Ayurveda management of Vatajanya Manyastamba - A Case Study

Introduction: Manyastamba characterized by stiffness and restricted movement of the neck, is classified under Vataja Nanatmaja Vyadhi in Ayurveda. It typically arises due to vitiation of Vata or Vata-Kapha Doshas. The condition commonly manifests with neck stiffness and pain, often impacting individuals with sedentary or strain-inducing occupations, such as driving. Methods: A 37-year-old male driver with a 1 ½ years history of neck stiffness and restricted movement, without neurological deficits, was diagnosed with Manyastamba with Vata Pradhana Lakshana are seen. The treatment protocol included both internal medication and external therapies. The patient was treated over 14 days. Assessment tools included the Copenhagen Neck Functional Disability Scale (CNFDS) and measurements of cervical range of motion (ROM). Results: Post-treatment, the CNFDS score improved significantly. The cervical ROM also showed considerable improvement across all measured directions. The patient reported marked reduction in stiffness and pain and the improvements were sustained during a one-month follow-up. Discussion: The outcomes suggest that the Ayurvedic treatment protocol effectively pacified vitiated Vata, alleviated muscle spasm, and improved cervical joint mobility. The internal medicines possessed Vata-Shamaka, anti-inflammatory, and Rasayana properties, while the external treatments enhanced local circulation, reduced stiffness and pain. Conclusion: This case study demonstrates the efficacy of Ayurvedic treatments in managing Manyastamba, The Ayurvedic approach targeting Vata vitiation led to significant symptomatic relief and functional improvement.