Role of Multimodal Ayurveda Therapies in the Management of Myelomalacia

Abstract

Myelomalacia, a chronic sequela to spinal cord injury, is characterised by softening or necrosis of the spinal cord. The clinical presentations vary depending on the degree of spinal cord injury ranging from loss of motor functions, paraesthesia, sudden jerks of limbs etc. Case report: A 60-year-old male patient presented with complaints of weakness of bilateral lower limbs with difficulty in walking, sitting and maintaining balance, since January 2025. He came with the confirmed diagnosis of Myelomalacia of cervical spine. Materials and methods: His findings showed normal muscle bulk at the lower limbs, except for hypotonia and reduced muscle power. His American Spinal Injury Association Impairment Scale (ASIA scale) was grade C. Corelating the condition with Asthi-Majjagata Vata, he was treated with a course of Koshthashodhana, Yoga Basti, Matra Basti and Nasya Karma followed by Shamana Chikitsa. Discussion: After the treatment, the parameters were assessed, that showed improvement in muscle power and a rise in the ASIA scale score from grade C to D. The patient was then able to walk without support. Conclusion: This case study highlights the success of a treatment protocol in the management of complicated spinal disorders, but more data and case studies are required for generating evidence.