the lower limb without difficulty and also became independent in basic activities of daily living like bathing, toileting, climbing, etc. She became independent in instrumental activities of daily living like going to the market, hospital, and temple. After the above course of procedures, the patient showed marked improvements in sensory and motor modalities. The patient on wheelchair could now walk without support.

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