Intermittent neurogenic claudication-induced gait disturbance treated with Ayurveda: A case report
DOI:
https://doi.org/10.25305/unj.319976Keywords:
sciatica, lumbar spinal stenosis, intermittent neurogenic claudication, gait disorder, case report, AyurvedaAbstract
This case report details the Ayurvedic treatment of a 49-year-old male with gait difficulties and pain due to lumbar canal stenosis. A three-week course of Ayurvedic therapies, including massage and oral medications, resulted in significant pain reduction (low back pain VAS from 5 to 2; leg pain from 6 to 2) and improvement in the straight leg raise test (40 to 60 degrees).
While some gait parameters showed minimal change (step length 0.70m to 0.69m; stride length unchanged; step time 0.48s to 0.49s; stride time unchanged), walking speed increased (1.24 m/s to 1.39 m/s) and gait asymmetry decreased (22% to 20%). While suggesting potential benefits of Ayurveda for pain management in lumbar canal stenosis, the limited impact on gait parameters underscores the need for further research, including objective gait analysis and controlled studies, to confirm efficacy.
References
1. Axer H, Axer M, Sauer H, Witte OW, Hagemann G. Falls and gait disorders in geriatric neurology. Clin Neurol Neurosurg. 2010 May;112(4):265-74. [CrossRef] [PubMed]
2. Park JS, Koo SM, Kim CH. Classification of Standing and Walking States Using Ground Reaction Forces. Sensors (Basel). 2021 Mar 18;21(6):2145. [CrossRef] [PubMed] [PubMed Central]
3. Ronthal M. Gait Disorders and Falls in the Elderly. Med Clin North Am. 2019 Mar;103(2):203-213. [CrossRef] [PubMed]
4. Snijders AH, van de Warrenburg BP, Giladi N, Bloem BR. Neurological gait disorders in elderly people: clinical approach and classification. Lancet Neurol. 2007 Jan;6(1):63-74. [CrossRef] [PubMed]
5. Viswanathan A, Sudarsky L. Balance and gait problems in the elderly. Handb Clin Neurol. 2012;103:623-34. [CrossRef] [PubMed]
6. Wasedar V, Pangam B, Shete S, Belaval V. Complete resolution of lumbar disc sequestration with Ayurveda management: A case report. J Ayurveda Integr Med. 2023 Nov-Dec;14(6):100826. [CrossRef] [PubMed] [PubMed Central]
7. Pandey VY, Kaushik N. Ayurvedic Management of Lumbar Disc disease-A Case Report. Ancient Science of Life. 2018 Jul 1;38(1):26-31. [CrossRef]
8. Natarajan P, Fonseka RD, Kim S, Betteridge C, Maharaj M, Mobbs RJ. Analysing gait patterns in degenerative lumbar spine diseases: a literature review. J Spine Surg. 2022 Mar;8(1):139-148. [CrossRef] [PubMed] [PubMed Central]
9. Haber CK, Sacco M. Scoliosis: lower limb asymmetries during the gait cycle. Arch Physiother. 2015 Jul 8;5:4. [CrossRef] [PubMed] [PubMed Central]
10. Bussières A, Cancelliere C, Ammendolia C, Comer CM, Zoubi FA, Châtillon CE, Chernish G, Cox JM, Gliedt JA, Haskett D, Jensen RK, Marchand AA, Tomkins-Lane C, O'Shaughnessy J, Passmore S, Schneider MJ, Shipka P, Stewart G, Stuber K, Yee A, Ornelas J. Non-Surgical Interventions for Lumbar Spinal Stenosis Leading To Neurogenic Claudication: A Clinical Practice Guideline. J Pain. 2021 Sep;22(9):1015-1039. [CrossRef] [PubMed]
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