Fracture is the complete or partial break or discontinuity in a bone in the body.
- SIGNS AND SYMPTOMS OF FRACTURES
- CAUSES OF FRACTURES
- PATHOPHYSIOLOGY OF FRACTURES
- DIAGNOSIS OF FRACTURES
- TREATMENTS FOR FRACTURES
- PROGNOSIS OF FRACTURES
- COMPLICATIONS OF FRACTURES
- FRACTURES AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF FRACTURES
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF FRACTURES
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF FRACTURES
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF FRACTURES
- AYURVEDIC PROGNOSIS OF FRACTURES
- CHIKITSA- AYURVEDIC TREATMENT FOR FRACTURES
- AYURVEDIC LOCAL TREATMENT FOR FRACTURES
- AYURVEDIC SAMANA TREATMENT FOR FRACTURES
- COMMONLY USED AYURVEDIC MEDICINES FOR FRACTURES
- HOME REMEDIES FOR FRACTURES
- DIET AND BEHAVIOUR FOR FRACTURES
- YOGA FOR FRACTURES
- RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF FRACTURES
SIGNS AND SYMPTOMS OF FRACTURES
- Pain at the site of the fracture
- Tenderness
- Bleeding
- Swelling
- Pain may radiate towards the muscles.
- Pain aggravated during body movement.
CAUSES OF FRACTURES
- Mechanical injuries
- Automobile accidents
- Falling
PATHOPHYSIOLOGY OF FRACTURES
- Above mentioned causative factors leads to discontinuity in the bone tissue.
- Stimulation of specialized pain-sensitive nerve fibres nociceptors that innervate bone tissue leads to the sensation of bone pain.
- Bone pain originates from both the periosteum and the bone marrow which relay nociceptive signals to the brain creating the sensation of pain. Bone tissue is innervated by both myelinated(A-beta and A-delta fibre) and unmyelinated (C fibre) sensory neurons.
- In combination, they can provide an initial burst of pain, initiated by the faster-myelinated fibres, followed by a slower and longer-lasting dull pain initiated by unmyelinated fibres.
- Nociceptors responsible for bone pain can be activated via several mechanisms including deterioration of surrounding tissue, bone destruction and physical stress which shears the bone, vascular, muscle, and nervous tissue.
DIAGNOSIS OF FRACTURES
- Musculoskeletal examinations
- Neurological examinations
- Magnetic resonance imaging (MRI)
- X – rays
TREATMENTS FOR FRACTURES
- Medications – Non-steroidal anti-inflammatory drug, Analgesics
- Immobilization
- Treatment of underlying pathology
- Physiotherapy
- In the case of nutrient deficiency, calcium and vitamin D supply.
PROGNOSIS OF FRACTURES
- Prognosis is based on the type of fracture, associated diseases and condition of the patient
COMPLICATIONS OF FRACTURES
- Deformity
- Delayed union
- Malunion
- Non-union
- Contractures
- Myositis ossificans
- Joint stiffness
- Avascular necrosis
FRACTURES AND AYURVEDA
- In Ayurveda, fractures fall under ‘asthi bhagna’.
NIDANA- AYURVEDIC CAUSES OF FRACTURES
- Trauma
- Injuries
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF FRACTURES
- No premonitory signs and symptoms
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF FRACTURES
- Asthi bhagna is an aganthuja vyadhi. Here traumatic injuries cause damage to the dhathus. It further vitiates the doshas particularly vata.
- The aggravated vata resides in the body and produces different kinds of aches and pains.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF FRACTURES
- Toda – pain
- Ruk – Pain at the site of the fracture
- Bhedanam – cutting pain
- Sada – weakness
- Sopha – swelling
AYURVEDIC PROGNOSIS OF FRACTURES
- Pain associated with traumatic injuries is difficult to cure – krichra sadhya
CHIKITSA- AYURVEDIC TREATMENT FOR FRACTURES
Ayurvedic local treatment for fractures
- Pain-relieving lepa application
- Abhyanga – oil massaging and bandaging with murivenna
AYURVEDIC SAMANA TREATMENT FOR FRACTURES
- Balarishtam
- Gandhataila – along with milk
- Asthi samhara churna
- Rasaraj ras
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
COMMONLY USED AYURVEDIC MEDICINES FOR FRACTURES
Internal administration
- Balarishtam
- Mustadimarma Kashayam
- Gandha Tailam
- Rasaraj ras
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
HOME REMEDIES FOR FRACTURES
- Proper rest
- Drinking plenty of fluids
- Consume a balanced diet
DIET AND BEHAVIOUR FOR FRACTURES
- Avoid food items which 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.
- Take proper rest.
YOGA FOR FRACTURES
- 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, with the body relaxed. The patient has to close his 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 OF AYURVEDIC MANAGEMENT OF FRACTURES
- 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
https://www.wjpmr.com/download/article/33032018/1523880026.pdf
- Assessment of the outcome of Ayurvedic treatments for vertebral fracture with motor dysfunction
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287400/
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Dr. Rajesh Nair, the co-founder and chief consultant of Ayurvedaforall.Com, is a graduate of prestigious Vaidyaratnam Ayurveda College (affiliated with the University of Calicut), Kerala, India. Additionally, he holds a Postgraduate Diploma in Yoga Therapy from Annamalai University.
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