Transverse myelitis and demyelination of Myelin sheath - #26067

Consult nearest Ayurved Panchakarma Center.

hello sagar, Thank you for sharing the symptoms. Based on what you’ve described spasticity, numbness, stiffness in legs, dragging of leg, no bowel control, falling while walking or standing, and loss of balance this strongly points to a chronic neurological condition involving Vata derangement, especially Kshina Majja dhatu (depletion of nerve tissue) and Vyana + Apana Vata imbalance.

In Ayurveda, these signs indicate that the nervous system’s signals are not reaching your lower limbs properly, leading to stiffness, weakness, and loss of coordination. The bowel control loss suggests that Apana Vata (which governs elimination and lower body movement) is severely disturbed. If this condition has been developing gradually, it may be due to multiple sclerosis, spinal cord compression, post-stroke sequelae, or motor neuron disease depending on the cause.

Internal Medicines (8–12 weeks minimum): Ksheerabala 101 (avarti) – 1 capsule twice daily after food Balaaswagandhadi Taila – 10 ml with warm milk in the morning Ekangaveer Rasa – 1 tab twice daily after meals Maharasnadi Kashayam – 15 ml + 45 ml warm water before meals Ashwagandha Churna + Shatavari Churna – ½ tsp each with milk at bedtime

Shodhana / External Therapies (Strongly Recommended at Ayurvedic Centre):

Abhyanga (whole body oil massage) with Mahanarayana taila or Dhanwantaram taila Bashpa Swedana (herbal steam) after massage Matra Basti with Balashwagandhadi taila – daily for 7–14 days (must be supervised) Shirodhara with Ksheerbala or Brahmi taila (if mental stress/spasm is high)

Pathya (What You Should Eat & Follow):

Warm, oily, nourishing food – moong dal, rice, ghee, cow milk, root vegetables Use spices like ajwain, jeera, ginger, hing to support digestion Begin day with warm water + ghee (1 tsp) Soaked almonds (5), dates (2), raisins (7) – daily in morning Mild yoga (under supervision), passive leg movement, and sun exposure Avoid long sitting – change positions often, support posture

Apathya (Strictly Avoid):

Cold foods and drinks Dry fasting, raw food, fridge food Curd, cheese, fermented items Overexertion, stress, irregular sleep Suppressing natural urges (urine, stool)

Investigations (if not already done):

MRI Brain + Spine Nerve Conduction Study (NCS) Vitamin B12, D3 Serum Electrolytes, Calcium CBC, ESR, CRP Thyroid profile Blood sugar (FBS/PPBS or HbA1c)

Your body is clearly asking for deeper nerve rejuvenation and Vata balancing. If treated early with proper Ayurvedic Panchakarma and Rasayana therapy, strength and control can gradually return. This will require consistent care, but recovery is possible.

If you have any doubts, you can contact me. Take care, Regards, Dr. Karthika

Don’t worry sagar, Visit nearby panchkarma centre for getting desired results… You’ll definitely get relief 😊

Hey sagar this needs a complete history taking and personal consultation. Online platform doesnt fit. Pls consult a panchakarma expert.

Ashvagandha Churna-1gm+Kapikacchu Choorna-2gm+Gokshura Choorna-2gm +Pippali Choorna-500mg+Abhraka Bhasma.-125mg+Makaradwaja-125mg+ Shuddha Shilajatu-250mg - after food 3 times a day with milk

Dashamularishta +Ashvagandharishta-4 tsf - after food 3 times a day with water Yoga Therapy

Asana: Vajrasana, Padmasana, Dhanurasana, Pavanamuktasana, Halasana, Bhujangasana, Padahasasana.

Pranayama: Nadi shuddhi, Anuloma-Viloma.

Mudra: Vayumudra, Pranamudra.

Other: Taichi is very useful.Diet and Lifestyle Pathya: Milk, Cow’s ghee, carrot, seafood, cod liver oil capsules (seacod), fish, meat soup, indian gooseberry.

Apathya: Astringent, excessive tea, alcohol, tobacco, smoking.

Panchkarma therapy can be the solution for your problem…so go for that visit ur nearest panchkarma centre

HELLO SAGAR,

Transverse myelitis is a neurological condition in which there is inflammation in the spinal cord , causing damage to myelin sheath- the protective covering around nerves. When myelin is damaged, nerve signals from the brain to the body get disturbed

SYMPTOMS IN THIS CONDITION

YOU DESCRIBED -stiffness and tightness in legs-spasticity -numbness or loss of sensation -dragging of legs , difficulty walking - falling while standing/ walking - loss of bowel/ bladder control

Ayurveda relates this condition mainly to vata vyadhi, which means disease caused by imbalance of Vata dosha- responsible for movement, sensation, and nerve acitivity

-VATA DUSHTI= disturbed vata affecting majja dhatu(nervous tissue) -MAJJA KSHAYA = degeneration of nerve/mylein tissue -ASTHI-MAJJA SROTAS DUSHTI= disturbance in channels carrying nutrition to nerves and bones -The result is loss of sensation, stiffness, weakness, and poor coordination

GOALS OF TREATMENT -balance vata dosha= the main cause - reduce inflammation in the spine - rejuvination and regenerate nervous tissue-majja dhatu - improves strength, coordination, and motor function - support bladder/bowel control - prevent further progression or relapse

AYURVEDIC MANAGEMENT PLAN divided into 3 stages= purification, nourishment, rejuvination

1) SHODHANA CHIKITSA= CLEANSING THERAPY cleanses and prepares the body to absorb medicines properly.this is especially when vata is severely aggravated

BASTI CHIKITSA= most effective for Vata basso nourishes the spine, nerves, and pelvis through medicated oils and decoctions via rectum

DURATION= 16 or 30 days based on severity -ANUVASANA BASTI= alternate days= ksheerbala taila 60 ml -NIRUHA BASTI= erandamooladi Niruha this reduces stiffness, improves leg movement and enhances nerve function if feasible go to panchakarma for this treatment

NASYA= instill 2 drops of ksheerbala taila in each nostrils daily morning empty stomach =helps improve sensory and motor response

2) INTERNAL MEDICIENS

-ASHWAGANDHA CAPSULES= 1 cap twice daily in morning and night with warm milk =strengthens nerves, muscle tone

-BRAHMI GHRITA= 1 tsp with warm milk twice daily in morning and night =memory, nerve regeneration

-KSHEERBALA 101 CAPSULES= 1 cap with warm milk twice daily after meals =myelin regeneration, nerve nourishment

-MAHA VATA VIDHWAMSA RASA= 1 tab twice daily after meals = strong anti vata formulation

-RASNASAPTAKAM KASHAYA= 20 ml. twice daily with warm water before meals =relieves stiffness and inflammation

-SARASWATARISHTA=15ml with water twice daily after meals = rejuvination, calming

RASAYANA THERAPY AFTER RECOVERY

restores lost tissue and strength, especially majja dhatu(nerve tissue)

-CHYAWANPRASHA= 1 tsp in morning empty stomach

-KAUNCH BEEJ CHURNA= 1 tsp daily to strengthen motor nerves with honey

-SHILAJIT RASAYANA= 1/2 tsp with milk at night for vitality, bone and nerve strength

DIET RECOMMENDATIONS A nourishing unctous, warm, and easily digestible diet is essential to calm vata and nourish nerves

-warm, cooked foods with ghee -milk boiled with ashwagandha / turmeric - moong dal khichdi , rice with ghee - steamed veggies like pumpkin, ash gourd , carrot -alomnds, soaked raisins, dates for energy -cows ghee- excellent for nerves -buttermilk with pinch of cumin-if digestion is weak

FOODS TO AVOID -dry, cold, raw, or stale foods - caffeinated drinks, cold water, soft drinks -fermented, spicy, or very sour food - packaged snacks, excessive sugar - smoking and alcohol

LIFESTYLE AND YOGA

DAILY ROUTINE SUGGESTIONS -oil massage daily with mahanarayan taila 30 min before bath - bath with warm water only -avoid exposure to cold, wind, loud noise - keep regular sleep wake cycles -rest but avoid completely imobitlity

-Anulom vilom= balances nervous system -Bhramari= calms mind, improves focus -Pawanmuktasana= loosens joints, improves circulation -Makarasana= relaxes spine, gentle for lower back -Bhujangasana= strengthens spinal muscles - Tadasana= balance and coordination

If walking is not possible begin with passive physiotherapy then gentle leg movement and progress slowly

This condition needs continuous and long term management. Result are gradual but often significant if therapies and treatment given are followed properly

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

The symptoms you’ve described – spasticity, numbness, stiffness, bowel issues, and balance problems – these can be very incapacitating and might relate to neurological disorders such as transverse myelitis or other conditions affecting the nervous system like demyelination. In Ayurveda, such symptoms are often associated with vitiation of Vata dosha, which governs movement and the nervous system.

First, it’s crucial to seek a comprehensive evaluation from a healthcare professional, preferably a neurologist, to identify the specific cause. If a diagnosis such as transverse myelitis is confirmed, Ayurvedic management can be considered as a supportive measure.

For balancing Vata dosha, regular Abhyanga, or oil massage, using sesame oil may be beneficial. The warmth and nourishment provided by the oil can help soothe the nervous system and support muscle relaxation. Ideally, this practice should be done daily before bath for about 20-30 minutes.

Focus on a Vata-pacifying diet, which includes warm, cooked foods that are easy to digest. Consider including ghee, as it is nourishing and helps in toxin removal. Avoid cold, dry, and raw foods as they increase Vata.

Ashwagandha (Withania somnifera) can be supportive in strengthening muscles and nerves. Consuming about 1 teaspoon of Ashwagandha powder mixed in warm milk at night may be helpful, but please consult with an Ayurvedic practitioner for personalized advice before starting.

Engage in gentle, slow-paced exercise like yoga tailored to your current ability. Forward bends, seated twists, and postures like Supta Matsyendrasana can be supportive. Pranayama, particularly Anulom-Vilom (alternate nostril breathing), can assist in balancing the body’s energies and calming Vata dosha.

Herbs like Brahmi or Shankhapushpi could support cognitive and nervous functions. Consuming these under supervision may improve mental clarity and help in control and balance.

Please prioritize working with healthcare providers to ensure interdisciplinary care, combining modern medical intervention with these Ayurvedic approaches to manage the condition comprehensively.

These symptoms suggest a complex neurological condition possibly related to issues in the spine or nervous system, such as transverse myelitis or demyelination. It’s crucial to seek immediate medical attention from a neurologist to confirm the diagnosis and understand the underlying cause. Both of these conditions can progress and lead to complications if not treated promptly.

In terms of Siddha-Ayurvedic perspectives that could support your overall management, first, consider balancing Vata dosha, which governs movement and the nervous system. An imbalance here can contribute to symptoms like numbness, spasticity, and poor coordination. Look into dietary adjustments, opting for nourishing, warm, and easily digestible foods, such as cooked vegetables, warm soups, and herbal teas.

Incorporate herbs like Ashwagandha and Brahmi known for their neuroprotective properties. Use Triphala to aid digestion and support bowel regularity. They can be taken with warm water or as directed by an Ayurvedic practitioner. Oils like Mahanarayan Taila or Bala Taila could be used for massage on the legs to improve circulation and reduce stiffness.

Engage in gentle yoga and meditation to enhance mind-body coordination. Practicing Pranayama can help in steadying the mind and enhancing the body’s resilience against stress. Though these are supportive measures, remember these cannot replace or delay primary medical treatments.

If you’re experiencing severe symptoms, particularly with bowel control and mobility, it’s vital to address these urgently in a modern medical context, as they might need more immediate intervention beyond what Ayurveda can provide initially.

HELLO SAGAR,

SYMPTOMS -spasticity in legs -numbness and stiffness -no control over bowel - unable to walk/balance -falls while standing or walking -leg dragging

ALL THESE POINTS TO -A central nervous system issue, especially spinal cord involvement -likely damage to motor+ sensory tracts -vata aggravation affecting majja dhatu (nerve tissue) and sira/naadi (nerve channels)

In Ayurvedic terms, this condition can be mapped as -Vata vyadhi-> disease caused by aggravated vata dosha

SPECIFICALLY -Asthi majjagata vata-> vata affecting bones and marrow -Snayu gata vata->vata affecting ligaments/tendons -Pakshaghata/Adhaata->paralysis or motor weakess

TREATMENT SHOULD -pacify aggravated vata -rejuvinate majja dhatu -improves neuro muscular strengthen and coordination -restore bowel/bladder function -prevent relapse

STAGED TREATMENT PLAN(45-90 DAYS MINIMUM)

PHASE 1= DEEPANA AND PACHANA(correct digestion/metabolism)= 3-5 days If there is Agnimandya(weak digestion) or Ama(toxic buildup), begin with:-

-TRIKATU CHURNA= 2 gm with warm water before meals =improves digestion

-HINGWASTAKA CHURNA= 1 tsp with ghee before meals =gas, digestion aid

-PIPPALYASAVA= 15 ml after meals with water =toxin digestion

PHASE 2= SNEHANA(INTERNAL AND EXTERNAL OLEATION)= 7-14 DAYS

EXTERNAL= oil massage -BALASHAWAGANDHADI taila =full body+ focus on legs, backspin

INTERNAL= SNEHAPANA -Start with ASHWAGANDHA GHRITA

DOSE= 10-25 ml on empty stomach, increasing gradually

PHASE 3= SWEDANA(SUDATION THERAPY)= DAILY AFTER MASSAGE

NADI SWEDANA= local steam with dashmoola or rasna decoction

PINDA SWEDA= bolus massage with herbal leaves-relieves stiffness

PHASE 4= BASTI(MEDICATED ENEMA THERAPY)= 15-30 DAYS most crucial for vata

ANUVASANA BASTI= BALA TAILA= on alternate days

NIRUHA BASTI= dashmoola+rasna+eranda moola + guduchi= on alternate days

SCHEDULE= yoga basti(8 bastis) or karma basti(30 bastis) at ayurveda clinic under experts

PHASE 5- RASAYANA AND SUPPORTIVE TREATMENT= 30+ DAYS

AIM= regeneration, nerve nourishment, strength

1) ASHWAGANDHA RASAYANA= 5gm with warm milk at bedtime =nerve repair

2) BRAHMI VATI= 1 tab twice daily in morning and night =brain nervous support

3) SARASWATARISHTA= 15ml twice daily after meals with water =improves coordination

4) KAISHOR GUGGULU= 2 tab twice daily after meals =anti inflammatory

5) EKANGAVEER RAS= 1 tab twice daily after meals =neuromuscular tonic

6) YOGARAJ GUGGULU= 2 tabs twice daily after meals =for stiffness

7) MAHA VAT VIDHWANSAK RAS= 1 tab twice daily after meals =for vata disorders

DIET AND NUTRITIONAL PLAN -warm, nourishing, unctous diet -ghee, sesame oil -alomnds, walnuts(soaked) -milk boiled with turemric+ashwagandha every night -moong dal, rice, khichdi

AVOID -cold,dry or stale food -fermented items -sour/acidic=aggravtes vata and pitta -excess caffeine, tea

YOGA, PHYSIO AND LIFESTYLE

SIMPLE YOGA ASANAS -bhujangasana -tadasana -paanmuktasana all to improve spine strength

PRANAYAM -anulom vilom -bhramari for calming vata

PHYSIOTHERAPY -essential to recover mobility, prevent contractures

DAILY OIL MASSAGE= to stimulate nerves

STRICT SLEEP WAKE SCHEDULE= to reduce vata imbalance

AVOID LOUD NOISE, OVERSTIMULATIONS -keep nervous system calm

THANK YOU

DR. HEMANSHU MEHTA