Rehabilitation After Sports Injuries in Ayurveda PDF
Rehabilitation After Sports Injuries in Ayurveda PDF
Rehabilitation After Sports Injuries in Ayurveda PDF
sports injuries
in Ayurveda
Dr Shiva Shankar Soni
Plan of the lecture
● Main components of the human body in Ayurveda
● Components of pathological process and basic principles of treatment
● General treatment principles, modalities and common formulations in the
management of sport injuries in Ayurveda
● ROTATOR CUFF SYNDROME
● TENNIS ELBOW, GOLFER'S ELBOW
● ACHILLES TENDINITES
● LIGAMENT AND TENDON INJURIES
● Diet recommendations during recovery period
Main components of the human body
in Ayurveda
In Ayurveda chief components of living body are:
● Three Dosha
● Seven Dhatu (“tissues”)
● Three Mala (“wastes”)
● Agni (“metabolic and digestive fire”)
“doṣadhātumalamūlaṁ hi śarīraṁ”
Sushruta Samhita, Sutrasthana
“Dosha, dhatu and mala are (chief) roots of the body”
They are chief functional and regulating elements of the living body.
Three dosha control all functions in the body on every level - cells,
tissues, organs, systems and body as a whole.
It initiates, activates and regulates all the body movements (gross and minute)
including motor and sensory functions (conduction of nerve impulses),
respiration, circulation, excretion of wastes, etc.
It is responsible for all the anabolic functions, physical strength, virility, immunity,
body fluids, structural integrity and density of body elements. Also connective
tissue is mainly under control of Kapha dosha.
7 Dhatu - tissues are considered as
main structural entities of the body
Rasa - chyle, plasma
snayu - ligaments
kandara - tendons
3 Mala - excreta
Mutra - urine
Purisha - feces
Sveda - sweat
They support functioning of the body by proper and timely evacuation of waste material.
Agni - metabolic and digestive fire
● One more extremely important component of the living body is Agni - fire.
● It represents all the processes in the body, where heat production is involved,
Until all these fires work properly, the tissue formation is proper and the health is
maintained.
Out of all components of the body Three Doshas are main, because functioning of other
components - dhatu and mala is performed through three dosha only.
As three doshas being in a balanced state perform all physiological functions and
maintain health, when they are deranged, they also become roots of all the pathological
processes and diseases in the body.
Other side of last definition is:
“nāsti rogo vinā doṣai“ - Sushruta Samhita, Sutrasthana
There is no disease, where 3 dosha will not be involved”
Hence all diseases and pathological processes in the body in Ayurveda are described
mainly in terms of three dosha through:
● Hetu - cause of vitiation of each dosha in general and in relation to particular disease
● Purvaroopa - premonitory symptoms of particular disease in general and dominant
doshas involved
● Roopa - clinical signs and symptoms of particular disease manifestation in general
and signs and symptoms of dominant doshas involved.
● Upashaya - diagnostic tests
● Samprapthi - description of all the pathogenesis
Components of pathological process
vitiated dosha/doshas
injuries and in initial stages, and Vata and Pitta dosha in case of chronic injuries
Ekanga or sarvanga dhara ( pouring of liquid on part or whole body) with taila (oils), ksheera
kashaya ( milk decoctions), plain kashaya (water decoction of medicinal plants, etc)
Local vasti - in janu (knee), greeva ( neck), kati (lower back), etc according to the site of injury
Guggul preparations are quite effective in the treatment of sports injuries used
according to the condition, such as Laksha guggul, Yogaraj guggul, Mahayogaraj
Guggul, Trayodashang guggul, Kaishor guggul, Amritadi guggul, Rasnadi guggul, etc
Taila (oils) for external use: Murivena taila, Dhanvantara taila, Gandha taila, Karpuradi
taila, Ksheerabala taila, Sahacharadi taila, Mahanarayana taila, Mahaprasarani taila, etc.
Tailas (oils) like Gandha 101, Dhanvantaram 101, Ksheerabala 101 can be used also
internally and for nasya ( nasal drops) purpose
Formulations contd
Or wider spectrum such as Abhraka ( mica), Rajata (silver), Suvarna (gold), etc
In advanced chronic cases - Brihat Vata chintamani ras, Yogendra rasa, Trailokya
chintamani rasa, etc
● Sports that involve overhead motions, such as swimming, water polo, volleyball,
baseball, tennis, badminton, javelin throw and American football quarterbacks etc
are at greater risk
● Striking-based combat sports, such as boxi, typically when their punches miss the
target, or overusing the shoulder by throwing excessively large amounts of punches.
In brief two main causes in sport are repeated overuse or direct trauma.
● Hook-shaped acromion.
when arm is extended or raised above the shoulder and also when the patient
lateral aspect of the proximal humerus. Also area may be red and swollen.
4. Nasya with Ksheerabala 101 or Dhanvantaram taila 101-8 drops for 7 days
Line of treatment. Internal medicines
Guggul based formulations: Kashaya - decoctions
Taila - oils:
Affected part ( respectively right or left epicondyle) becomes soft and tender, which
may be accompanied by burning sensation and radiating pain in forearm and wrist
Main cause
Symptoms are:
Taila - oils:
Sprains and strains are used interchangeably, but they are two specific injuries:
● A strain is also a stretch or tear, this time affecting the muscle itself or a tendon
• Grade III is a completely torn or ruptured ligament. It can feel like a broken bone
since it is often impossible to put weight on the joint or use the affected limb
Prognosis
According to Ayurveda also, both these tissue take longer time for complete healing.
● RICE therapy is particularly important during the first 24-72 hours after a sprain or
strain occurs.
● During this time, medication to alleviate pain are given, if required, either modern
● Nasya - For upper body ligament injuries - Ksheerabala taila 101, Dhanvantaram