From Wheel Chair To Running Feet.


Mr K Arumugam, 51yrs, Gasco Ruwais, Abudabi, UAE came to me on wheel chairs. He was unable to stand or walk and suffering from acute pain radiating to left leg, the pain aggravated for the last four months.

While getting deep into the case, it became clear to me that the complaints started eight years back; at first it was a slight pain on low back region, for this he had undergone allopathic management and had some physiotherapy, he got slight relief, but the pain was aggravating and was not able to walk freely.

This made him to take MRI scan of his lumbosacral spine, and the result suggest

  • annular tear and left paracentral disc protrusion at L5-SI level indentting with thecal sac and exiting nerve root.
  • Left posterolateral disc protrusion of L3-L4 level causing compression of neural foramen,
  • disc bulge at L4-L5 level causing compression of bilateral neural foramen.

The condition again became worse while lifting weight, and he was unable to move; surgery was advised but he refused and was admitted at our hospital on 23rd December 2009.

It was very unpleasant feeling watching a healthy man sitting in wheel chair, this was a challenging case and on physical examination, all gradients were elevated, this was a case which needs round the clock attention.

We took the case and preliminary external treatment modalities were started with mild swedana procedures (sudative), internal medicines were given to reduce the muscle spasm and internal inflammatory response, it was a waiting game but his body started to give quick response to the treatment.

On the 8th day he started standing and was able to take few steps, his hip and lower back was supported with bandages and different types of oil sudative procedures like patrapotala swedam, choorna pinda swedam were carefully done.

The results were very pleasing and he started walking without any pain on the 19th day then the important muscle strengthening treatment shashtika pinda swedam made him walk freely, this was one of the most pleasing moments in a doctors carrier, when someone came on wheel chair walking freely in front of him without any pain or numbness while getting discharged.

 

CARING SON……LOVING MOM….


                                    Normally Indians have the opinion that they are the only family concernd human beings. But this changed when we had Mrs. Helena 73 yrs old from Slovakia. Since she was suffering from radiculopathic lumabar pain after laminectomy and spinal fusion surgery . Her son Mr.juraj liptak took her from Slovakia to Kerala for ayurveda treatment. We had many patients from outside India,but most of them are either couples,brothers,family friends etc.. It’s the first patient who was accompanied by her son. she had a good time here at our hospital and was pain free after her treatment sessions.

PSORIASIS FACTS AND COMPLETE AYURVEDIC CURE…


                     

                          According to ayurvedic theories and concepts PSORIASIS – one type of kushta ( Sidhma kushta) where skin is the site of manifestation of a systemic pathology. Ayurveda describes this systemic pathology mainly related with metabolism and the importance of detoxification and purification prior to curative therapies…
Psoriasis can be treated and can be controlled by different systems of medicines (ayurveda,allopathy,homeopathy..) but what really matters is how to manage a patient without relapse! and with minimum complications.

                           Here at Kottathil ayurveda we are giving more importance to systemic detoxification and purification to get complete cure.When we look into treatment options No other system of medicine other then ayurveda had given the prime importance of cellular level cleansing and systemic therapies to eliminate cellular exudates out of the body.Ayurveda describes the manifestation of disease mainly due to the vitiated MALAS which invade the channels present everywhere inside the body and is transmitted to different parts of the body through lymph and blood which in due course of time makes the soft tissues flabby and skin with plaques.

                           If we look into the explanation each and every modern human being will definitely ask questions. Eg( what is the so called channels? Can you show me anatomically where it is? What are MALAS? )
For your knowledge these are the ayurvedic variables or the hypothetical images made by ancient wisdom during there time period to give explanations to the same intellectual questions during there era..

                           Images shown here are of relapsed cases in which patients had treated for psoriasis and got reccurance after 1-2 years..

 

                    

 

VENOUS ULCER..AYURVEDIC CURE..


A case of non healing venous ulcer ( medial distal end of right leg).
 
Again same question?…Ayurveda? Is it possible….and the answer- YES
 
Here we are discussing a case which is among one of many cases we come across.why I am writing is to spread the knowledge of scientific/comprehensive ayurvedic care which will give a better cost effective result with less side effects.(Again as a research fellow, I would be specific with side effects.). This is a patient from South part of kerala (identity not revealed). She is suffering from chronic non healing venous ulcer- medial distal end of right leg + dorsal surface of right foot. She was suffering from the same since last eight years.
 
The wound started as a small ulcer over medial distal end of leg,which then with course of time developed into a massive non healing ulcer. For everyone’s interest she was under regular check up and medications of all kind from famous medical centres in South kerala. All were having multiple concerns about her wound but nothing worked to heal the ulcer.She had spent lakhs of rupees untill this moment( her daughter says,she could have bought a plot and built a house with the money she had spend for treatments).Here I am not hurting the feelings or knowledge of all the great doctors who have managed the case but they ( especially IMA) should understand the feelings of young ayurveda doctors who are trying to do their best to prove clinical and scientific evidence based treatments in ayurveda. IMA always insult ayurveda doctors as unscientific/non clinical/quacks…..and the description goes on……
But there are thousands of allopathic doctors who like ayurveda and support us…
 
This case was challenging for us because the lady had consulted with famous podiatric surgeons and she do have many family doctors.During the course of her illness, major complication came after having done SCLEROTGERAPY for vericose veins. After sclerotherapy the wound become so bad that she even can’t walk.
Doctors always ask her for cleaning with normal saline + antibiotic dressing. They have consulted many microvascular surgeons for grafting but all said NO.
She was admitted for around 2 months at the same hospital were she had done SCLEROTHERAPY. Patient got some satisfactory results with one of the major podiatric surgeon in her place but the wound was not healed.some surgeons have the opinion of calcium deposits and had opted for removal therapies for 3-4 months which again haven’t worked. Above was her breif medical history untill she came to us.Again Thanks to Google…. and her grand daughter…Her first consultation on17/02/2016.
 
        
 
When we exposed the wound it was foul smelling and with dead tissue.she told us that she use to clean the wound daily with normal saline. Diameter of the wound was high enough to say get admitted, But to there personal inconvenience we advise her to take medicines for one month before getting admitted. Cleaning was changed with our decoaction(Triphala kwath) and dressing with another ayurveda formulation.They were happy and left hospital with hope…
After one month they came back and we opened the dressing.
 
   
Wound was showing healthy granulation and borders were clear. Patient was happy but pain persist during night/walking.we insisted for bed rest and advise same medications for one more month. After one month on 05/03/2016 and we open the dressing….
 
        
Ulcer almost healed with small area of ulceration remaining on medial distal end of leg.This time she was ready to get admitted at our hospital for 3 weeks  and during the course of Treatments she was on specialized external applications for raising the floor of the wound and getting back the normal colour of skin.slowly skin started showing pigmentation and the final portion remaining was healed.
 
        
At last….it took 2 months of medications and 25 days of hospitilization to heal the non healing ulcer which made her life painfull for last 8 yrs.  
 

OSTEOMYELITIS EFFECTIVE AYURVEDIC MANAGEMENT


               As most of our readers know,we always present AYURVEDA as a clinically relevant medical system and today we are discussing an evidence based achievement which will emphasis the relevance of AYURVEDA as a choice of mainstream medicine other than labelling as an alternative system.

              This is a case of osteomyelitis, patient is male, soft ware employee with no other health issues other than chronic non healing ulcer over the medial aspect of left thigh with pus discharge since 3 years, he had an accident during his childhood and afterwards he start feeling stiffness and swelling of his thigh and had operated multiple times with symptomatic results for less than a month.

               Osteomyelitis is an infection in a bone which can reach bone through blood stream or spreading from nearby tissue.some times if an injury exposes the bone infections can begin in the bone.

              This was once considered incurable… We too had the same opinion which we have to change after the  recovery of this patient.…..

               Patient always complaints of stiffness of his thigh adjacent to the opening and near to the knee joint.From his words when stiffness increase ,within few weeks pus drainage starts and slowly stiffness releived, again not completely relived since last 10 years. Every time the wound get partially closed he start working and with few weeks stiffness comes back and then pus drainage..
This made his life hard and in his young age matters become worse.
When the patient first contacted us last August, wound was partially closed and without discharge, we advise him to contact when the wound is open.

              He came to us on 23rd January 2016 and on our examination it was a sinus opening with crusted surrounding tissues and oedematous soft tissues. MRI shows focal cortical thickening with intramedullary focal collection in the lower femur bone with adjacent bony defect with sinus tract extending subcutaneously upto medial aspect of thigh.

              We had a discussion and approached the patient with 50% chance of healing the sinus.patient was willing and we took the chance. Majority of our experts are having the opinion of doing ksharasutra therapy . We were sure that, If we manage to pierce the sinus deep enough and complete the threading procedure the sinus will heal. Again the question was how to trace the sinus until the bone and finish the procedure.

              We planned the procedure for 25th of January and we managed to trace 25% of the tract. Main issue was thick medial compartment muscles and vessels. Finished partial threading by making an external opening over the skin. Since the sinus was deep we always had the confusion of drug deliverance .
Next day we had a sitting and we’re having the opinion of plugging long ksharasutras deep into the open sinus. It was effective and pus drainage was achevied

              Slowly the patient start feeling better and underwent 3 ksharasutra therapies.daily cleaning and dressing with triphala kashayam and internal ayurveda medicines specific for Vidradhi were on prescription.

             For everyone’s interest, no antibiotics we’re prescribed, patient was without fever and was strictly under ayurveda medicines. Wound was open and pus drainage was effective.

                At the time of discharge after 25 days, patient was happy with remaining 25% of wound closure still remaining,we advise him with medicines for one month and regular dressing with triphala kashayam.
He came back for review on 26/03/2016 and the results were wonderful.
Complete closure of sinus which he had achieved for the first time since last 3 years. It’s the first time patient is without muscle stiffness even on deep palpation and walking.

 

TRUE STORY OF RECOVERY WITHOUT SURGERY


                          Hear from one of our patients diagnosed IVDP (lumbar) from a famous hospital in Banglore and was posted for immediate surgery on 2010. During the time of admission at our hospital he was on wheel chair and it take four healthy persons to make him stand. After our preliminary physical examination and medical images we suspected something more than IVDP which was again supported with his EMG reports. Since he was very young and was recently married its hard to comment on his future. But truly speaking we doctors at Kottathil are proud to say our Ayurveda along with his courage and faith made him stand…walk…run…and now its the third year 2013.

It take three years of continuous  documentation, monitoring and interactions with the patient  for us to post this video as a success story which is medically relevant. He is a bank employee in middle east and is happy with his wife with no health problems. You can hear form him.

 

 

 

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