coccydynia Old Archived Cases

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namaste vaidyas. a female aged 27 came to my clinic c/o pain in the tip of the anus while sitting for long periods,severe dragging pain of both the legs which increases more before starting of her menstrual cycle,cannot sit down for longer period,little back ache,neck pain. on examination - no fissure, no internal or external piles SLR - positive MRI SPINE -- has shown C6C7 & L4L5 disc degenerations. conclusion of the mri - coccydynia-? She has taken epidural injection - no relief doshic predominance - vata pitta appetite - N bowels - N sleep - N WHAT CAN BE DONE THROUGH AYURVEDA TO GAIN THE CONFIDENCE OF THE PATIENT?
Responses (8)
  • Accepted Answer

    Monday, September 13 2010, 06:52 PM - #Permalink
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    sir, *think about "????? ???" or " ????? ???" or "????????? ???" as you mentioned bowels are normal then i think katigat vaat should be the diagnosis. *pachan--with shunthi+dhanyak+guduchi kwath. *gandharv-haritaki choorn--apaan kaale. *snehpaan & snehan ---sahchar ??? followed by swedan. *basti--erandmoolaadi tel-niruh & anuvasan with dashmoolsiddh tel.
    • DR. VIDYANATH
      less than a minute ago
      dear sir,we have given kala vasti with erandamooladi kashaya vasti and sahacharadi mezhupaka anuvasana vasti.this is working but not upto the mark.patient is complaining that her symptoms and pain are relieved by only 10 percent.
    • VAIDYA PARESH DANGE
      less than a minute ago
      sir,that means some of hetusevan should be there,plz rule out them & if is not present then i insist for pachan , vatanuloman and then only basti.
    • DR. VIDYANATH
      less than a minute ago
      we have given deepanapachana,vatanolomana,snehapanam,virechana karma and later we have given kala vasti sir.
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  • Accepted Answer

    Monday, September 13 2010, 09:19 PM - #Permalink
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    i think vasti should be given,with pachan and vata har treatment.
    • DR. VIDYANATH
      less than a minute ago
      dear doctor,we have given kala vasti with erandamooladi kashaya vasti and sahacharadi mezhupaka anuvasana vasti.this is working but not upto the mark.patient is complaining that her symptoms and pain are relieved by only 10 percent.
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  • Accepted Answer

    Monday, September 13 2010, 10:09 PM - #Permalink
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    ** ??????? ????????

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  • Accepted Answer

    Monday, September 13 2010, 10:15 PM - #Permalink
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    Dr. this condition of pain on the tip of the coccyx can be treated by carefully ruling out the cause like trauma to the tip of the coccyx. usually if pain is more in sitting posture rule out if there is mild displacement of the tip of the tail bone when she sits, Applying any pain relieving vata hara oil like Kshatantaka oil as pichu proves useful.(cotton rolled like a wick) and kept in the gluteal fold daily at night time and also avoiding sitting on hard surfaces but to sit only on soft cushions. advice not to travel on two wheelers or where there is jerky movement of the spine as this can increase the pain. Also since her pain increases during menstrual cycle showing there is need for vata anulomana. Kashayam like Rasneirandadhi kashayam or Gandharvahastadhi kashayam as needed and choose light and easy to digest food to avoid constipation
    • DR. VIDYANATH
      less than a minute ago
      dear doctor is their any permanent solution to this condition? because we have already given kala vasti and the above mentioned drugs. we have also suggested all the suggestions and precautions that you have told. waiting for your reply doctor.
    • DR. SANDHYA P J
      less than a minute ago
      In practice usually when we do pichu and complete rest for 2-3 weeks usually patient gets relief of pain. To access the coccyx for any other form of treatment like Ela Kizhi is an impossible task but she can be treated for the rest of the spine which usually relieves pain. put the patient in left/right later position and as much as possible treat the surrounding area. care about the posture and her back should also be emphasized.
    • DR. VIDYANATH
      less than a minute ago
      thank you doctor for your advice.will definitely upgrade the case as soon as we get any result.
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  • Accepted Answer

    Tuesday, September 14 2010, 03:17 AM - #Permalink
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    IF there is degeneration involved in this case along with vatahara chikitsa,bahya snehan swedan tiktaksheera basti can be tried.

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  • Accepted Answer

    Tuesday, September 14 2010, 05:28 PM - #Permalink
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    yapana basti is good for degenerative problem.i hope u get positive results.
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  • Accepted Answer

    Tuesday, September 14 2010, 06:19 PM - #Permalink
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    sir I think pain at coccigeal region wil not be increasing at thr time of menstrual cycle but icrease in leg pains should be there. I think just give her AVAGAHA in worm water or in erandmul kwatha. Addition to this KANKAYAN WATI is good.Rest has been already mentioned by experts. Thanks.

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  • Accepted Answer

    Sunday, September 26 2010, 06:07 PM - #Permalink
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    ??????? ,give tab. panchaamritghrit guggulu 2bd after meals. Rest has been already mentioned by experts.
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