Role of Panchakarma in the management of Carpal Tunnel Syndrome - A Review

Carpal tunnel syndrome is a common condition that causes pain, numbness and tingling in the hand and arm. The condition occurs when one of the major nerves of the hand, the median nerve is squeezed or compressed as it travels through the wrist. In most patients, carpal tunnel syndrome gets worsen over time, so early diagnosis and treatment are important.[1] If CTS (carpal tunnel syndrome) left untreated, symptoms can last a long time and get worsen. Carpal tunnel syndrome cannot be compared directly to any of the disease in Ayurveda. But to some extend we can compare CTS to Jhinjhini Vata described in Chakradatta.[2] And in later stage when CTS is left untreated the pain and numbness radiates from hand to forearm and arm, at that stage we can compared it with Vishwachi (Brachial neuralgia).[3]

Radiological Imaging Findings of a Case with Vertebral Osteoid Osteoma Leading to Brachial Neuralgia

Osteoid osteoma is a small, benign osteoblastic tumor consisting of a highly vascularized nidus of connective tissue surrounded by sclerotic bone. Three-quarters of osteoid osteomas are located in the long bones, and only 7-12% in the vertebral column. The classical clinical presentation of spinal osteoid osteoma is that of painful scoliosis. Other clinical features include nerve root irritation and night pain. Osteoid osteoma has characteristic computed tomography (CT) findings. Because magnetic resonance imaging (MRI) findings of the osteoid osteomas causing intense perinidal edema can be confusing, these patients should be evaluated with clinical findings and other imaging techniques. In this study, we present X-ray, CT, and MRI findings of a case with osteoid osteoma located in thoracic 1 vertebra left lamina and transverse process junction leading to brachial neuralgia symptoms.