ROLE OF PANCHAKARMA IN GERIATRIC PAIN

MANAGEMENT
ROLE OF PANCHAKARMA IN GERIATRIC PAIN
MANAGEMENT

Guide Co-Guide Scholar

Dr. Sarvesh Kumar singh Dr. Kshipra Rajoria Dr. Avadhesh
Ass. Professor NIA anchakarma Lecturer M. D.
Scholar,NIA P
• Introduction
• Geriatric Pain may be defined as “ an unpleasant sensory and
emotional experience associated with potential tissue damage.”
• Pain is one of the most common complaints of elderly patients
seeking medical care.
• Consequences of pain are broad spectrum like depression, decreased
socialization, sleep disturbance, impaired ambulance which affects
daily routine work.
• It is the result of progressive degenerative processes like arthritis,
osteoarthritis, degenerative spinal changes and neuropathies
Need Of Study
• The prevalence of persistent pain increases with age; increases in joint pain
and neuralgias are common.
• Now a time majority of elderly people were treated with over the counter
drugs and most of taking NSAIDs.
• Majority of people were taking non prescription medicines.
• NSAIDs have wide range of side effects in elderly people in which
gastrointestinal ulcer and bleeding are most common and many life
threating side effects are associated.
• Specifically in the elderly, NSAIDs has become leading cause of
hospitalization.
• So there is need of Panchakarma procedures which are preventive for
future age problems, curative for diseases and rejuvenate the health with
mininmum oral medications and limited complications ultimately for
healthy ageing.
• Principles of Management
• Panchakarma Procedures
• Abhyanga
• It improves eye sight, nourishes muscles, imparts softness, strength
and complexion to the body. It decreases the effect of ageing and thus
increases life expectancy.
• It benefits the sleep patterns, strengths body’s tolerance, imparts a
firmness to the limbs; tone and vigor to the Dhatus (tissues) of the
body
• Swedna
• which relieves Stambh(stiffness) and Gurava (heaviness) of body.
• Shashtika Shali Pinda Sveda
• It is a process by which the whole body is made to perspire by the
application of Shali rice in the form of bolus tied up in a cotton cloth
• This is beneficial in disease of nervous system, spinal cord
degeneration, degenerative disorders etc. It is used to improve muscle
strength, rejuvenate re- engergize the body.
• Patra Pinda Sweda
• This is procedure wherein Snigdh Swedan is done by warm bolus bags
containing leaves of medicinal plants having analgesic , anti-
inflammatory and anti- degenerative properties.
• It is beneficial in lumbar spondylitis, muscular cramps and stiffness of
joints and musculoskeletal pains
• Localised Basti
• Kati Basti
• Procedure in which oil is retained in low back region.
• Beneficial in disc prolapse, lumbar canal radiculopathies and
mechanical backache.
• Kati Basti increases circulation in the region thus nourishes and
strengthens the muscles and nerves
• Griva Basti
• Procedure in which oil is retained on back of neck region.
• Effective in cervical spondylosis, neck stiffness and cervical
radiculopathies and degenerative changes.
• Janu Basti
• Retaining oil on knee joints in anterior side within the rim of black
gram dough. Useful in ligamental injury and Janu Sandhigata Vata
• Shirodhara
• It is a procedure in which forehead is caressed with a thin continuous
stream of medicated lukewarm oil, milk, Takra etc.
• It can be beneficial in hypertension, chronic headaches, migraines,
insomnia and memory loss.
• Basti
• It is best therapy for Vataj Roga and in old age predominant Dosha is
Vata
• Niruh Basti
• It maintains the age, strength, Agni, intelligence, voice, complexion
and beneficial for all groups.
• Yapna Basti
• Probably Niruh does Lekhan and Anuvasan Brimhan but Yapna Basti
have both qualities so it can be performed continuously without
Anuvasan Basti hence Yapna Basti is Srotoshodhan and Brihman at a
time.
• It is Balya, Vrishya and Rasayana in nature.
• Matra Basti
• The Basti which is given in low dose i.e. Hrisva Matra of Sneha. It
can be given any time without any restrictions and precautions. Matra
Basti is Balya, Brimhan and Vataroghar.
 Conclusions

Thus we concluded that the Panchakarma therapies are safe and

effective so can be successfully adopted in the geriatric patients for pain
management and transform painful ageing in blissful scenario of life.
THANKING YOU