Disk bulge c5-6 , neck pain radiates to show hand. - #34414

Hi Kumar As you tried different kind of medicines , now I would suggest you to do some panchakarma treatments like PODI KIZHI (potli with herb powder ) , ABHYANGA (oil massage ), NARANGA KIZHI (lemon potli), ELA KIZHI (Medicinal leaf potli ) , etc. For that please do consult an Ayurveda physician with Panchakarma MD.

Gentle Neck Exercises (do slowly, stop if pain worsens)

Chin tuck: Sit straight, gently pull your chin in (like making a double chin). Hold 5 sec × 10 reps.

Shoulder rolls: Rotate shoulders forward & backward 10 times.

Neck isometrics: Press your palm against your forehead, resist gently for 5 sec. Repeat pressing from back and sides.

Diet Tips

Anti-inflammatory foods: turmeric milk, ginger, garlic, green leafy veg, nuts, seeds.

Avoid excess fried, junk, cold drinks (increase stiffness & vata).

Stay hydrated.

6. Daily Routine Adjustments

Avoid lifting heavy weights overhead.

Take breaks every 30–40 min if sitting/working.

Once take tab brihath vata chintamani ras 1tab , mahayoga Guggulu 1tab bd bd and Panchakarma chikitsa Enough

Here are the precise, evidence-based methods typically considered when non-surgical treatments have failed for persistent cervical radiculopathy due to a disc bulge:

1. Advanced Non-Surgical Interventions If your pain is primarily due to inflammation and nerve root irritation from the disc bulge, targeted injections can often provide significant, and sometimes long-lasting, relief. These are often performed under X-ray (fluoroscopy) guidance for accuracy.

Cervical Epidural Steroid Injection (CESI): This involves injecting a powerful anti-inflammatory steroid medication into the epidural space near the inflamed nerve root (at the C5-C6 level). The goal is to reduce swelling and inflammation, which can relieve the pressure and pain. Studies show a significant percentage of people experience at least partial pain relief, with effects lasting for weeks to months, allowing the nerve to recover.

Selective Nerve Root Block (SNRB): Similar to a CESI, this targets the specific nerve root (likely C6, as C5-C6 typically affects the C6 nerve root) that is causing the pain. It can serve both as a diagnostic tool (confirming which nerve is the source of pain) and a therapeutic treatment.

2. Physical Therapy with Proven Efficacy Although you’ve had physical therapy, the type of therapy and who administered it can make a difference. The most evidence-supported methods for cervical radiculopathy include:

Manual Cervical Traction: Applying a gentle, sustained pull to the neck can help temporarily decompress the spinal segments, creating space around the nerve root. This often provides immediate, temporary relief and can be used as part of a physical therapy plan.

Targeted Exercise and Posture Correction: A specialized physical therapist can tailor a program that focuses on:

Cervical Retractions (Chin Tucks): Helps with posture and can reduce pressure on the nerve.

Deep Neck Flexor Strengthening: Exercises to stabilize the neck.

Nerve Gliding/Flossing: Gentle exercises designed to mobilize the nerve and reduce inflammation/irritation.

Scapular (Shoulder Blade) Strengthening: To improve overall upper body posture and support.

Postural Education and Ergonomics: Addressing how you sit, stand, and sleep, as six years of improper mechanics can perpetuate the problem.

3. Surgical Evaluation Given the chronicity (6 years) and the failure of multiple conservative treatments, a surgical consultation is a reasonable and often necessary next step. Surgery is generally considered a proven, definitive method when severe symptoms persist for 6 to 12 weeks despite thorough non-surgical management.

The goal of surgery is to decompress the nerve root by removing the part of the disc that is bulging and pressing on it. The most common procedures for a C5-C6 disc bulge are:

Anterior Cervical Discectomy and Fusion (ACDF): The damaged disc is removed, and the C5 and C6 vertebrae are fused together to stabilize the segment. This is considered the “gold standard” for persistent radiculopathy.

Cervical Disc Replacement (Arthroplasty): The damaged disc is removed and replaced with an artificial disc, which allows for continued motion at that segment.

I would only suggest you to take Griva basti with sahchradi tail+ Rhumalyan lin mix. Tab shallaki plus 1 TID Panchatikta ghrut gugglu 2BD A F Rasnadi kashya 40ml B F

Since you have already used number of ayurvedic medicine and was not satisfied, best is to do different Visit nearby ayurvedic centre, consult doctor who is doing Agnikarma , also Greeva basti. And learn neck and shoulder yogasana . Wear neck cervical belt. Avoid sour fermented foods. Use special neck pillows when you are sleeping

In your situation, Ayurvedic treatments may offer some relief, though it’s important to remember that managing a condition like a disk bulge requires a comprehensive approach. Here are some personalized suggestions based on Ayurvedic principles:

Firstly, it’s crucial to understand the root cause of your symptoms. According to Ayurveda, pain with radiation can often be linked to a Vata imbalance, considering that this dosha governs movement and the nervous system. Your prakriti (constitution) and imbalances need to be addressed for effective results.

In terms of lifestyle, focus on practices that help balance Vata. Ensure you maintain a regular daily routine, incorporating adequate sleep and relaxation techniques. Gentle yoga, particularly poses that focus on the neck and upper spine may be beneficial. Poses such as “Bhujangasana” (Cobra pose), “Matsyasana” (Fish pose), and “Setu Bandhasana” (Bridge pose) might be helpful. However, practice these under the guidance of a qualified yoga therapist to avoid any risk of further injury.

Diet plays a significant role in managing Vata. Consume warm, cooked foods that are mildly spiced. Include healthy fats like ghee or sesame oil, which can help in nourishing and lubricating the body tissues. Hydration is key, so drink warm herbal teas, such as ginger tea, which can help to relax and calm the nerves.

For more targeted Ayurvedic therapies, consider Abhyanga (oil massage) with Vata-balancing oils like Balaashwagandhadi Thailam. Kati Basti, a localized treatment where warm oil is kept over the lower neck area, may provide relief by nourishing the spine. Panchakarma therapies such as Vasti (medicated enemas) can also be considered, but should be conducted at a certified Ayurvedic center.

Please consult with an Ayurvedic practitioner to ensure these treatments are appropriate for you and tailored to your specific constitution and current health status. It’s also crucial to continue monitoring your condition with a medical professional, given its complexity and potentially serious nature.

What work you do ?? Like sitting for long hours in computer / looking down continuously??

HELLO KUMAR,

YOU HAVE A C5-C6 DISC BULGE -between every two bones in the spine, there is soft cushion called an intraverterbal disc -At C5-6 (neck area), the disc has bulged outwards due to wear and tear, aging, posture stain or degeneration -This bulging disc presses on the nerves that come out from the spine-> causing neck pain radiating to shoulder , arm, and hand (called cervical radiculopathy)

In Ayurveda, this is mainly a vata imbalance disorder . vata governs movement, nerves, and dryness. when aggravated it causes degeneration, dryness of discs, stiffness and nerve pain

TREATMENT GOALS -reduce pain and inflamamtion relieve nerve compression symptoms (radiating pain, tingling, numbness) -strengthen spine, muscles, and nerves (prevent further degeneration) -correct vata imbalance -improve quality of life and avoid surgery if possible

INTERNAL MEDICATIONS

1) YOGARAJ GUGGULU= 2 tabs twice daily after meals =classic vata pacifier, reduces stiffness, pain

2) MAHARASNADI KASHAYA = 15ml with warm water twice daily before meals =relieves vata disorders, strengthen joints and nerves

3) DASHMOOLA KASHAYA= 20 ml twice daily before meals with warm water =anti-inflammatory, relieves nerve irritation

4) SHALLAKI CAPSULES= 400mg twice daily after meals =reduces inflammation and pain

5) TRAYODASHANGA GUGGULU= 2 tabs twice daily especially if tingling and numbness are significant

6) ASHWAGANDHA CAPSULES= 1 cap twice daily with milk =rasayana, reduces stress, improves nerve strength

DURATION= continuous 3-6 months

EXTERNAL THERAPIES

1) OIL MASSAGE= with Mahanarayan taila daily =improves circulation, relaxes muscles, lubricates joints

2) STEAM THERAPY= after massage =reduces stiffness, clears blocked channels, relieves pain

DURATION= 2-4 weeks

LIFESTYLE CHANGES

1) POSTURE -avoid long use of mobile/Tv/computer with neck bent forward (text-neck posture) -use cervical pillow for sleeping -avoid lifting heavy weights on shoulder/head

2) DAILY ROUTINE -warm oil massage to neck/shoulder before bath -warm water bath (avoid cold water) -gentle neck exercises

3) MENTAL HEALTH -stress worsens vata-> regular pranayam, meditation helps

YOGA ASANAS -bhujangasana -makarasana -matsyendrasana -gentle neck tilts (forward-backward, side-to-side)- slow and controlled

PRANAYAM -Anulom vilom -Bhramari -avoid very forceful pranayam like bhastrika

DIET -favour, freshly cooked, slightly oily ffoods -cow’s ghee, milk, wheat, rice, green gram, almonds, sesame -vegetables like spinach, bottle gourd, pumpkin, drumstick -herbal teas-ginger, cumin, ajwain

AVOID -dry, cold, refrigerated foods -excess pulses like chana, rajma (gas-forming) -sour, spicy, fermented foods- pickles, curd at night -excess tea/coffee, smoking, alcohol

HOME REMEDIES -warm sesame oil massage daily to neck and shoulders -turmeric + milk at night- natural anti inflammatory -dry ginger powder + dashmoola decoction as tea for stiffness -hot fomentation with rock salt pouch on painful area

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Radiating neck pain like yours, originating from a C5-6 disk bulge, can be persistent and challenging. When it comes to Siddha-Ayurvedic perspective, it seems there might be a Vata imbalance affecting the nerves and musculoskeletal system. While past treatments haven’t provided relief, there are still a few approaches you can consider.

Consider starting with simple lifestyle modifications focusing on reducing the Vata imbalance. Regular, gentle neck and shoulder exercises might improve flexibility and alleviate nerve compression—avoid anything that causes pain. Additionally, applying warm turmeric paste or oil near the affected area, focusing on warming and reducing stiffness, may help. Ginger and turmeric could be beneficial, both in diet and as topical. Ensure consumption of a diet rich in healthy fats to nourish your nerves and muscles, like ghee or sesame oil.

Elevation of Vata could be further regulated with regular abhyanga (oil massage) using dhanwantharam thailam or similar oils. Maintain a regular sleep pattern, as irregular sleeping habits can further imbalance Vata. Also, practicing Pranayama can help in balancing your nervous system and reducing stress levels.

In cases where there is significant neuropathic pain, you might consider consulting with both Ayurvedic and allopathic practitioners collaboratively to ensure no acute concerns are overlooked. It might also be advisable to explore practices like yoga customized for cervical health, with a well-trained instructor to ensure exercises are suitable.

HELLO KUMAR,

As you have taken all the medicine and didn’t find any relief so kindly go to panchakarma and along side take this medications

Panchakarma advised

Griva basti- with Mahavishagarbha taila and bruhat saindhavadi taila for 7-10 days

Niruha and Anuvasana basti for 8 days

Abhyanga and swedana before basti for 5 days

Agni karma if surgical doctor advised

Marma chikitsa

Neck exercises

Thank you

Dr Hemanshu Mehta