Injury to the spinal cord can be traumatic or non- traumatic. The non-traumatic causes include arthritis, infections or inflammations. However the case, it involves fracture or dislocation of the vertebrae causing bruise or tear of the spinal cord.
The treatment can be concised to emergency management, in-care treatment and rehabilitation. The prognosis of treatment depends on the extent of injury.
Rehabilitation in spinal cord injury is a multidisciplinary approach consisting of physical therapy, occupational therapy, psychotherapy, dietary management and all that is needed to carry through daily activities. It aims to reduce spasms, cope with pain, bowel and bladder dysfunction and other associated complications. Training in prosthetic devices, self care skills, exercises to regain strength and improve gait are a part of the rehabilitation treatment. Education to care givers, family support, resume community life, sex and fertility management are also imparted to make life as independent and comfortable as possible.
But even full core management of spinal cord injury may not yield much results. Ayurvedic management can give a tremendous recovery to patients disabled after a spinal cord injury. Internal and external medicines can drastically improve the range of motion, reduce muscle spasms and also restore the impaired higher mental functions.
Greevavasthi, kateevasthi, shirovasthi play an important role in the treatment of spinal injury. They can be employed as per the site of lesion. Shastika pindaswedam, dasamoolaksheeraswedam have proven effect in restoring ample mobility. Pichu and Vasthi prayogas can be used to gain bowel and bladder strength. Kayasekam with mahanarayana thailam, dhanwantharathailam and other oils can be used as per the condition of the patient. Herbal decoctions and also rasa drugs can be employed to get a better prognosis in spinal cord injury.
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