CTRI

Cervical spondylosis is the progressive degeneration at intervertebral disc, which is a common complaint in ageing population. It presents commonly with either neck or back pain. Cervical Spondylosis develops as a result of the wear & tear of the cartilage & bones of the neck. It leads to pain & stiffness in the neck, radiating pain in the arm, headache, weakness, tingling in the neck, numbness symptomatic compression of the spinal cord (myelopathy), nerve roots (radiculopathy), or problems with bladder function from cervical myelopathy. They present as spondylosis and inflict damage to cervical spine in men as early as 20 years and in females at the age of 30 years.Griva Sandhigata Vata (Manyastambha ) is a clinical condition in which structural as well as functional disarrangement takes place in the joint of the neck. It can be identified as a disease of Sandhi (joint) with the symptom of Sandhi Shoola, Sandhishopha, Asthi Shosh and Bheda and Vaatpurnadruti Sparsha, Shotha Akunchana, Prasarana, Pravritti Savedana. Vitiation of Vata as a result of Dhatukshaya is generally considered the causative factor of this disease. It can be correlated with Cervical Spondylosis. In the Ayurveda text, Griva SandhigataVata can be treated with Agnikarma, Upnaha, Bandhan, Snehana, Mardan, Basti, etc. Marma are vital points where two or more types of tissue meet, such as muscles, veins, ligaments, bones or joints. These points range in size from one to six inches in diameter. The points were mapped out in detail centuries ago in the Sushruta Samhita , a classic Ayurvedic text. In Marma therapy, a very light stimulation of points on the body is done. It removes blockages from the Marma points giving physical and psychological relaxation and strength. This is a powerful process and a therapy that works with these subtle and sensitive energy points to open the energy channels in the body are called srotas. So, Marma points, when gently pressed on the skin can stimulate a chain of positive events. Wet cupping, a regimental modality, has been used in the treatment of joint pain and many other conditions since antiquity in Unani medicine. It is the modification of Shrung type of Raktamokshan (bloodletting). It relieves the pain and other related symptoms by diverting and evacuating the causative pathological humours. Ethnic Marma Therapy had emerged as a new dimension in non-pharmacological treatment of Ayurveda. So it minimizesthe side effect of drugs in old patients. The Kshipra, Kurpara, Ani, Urvi, and Amsa of upper limb Marma chikitsa can be used to alleviate the radiculopathic pain of Cervical Spondylosis as well as it has the potential to re-establish the cervical spine physiology. Ethnic Marma Therapy had emerged as a new dimension in non-pharmacological treatment of Ayurveda. So, it minimizesthe side effect of drugs in old patients. The Kshipra, Kurpara, Ani, Urvi, and Amsa of upper limb Marma chikitsa can be used to alleviate the radiculopathic pain of Cervical Spondylosis as well as it has the potential to re-establish the cervical spine physiology.Wet cupping therapy has been very well-known treatment modality for Cervical Spondylosis management. Cupping therapy is a simple, safe, tolerable, effective, economic and time-saving treatment. It is already mentioned in classic under Rakthamokshana Therapy Both Wet Cupping therapy and Marma Therapy are effective in the management of Cervical Spondylosis. To compare the most effective therapya comparative trial is conducted with Marma Therapy against the wet Cupping Therapy in the management of Cervical Spondylosis. Also comparing Marma Therapy is non-invasive treatment procedure but WetCupping Therapy proved on as invasive treatment procedure with bleeding skin rashes increase pain and discomfort. Hence this study 30 diagnosed cases of Grivasandhi gata vata shall be selected from OPD and IPD of I.TR.A. Hospital Jamnagar .The enrolled patients will be randomly allocated into two arms.Intervention arm: will be treated by Wet Cupping Therapy once a week in two weeks 2 sittings and comparator arm will be treated with Marma for once a day in two weeks 14 sittings.Parameters such as pain,stiffness,movement of the neck by Gonio meter and marked on specially designed research proforma.Follow up will be taken after 1 month after completion of treatment.The data generated during the present study will be presented in a systematic manner and shall be analysed statistically.The important points of the conceptual study,analytical study will be discussed.