Claudication is the pain in the upper and lower limbs caused by too little blood flow, particularly during exercise. It is the indication of peripheral artery disease.
- SIGNS AND SYMPTOMS OF CLAUDICATION
- CAUSES OF CLAUDICATION
- PATHOPHYSIOLOGY OF CLAUDICATION
- DIAGNOSIS OF CLAUDICATION
- TREATMENTS FOR CLAUDICATION
- PROGNOSIS OF CLAUDICATION
- COMPLICATIONS OF CLAUDICATION
- CLAUDICATION AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF CLAUDICATION
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF CLAUDICATION
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF CLAUDICATION
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF CLAUDICATION
- AYURVEDIC PROGNOSIS OF CLAUDICATION
- CHIKITSA- AYURVEDIC TREATMENT FOR CLAUDICATION
- AYURVEDIC LOCAL TREATMENT FOR CLAUDICATION
- AYURVEDIC SAMANA TREATMENT FOR CLAUDICATION
- AYURVEDIC SHODHANA TREATMENT FOR CLAUDICATION
- COMMONLY USED AYURVEDIC MEDICINES FOR CLAUDICATION
- HOME REMEDIES FOR CLAUDICATION
- DIET AND BEHAVIOUR FOR CLAUDICATION
- YOGA FOR CLAUDICATION
- RESEARCH PAPERS ON AYURVEDIC MANAGEMENT OF CLAUDICATION
SIGNS AND SYMPTOMS OF CLAUDICATION
- Aching pain in extremities
- Burning feeling
- Weakness
- Numbness
- Pain relieved by rest
- Cool skin
- Slow-healing wounds
CAUSES OF CLAUDICATION
- Peripheral artery disease
PATHOPHYSIOLOGY OF CLAUDICATION
In peripheral artery diseases like atherosclerosis, plaque deposits occur inside the arteries leading to a reduction in the blood flow to the limbs. It begins during walking, exercise etc and ends with rest hence the pain is intermittent.
DIAGNOSIS OF CLAUDICATION
- Laboratory tests
- Musculoskeletal examinations
- Neurological examinations
- Magnetic resonance imaging (MRI)
- X – rays
- Angiography
- Exercise testing
- Doppler ultrasound
TREATMENTS FOR CLAUDICATION
- Medications –Analgesics
- Treatment of underlying pathology
- Surgical management – angioplasty, vascular surgery
PROGNOSIS OF CLAUDICATION
- Prognosis is based on the duration of onset of pain and the condition of the patient
- Surgical and non-surgical remedies are effective in the management of claudication.
COMPLICATIONS OF CLAUDICATION
- Non-healing wounds
- Constant pain may affect the day to day activities
- Skin darkening in the affected extremities
- Gangrene formation
CLAUDICATION AND AYURVEDA
- In Ayurveda, claudication symptomatologically falls under Vatavyadhi 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 of pain, numbness, weakness.
- Peripheral artery diseases are managed based on ‘gambhira vata rakta’ treatment.
NIDANA- AYURVEDIC CAUSES OF CLAUDICATION
- Excess consumption of ununctuous, cold, oily food
- Lack of physical exercise (Alpa vyayama)
- Suppression of natural urges (vegas)
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF CLAUDICATION
- Dull intermittent pain in the affected limbs
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF CLAUDICATION
- 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 sira and dhamanis and produces different kinds of aches and pains in limbs.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF CLAUDICATION
- Toda – aching pain
- Sada – weakness
- Syavatha – skin discolouration
AYURVEDIC PROGNOSIS OF CLAUDICATION
- Curable disease – sadhya roga
- Symptoms are manageable in the early stage with proper ayurvedic medicines and therapies
CHIKITSA- AYURVEDIC TREATMENT FOR CLAUDICATION
Ayurvedic local treatment for claudication
- Leech therapy – jaloukavacharana
- Pain-relieving lepa application
- Abhyanga – oil massaging
AYURVEDIC SAMANA TREATMENT FOR CLAUDICATION
- Dasamoolarishtam
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
- Guduchyadi Ghana vati
AYURVEDIC SHODHANA TREATMENT FOR CLAUDICATION
- VASTHI – Medicated enema
COMMONLY USED AYURVEDIC MEDICINES FOR CLAUDICATION
Internal administration
- Balarishtam
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
- Guduchyadi Ghana vati
HOME REMEDIES FOR CLAUDICATION
- Proper exercise
- Drinking plenty of fluids
- Bathing in warm water
- Body massaging
DIET AND BEHAVIOUR FOR CLAUDICATION
- 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 CLAUDICATION
- 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 OF AYURVEDIC MANAGEMENT OF CLAUDICATION
- Case report Management of pain in peripheral vascular disease with Jalauka Avacharana followed by Manjishtadi Kshara Basti -a case series
These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake.
Dr. Rajesh Nair,
Expert,
Ayurveda Medicine, India
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