Comparison of the Efficacy of Choorna Pinda Sweda and Parisheka Sweda with Bruhat Panchamoola Choorna in the Management of Manyastambha W.S.R Torticollis - A Clinical Randomized Study

Background Torticollis is characterized by fixed or dynamic posturing of the head and neck involving tilt rotation and flexion often accompanied by spasms of the sternocleidomastoid trapezius and other neck muscles. Various treatment modalities including stretching exercises use of a neck brace and inj. Botulium toxin may provide temporary relief however the safety and efficacy of these interventions remain under investigation. Acharya Sushruta has mentioned Manyastambha as Kapha avruta vata and Ruksha sweda as the primary treatment modality. This study was undertaken to compare the efficacy of the two methods of Ruksha swedas in the treatment of Manyastambha.Objective This study compared the efficacy of Bruhat panchamoola choorna pinda sweda and Bruhat panchamoola parisheka in reducing pain stiffness and improving range of motion.Methods It was a comparative clinical study conducted using a pre- and post-test design. Patients diagnosed with Manyasthambha were randomly selected and divided into two groups Group A received Parisheka sweda and Group B received Choorna pinda sweda with 20 patients in each group. Three outcome measures were used for the assessment pain intensity assessed using the Numerical Pain Rating Scale stiffness graded from 0 to 4 and the range of motion also graded from 0 to 4. Assessment was conducted on the 0th 8th 15th and 22nd days.Results Torticollis can be effectively managed using Parisheka sweda and Choorna pinda sweda. A comparison between the two groups revealed a statistically significant difference P lt0.05 in pain intensity and Toronto Western Spasmodic Torticollis Rating Scale TWSTRS scores on the 8th day and 15th days. Choorna pinda sweda demonstrated superior results across all the parameters and showed marked improvement in quality of life starting from 8th day of treatment.Conclusion Average percentage of improvement in Group B was 79.32 which is notably higher than the 59.22 observed in Group A. Hence it can be concluded that Choorna pinda sweda Group B was more effective than Parisheka sweda Group A in the management of Manyastambha.