Proceedings of the Ayurveda Seminar on Gridhrasi (Sciatica)


On 13th March 1993

CONTENTS

  • Presidential Address - By Dr. M. Sambasivan, Rtd. Professor of Neurosurgery, Medical College, Thiruvananthapuram, Kerala
  • Present day approach in the management of Gridhrasi - By Dr. N.V. Krishnankutty Varier, Arya vaidyasala, Kottakkal, Kerala
  • A talk on the subject Gridhrasi - By Dr. Sr. Austin M.D. (Ay.), Amala Ayurvedic Hospital
  • Relation of 'Pakwasayavathakopa' to allied disorders of Gridhrasi - By Dr. T. Sreekumar M.D. (Ay.), Vaidyaratnam Ayurveda College, Ollur, Thrissur, Kerala
  • Methods of treatment of Gridhrasi and allied disorders with special reference to the principles laid by Bhavamisra - By Dr. K. Sankaran M.D.(Ay), Govt. Ayurveda College, Thrippunithura, Kerala

Presidential Address

Dr. M.Sambasivan, Rtd Professor of Neuro Surgery, Medical College, Thiruvananthapuram

Sciatica

Radiating pain down the back of thigh and leg is termed Sciatica. It is only a symptom. The problem is precipitated by many lesions. Hence an accurate diagnosis is a must for giving appropriate treatment.

Causes of Sciatica

  • Causes in gluteal region and thigh
  • Causes inside the Pelvis and abdomen
  • Causes in the spine

A. Causes of Sciatica in the gluteal region and thigh (Causes outside the Pelvis)

1. CongenitalAbnormal Sciatic foramen Pyriformis
Syndrome bands
2. TraumaticNeuropraxia with recovering causalgia
Perineural Injection
3. InflammatorySciatic Neuritis
Hanseus disease
Intraneural Abscess
4. Neoplastica. Extrinsic Tumours infiltrating or compressing the Sciatic Nerve
b. Intrinsic Trauma in the sciatic Nerve
Neuroma Neurilemmoma Angioofibrolipoma
5. VascularAneurysms & AVMS around Sciatic Nerve
Ischaemic Neuropathy
6. MetabolicDeficiency Neuropathies
Dysthyroidism
Acromegaly
Diabetes Mellitus

B. Causes of Sciatica arising in the pelvis and abdomen

  • 1. Retroverted gravid uterus
  • 2. Uterine fibroids
  • 3. Rectal malignancy infiltrating sacral plexus
  • 4. Aneurysm of Arota, Iliac artery
  • 5. Lerische Syndrome
  • 6. Retroperitoneal fibrosis
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