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Focal Hand Dystonia in the right Index Finger
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Neurological Disorders
Question #25938
7 days ago
65

Focal Hand Dystonia in the right Index Finger - #25938

GOPALAKRISHNAN V

I am 63, a Tabla soloist. I had right hand Frozen Shoulder thrice during the last 10 years period and all incidents cured by Ayurvedic treatment. Five years back, without any symptoms, my right hand index fingers curl inward while playing Tabla. I tried Ayurvedic treatment but in vein. Later, neurologists diagnosed it as Focal Hand Dystonia of Right Hand. Now, I am unable to play on the instrument due to spasm and curling of the right hand finger. I would be grateful if you could advice.

Age: 69
Chronic illnesses: unnigopal@gmail.com
Dystonia
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Dr. Manjula
I am a dedicated Ayurveda practitioner with a deep-rooted passion for restoring health through traditional Ayurvedic principles. My clinical approach revolves around understanding the unique constitution (Prakruti) and current imbalance (Vikruti) of each individual. I conduct comprehensive consultations that include Prakruti-Vikruti Pareeksha, tongue examination, and other Ayurvedic diagnostic tools to identify the underlying causes of disease, rather than just addressing symptoms. My primary focus is on balancing the doshas—Vata, Pitta, and Kapha—through individualized treatment plans that include herbal medicines, therapeutic diets, and lifestyle modifications. I believe that healing begins with alignment, and I work closely with my patients to bring the body, mind, and spirit into harmony using personalized, constitution-based interventions. Whether managing chronic conditions or guiding preventive health, I aim to empower patients through Ayurvedic wisdom, offering not just relief but a sustainable path to well-being. My practice is rooted in authenticity, guided by classical Ayurvedic texts and a strong commitment to ethical, patient-centered care. I take pride in helping people achieve long-term health outcomes by integrating ancient knowledge with a modern, practical approach. Through continuous learning and close attention to every detail in diagnosis and treatment, I strive to deliver meaningful, natural, and effective results for all my patients.
6 days ago
5
Hello, 1. Occupational therapy/physiotherapy 2. Massage the finger with mahanarayana thailam followed by dhara with balamula kashayam. Total duration-20 minutes everyday. Take care. Kind Regards.
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Given the challenges you're facing with Focal Hand Dystonia, especially as a Tabla soloist, it's important to approach this condition from multiple angles based on Ayurvedic principles. The finger curling suggests an imbalance in the Vata dosha, as Vata is responsible for movement and neuromuscular functions. Addressing this imbalance can help in managing the symptoms. Start by incorporating a Vata-pacifying diet, which includes warm, moist, and nourishing foods. Focus on cooked vegetables like carrots, beets, and squash, grains like rice and wheat, and proteins like dhal and mung beans. Avoid cold and dry foods that aggravate Vata, such as raw salads, crackers, and excessive caffeine. In terms of lifestyle, consider incorporating Abhyanga, or self-massage with warm sesame oil, to your daily routine. This can help relax the muscles and improve circulation. Massage should be followed by a warm shower to further soothe the muscles. Practicing Pranayama, particularly Nadi Shodhana (alternate nostril breathing), can help calm the nervous system and balance Vata. Herbs that support the nervous system could also be beneficial. Ashwagandha, with its adaptogenic properties, helps in reducing stress and restoring balance. Consider a daily dose of Ashwagandha powder with warm milk, though it's advisable to consult with a local Ayurvedic practitioner for proper dosages specific to your constitution. For therapeutic treatments, Shirodhara can help relax the mind and body, by pouring warm oil in a steady stream over your forehead, providing deep relaxation and restoring nervous system balance. Another potential therapy is Panchakarma, particularly Vata-alleviating procedures like Basti (medicated enema) which can provide deeper detoxification and balancing. Although Ayurveda can offer significant support, do consider integrating this with your neurologist's advice. Sometimes a combined approach offers the best results. If symptoms persist or worsen, it's vital to consult your neurologist again to explore further interventions or therapies.
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HELLO GOPALAKRISHNAN V, FOCAL HAND DYSTONIA- also called "musician's dystonia"- is a task-specific movement disorder where involuntary muscle contractions cause abnormal postures or movements. In musicians, especially percussionists like table players, it commonly affects fingers or hands used for precise repetitive movements. Since you mentioned that it affects your right index finger while playing, this is consistent with classic FHD. In Ayurveda, such conditions are often classified under "vata vyadhi"- disorders caused by the vitiation of vata dosha, which governs movement and nervous system function LIKELY CAUSES -repetitice overuse - age related vata aggravation - prior history of frozen shoulder SYMPTOMS -involuntary movements -muscle stiffness/ spasms - incoordination, especially during skilled tasks like table playing NOTE= FHD is chronic and can be resistant to complete reversal- but symptoms can often be managed or improved with a combination of therapies Ayurvedic treatment aims to restore balance of vata, nourish the nervous system, and reduce spasms INTERNAL MEDICATIONS ASHWAGANDHA CHURNA= 1 tsp with warm milk twice daily BRAHMI GHRITA= 10 ml once daily in morning on an empty stomach KSHEERBBALA 101 CAPSULES= 1 cap twice daily with warm milk MAHA NARAYAN TAILA= 10 drops twice daily with warm milk VATAGAJANKUSHA RASA= 250 mg twice daily with honey and ghee EXTERNAL THERAPIES OIL MASSAGE= with MAHANARAYAN TAILA= focus on shoulder, arm, hand Localised steam therapy to reduce stiffness NASYA= instill 2 drops of Anu taila in each nostril DIET AND LIFESTYLE -warm, oily, nourishing foods avoid overuse of the hand, repetitive stress -meditation and pranayam= anulom vilom to reduce neurological tension ADJUNCTIVE SUPPORT HAND THERAPY AND MUSCLE RETRAINING= work with a physiotherapist who understands musicians dystonia NEUROPLASTIC RETRAINING= mirror therapy or constraint- induced movement therapy may help THANK YOU DR. MAITRI ACHARYA
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