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Punarnava Ayurveda Hospital
Edappally North P.O, Kochi, Kerala.
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Focus Canada

What we Treat :
back pain, carpal tunnel syndrome, chronic edema, contusions, depression/grieving process, degenerative disc disease, diabetes, digestive complaints / constipation, dislocations, fibromyalgia/ chronic fatigue, foot/plantar faciatis/ples planus-flat foot, fractures, headache fibrositic / migraine, hypertension, insomnia, jaw pain/TMJ, lymphatic disorders, multiple sclerosis, muscle spasms/ strain rehabilitation
neck pain / whiplash and associated disorders/ torticollis, osteoarthritis / rheumatoid arthritis, postural disorders / scoliosis, pregnancy discomforts/pre and post natal, pre / post-surgical and post-injury rehabilitation, period pain / dysmenorrhoea, relaxation, relief of pain, repetitive strain injuries, respiratory problems (such as asthma, bronchitis and emphysema), sciatica / neuralgia, strains / ligament and joint athletic injuries, stiff joints, stress related disorders, tendonitis / bursitis/neuritis, thoracic outlet syndrome.

Packages :

Osteoporosis - Osteoporosis is the most common type of bone disease characterized by reduced bone mass, micro architectural detoriation of bone tissues and increase risk of fracture. 
In normal individual, bone mass increases during skeletal growth to reach a peak between the age of 20 – 25 years. But falls there after in both sexes, accelerated phase of more rapid bone loss in women due to the effect of estrogen deficiency at the menopause.
Many factors regulate bone mass and bone loss in normal individual. It includes genetic influences and environmental factors such as exercise, smoking and diet. Some drugs such as corticosteroids also induces osteoporosis. Bone loss may occur as a complication of various endocrine, inflammatory and neoplastic conditions, Hypogonadism and a result of various drug treatments.
Clinical Features
There are no symptoms in the early stages of this except fragility fractures. This can affect virtually any bone, but most common sites are Forearm (colles fracture) Spine (Vertebral Fracture), Femur ( Hip fracture). 
Treatment
Life style modification, Nutritional supplements (calcium from 500 to 1000mg daily) and Vitamin D.
How Ayurveda takes care of it?
According to Ayurveda osteoporosis can be compared with srothodushti of Asthidhatu caused by vatakshaya. Srothodushti is nothing but improper transmission of nutrients between the tissues i.e., bone tissues. In Ayurveda it can be managed effectively.
Treatment Pattern
Shodhana & Shamanam (Bruhmana)
Bruhmana ( Nourishing ) a) Internal b)External

Internal
Includes Snehapanam i.e., Medicated Ghee and other Internal Medicines which promotes and rejuvenates bone tissues. Medicines are selected according to the condition of the patient and severity of the disease.

External
Bruhmana externally includes Abhayangam, Elakkizhi, Pizhichil, Nyavarakihizhi, Vasthi, Lepam etc selected according to the condition.

Our Experiences It is clinically proved in our experience, that patients underwent Ayurvedic treatment for osteoporosis have increased their bone mineral density considerably. Patients at the age of 40-60 years and with a moderate degree of osteoporosis got upto 90% result. Patients aged above 60-70 with moderate osteoporosis got upto 70% result.

Treatment Schedule
Internal Medicines and external theraphies are selected according to the condition.

Time frame
Generally 14 to 21 days in moderate conditions. In severe cases and in old age people it takes approximately 30 to 40 days. This treatment if consecutively repeated for 3 years will yield maximum result.
Arthritis - (from Greek arthro-, joint + -itis, inflammation) is a group of conditions that affect the health of the bone joints in the body.
Arthritic diseases includes Rheumatoid Arthritis and psoriatic Arthitis, which are autoimmune dieases, septic arthritis, caused by joint infection, and more common osteo arthritis and degenerative joint diseases. Arthritis can be caused from strains and injuries caused by repetitive motion , sports, over exertion and falls. Unlike the autoimune disease, osteoarthritis largely affects older people and results from the degeneration of joints catilage.
Types of Arthritis
1) Primary forms of arthritis.
Septic Arthritis, Rheumatoid Arthritis, Osteo Arthritis , Gout and Pseudogout , Juvenile arthritis , Still's disease, Ankylosing Spondylitis.
2) Secondary to other diseases:
Systemic lupus erythematosus (SLE), Henoch-Schönlein purpura, Psoriatic arthritis, Reiter's syndrome, Reactive arthritis, Hemochromatosis, Hepatitis.

Diseases that can mimic arthritis
: Multiple myeloma, Osteoporosis, Others.

Signs & Symptoms
All arthrities features & pain, which is generally worse in the morning and on initiating movement, and ouselves in the cause of time. But signs symptom depends upon the type of Arthritis.

Diagnosis

Diagnosis by X-ray and blood picture.

Treatment
Treatment option varies depending on the precise condition.

How Ayurveda takes care of it?
In ayurveda, Arthritis can be compared with all inflammatory conditions of the joint. In this mainly involved is vata dosha along with this it vitiates other doshas as well as dhatus and causes diseases. 
If only Vata is involved in the joint ie., called Sandhivata (OsteoArthritis).
If Vata along with Aama is involved ie., called Aamavata.
If Vata along with Raktha is involved ie., called Vatharaktham .
But all these three the clinical symptoms differs and also line of treatment may differ.

Line of Treatment

It includes
1) Shodana, 2) Shamana .
It includes both external and internal therapies.
External
Rookshasweda, Elakkizhi , Najavarakizhi , Lepam , Upanaham (Bandaging) , Pizhichil , Dhanyamla dhara , Shodana includes, Virechanam , Vasti.
Time frame
Generally 14 to 21 days in moderate conditions. In severe cases and in old age people it takes approximately 30 to 40 days. This treatment if consecutively repeated for 3 years will yield maximum result.

FEM 40 Care
This package mainly deals with the problems of females just before and after cessation of the Menstrual cycle. Menopause is the cessation of Menstrual cycle. Usually attain menopause at the age of 45 – 50 years. Five years before this there is a gradual increase in the number of ovulatory cycles. Estrogen secretion falls and negative feedback result in increased pituatory secretions of LH & FSH.
Menopause symptoms relate to estrogen deficiency. In some patients they are relatively minor but others they are a major problem.

Symptoms
a) Vaso Motor
Sweating, Hot Flush. 
b) Psycological
Anxiety, Irritability, Emotional lability.
c) Genito Urinary
Dyspareunia, Vaginal Infection, Urgency of Micturition
d) Musculo skeletal, Osteoporosis
Hot Flushes may start till has regular periods and 25% of women they go after more that 5 years. Their precise cause remains unknown, but they are associated with an LH or pulse. In the large term the fall in estrogen secretion is associated with the increased bone resorption and the higher risk of Osteoporosis. Before the Menopause women have lower rates of Cardiovascular disease than men but after Menopause risk advantage is reduced.

Treatment
Estrogen replacement therapy usually called (HRT) is the known conservative treatment in patient with the major difficulties. But in case of strong family history of breast cancer (HRT) is not recommended. Vaginal tropical symptoms may be helped by tropical estrogen.
Anxiety or Emotional problems associated with Menopause do not respond to HRT. They may need treatment in their own respect.

Menopause - Ayurvedic View
According to Ayurveda Menopause can be compared with Nashtharthevam and Dathuksheyam.
Generally there would be increase in the Vata and having the sysmptoms of all Dathuksheyas.
Symptoms like dryness of body, tiredness, intolerance to sound and also result in the Astidathuksheya.
Here there is a change of Osteoponia which leads to Osteoporosis and later on the Osteoarthritis.

How Ayurveda takes care of it?
All the signs and symptoms are well managed by Ayurvedic line of treatments. To combat Dathuksheya the nourishing (Brahumana) in every aspect.

Line of Management
Both Shodana and Shamana, Snehapanam & Virechanam, Njavarakizhi / Elakizhi, Nasyam, Vasti (Oil and Kshayavasti)

Time frame
Generally 14 to 21 days in moderate conditions. In severe cases and in old age people it takes approximately 30 to 40 days. This treatment if consecutively repeated for 3 years will yield maximum result.


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