Complex regional pain syndrome is the chronic pain experienced after an injury particularly in the upper and lower limbs. Pain is an unpleasant sensation triggered by the nervous system.
- SIGNS AND SYMPTOMS OF COMPLEX REGIONAL PAIN SYNDROME
- CAUSES OF COMPLEX REGIONAL PAIN SYNDROME
- PATHOPHYSIOLOGY OF COMPLEX REGIONAL PAIN SYNDROME
- DIAGNOSIS OF COMPLEX REGIONAL PAIN SYNDROME
- TREATMENTS FOR COMPLEX REGIONAL PAIN SYNDROME
- PROGNOSIS OF COMPLEX REGIONAL PAIN SYNDROME
- COMPLICATIONS OF COMPLEX REGIONAL PAIN SYNDROME
- COMPLEX REGIONAL PAIN SYNDROME AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF COMPLEX REGIONAL PAIN SYNDROME
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF COMPLEX REGIONAL PAIN SYNDROME
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF COMPLEX REGIONAL PAIN SYNDROME
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF COMPLEX REGIONAL PAIN SYNDROME
- AYURVEDIC PROGNOSIS OF COMPLEX REGIONAL PAIN SYNDROME
- CHIKITSA- AYURVEDIC TREATMENT FOR COMPLEX REGIONAL PAIN SYNDROME
- AYURVEDIC LOCAL TREATMENT FOR COMPLEX REGIONAL PAIN SYNDROME
- AYURVEDIC SAMANA TREATMENT FOR COMPLEX REGIONAL PAIN SYNDROME
- AYURVEDIC SHODHANA TREATMENT FOR COMPLEX REGIONAL PAIN SYNDROME
- COMMONLY USED AYURVEDIC MEDICINES FOR COMPLEX REGIONAL PAIN SYNDROME
- HOME REMEDIES FOR COMPLEX REGIONAL PAIN SYNDROME
- DIET AND BEHAVIOUR FOR COMPLEX REGIONAL PAIN SYNDROME
- YOGA FOR COMPLEX REGIONAL PAIN SYNDROME
- RESEARCH PAPERS ON AYURVEDIC MANAGEMENT OF COMPLEX REGIONAL PAIN SYNDROME
SIGNS AND SYMPTOMS OF COMPLEX REGIONAL PAIN SYNDROME
- Throbbing pain at the site of injury
- Weakness of affected limb
- Swelling
- Muscle pain
- Numbness
- Joint pain and stiffness
- Sensitivity to touch
- Deformities
CAUSES OF COMPLEX REGIONAL PAIN SYNDROME
Chronic pain developed after;
- Physical injuries
- Fractures
- Surgery
- Chronic infections
- Stroke
- Heart attack
PATHOPHYSIOLOGY OF COMPLEX REGIONAL PAIN SYNDROME
The exact pathophysiology of complex regional pain syndrome is not known. The injury or trauma leads to chronic inflammation of the affected area or damage to the nerves finally the symptoms are developed.
DIAGNOSIS OF COMPLEX REGIONAL PAIN SYNDROME
- Laboratory tests
- Musculoskeletal examinations
- Neurological examinations
- Magnetic resonance imaging (MRI)
- X – rays
TREATMENTS FOR COMPLEX REGIONAL PAIN SYNDROME
- Medications – Non-steroidal anti-inflammatory drugs, Analgesics
- Treatment of underlying pathology
- Physiotherapy
- Heat therapy
- Sympathetic nerve-blocking medication
PROGNOSIS OF COMPLEX REGIONAL PAIN SYNDROME
- Prognosis is based on the duration of onset of pain and the condition of the patient
- In some cases, the symptoms persist for a long duration
COMPLICATIONS OF COMPLEX REGIONAL PAIN SYNDROME
- Contracture
- Atrophy of muscles
- Permanent deformities
COMPLEX REGIONAL PAIN SYNDROME AND AYURVEDA
- In Ayurveda,complex regional pain syndrome falls under Vata vyadhi or a Vata dosha imbalance disorder.
- Vata vyadhi can be correlated to neurological or neuromuscular disorders. The causes and pathogenesis of diseases caused by vitiation of Vata dosha, in general, are the exclusive cause and pathogenesis ofpain, numbness, weakness.
NIDANA- AYURVEDIC CAUSES OF COMPLEX REGIONAL PAIN SYNDROME
- Physical injuries
- Excess consumption of ununctuous, cold food
- Excessive physical exercise (Athivyayama)
- Suppression of natural urges.
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF COMPLEX REGIONAL PAIN SYNDROME
- Continuous pain in the affected limb developed after an injury
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF COMPLEX REGIONAL PAIN SYNDROME
- Vata, pitta and kapha dosha move through all channels of circulation. Due to the subtle nature of vata it impels the remaining two doshas.
- The aggravated vata having provoked these two doshas, exacerbated and fills up the empty channels and moves greatly inside them or by getting enveloped by the other doshas.
- The aggravated vata resides in the limbs associated with mamsa dhatu dushti and produces different kinds of aches and pains in limbs.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF COMPLEX REGIONAL PAIN SYNDROME
- Toda – throbbing pain
- Ruk – Pain in the affected area
- Bhedanam – cutting pain
- Sada – weakness
AYURVEDIC PROGNOSIS OF COMPLEX REGIONAL PAIN SYNDROME
- Difficult to cure – krichra sadhya
- Symptoms are manageable
CHIKITSA- AYURVEDIC TREATMENT FOR COMPLEX REGIONAL PAIN SYNDROME
Ayurvedic local treatment for complex regional pain syndrome
- Svedam – Fermentation
- Pain-relieving lepa application
- Abhyanga – oil massaging
AYURVEDIC SAMANA TREATMENT FOR COMPLEX REGIONAL PAIN SYNDROME
- Balarishtam
- Rasaraj ras
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
AYURVEDIC SHODHANA TREATMENT FOR COMPLEX REGIONAL PAIN SYNDROME
- VASTHI – Medicated enema
COMMONLY USED AYURVEDIC MEDICINES FOR COMPLEX REGIONAL PAIN SYNDROME
Internal administration
- Dasamoolarishtam
- Rasaraj ras
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
External application
- Snehadhara – with balaswagandha tailam and ksheerabala tailam
- Shashtika Sali panda sweda
HOME REMEDIES FOR COMPLEX REGIONAL PAIN SYNDROME
- Proper rest
- Drinking plenty of fluids
- Bathing in warm water
- Body massaging
DIET AND BEHAVIOUR FOR COMPLEX REGIONAL PAIN SYNDROME
- Avoid food items that produce vata dosha imbalance like cold and dry food, hard to digest. Because vata imbalance aggravates the symptoms.
- Consume easily digestible food items, cow’s milk
- Avoid heavy exercises which further aggravate the conditions.
- Oil massage on the whole body is advised. That alleviates vata dosha.
- Take proper rest.
YOGA FOR COMPLEX REGIONAL PAIN SYNDROME
- Nadi Shuddi Pranayam – calms the mind and gets relief from aches and pains
The patient needs to be seated in a meditative posture with the head and spine erect, and the body relaxed. The patient has to close one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
- Savasana – relaxes body and mind
RESEARCH PAPERS ON AYURVEDIC MANAGEMENT OF COMPLEX REGIONAL PAIN SYNDROME
- Pain management through ayurveda
https://www.researchgate.net/publication/331672467_PAIN_MANAGEMENT_THROUGH_AYURVEDA_A
- Various methods of pain management in ayurveda- a review article
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