An Ayurvedic approach for Greevagata Sandhivata w.s.r Cervical Spondylosis

Abstract

Greeva sandhi holds important place among all  sandhis. It present in between shiras and Madhya shareera ,  as shiras holds mastishka from where many important  anatomical structures exit and travel through the greeva. The  greeva become most important and less protected part of the  body. As it is most flexible part of the spine and also the area  which is exposed to lot of stress and strain. That causes so  many diseases, Greevagata sandhivata is one among them. Greevagata sandhivata is included under  vatajananatmaja vyadhi by our classics. It is having ruja and  stambha of greeva as symptoms which are similar to Osteoarthritis of neck. Osteoarthritis of neck includes four diseases namely cervical spondylosis, degenerative disc disease, cervical stenosis and cervical spondylolistesis. In x–ray and MRI we have seen structural changes which occurred in Greevagata sandhivata as osteophytes formation , reduced disc space, degeneration of disc , straightening of  curvature of neck etc.. The study reveals that patient of Greevagata sandhivata had structural changes in  Greevasandhi and it is a disease which is having similarity with Osteoarthritis of neck clinically  as well as radiologically.