A CASE REPORT ON AYURVEDIC MANAGEMENT OF SATURDAY NIGHT PALSY

Authors

  • Shitha Thomas Associate Professor, Department of Panchakarma, Government Ayurveda College, Kannur, Kerala, India
  • Anusha B PG Scholar, Department of Panchakarma, Government Ayurveda College, Tripunithura, Kerala, India
  • Aswini S K Varier PG Scholar, Department of Panchakarma, Government Ayurveda College, Tripunithura, Kerala, India
  • Seena S Professor and HOD, Department of Panchakarma, Government Ayurveda College, Tripunithura, Kerala, India.

DOI:

https://doi.org/10.55718/kja.291

Keywords:

Saturday night palsy, Radial nerve, Ekangavata, Ayurveda

Abstract

Saturday night palsy is a compressive neuropathy of the radial nerve that occurs from prolonged, direct pressure caused by an object or surface in the upper medial arm or axilla. The C5 to T1 nerve roots comprise the radial nerve, which originates from the posterior part of the brachial nerve plexus. As the name implies, Saturday night palsy arises from the connection between Saturday night partying and the ensuing stupor. Typically, this involves an individual falling asleep with the arm hanging over a chair or other hard surface which can result in protracted period of immobilization during which nerve compression can take place. The result of this compression is a nerve palsy that impairs motor and sensory function. In the present case, a 52-year-old male patient came to our OPD with reduced strength in the right hand associated with dull pain and numbness. On physical examination, the patient presents with a characteristic wrist drop and an inability to extend the wrist and fingers. Based on the symptoms, the condition can be correlated as Ekanga vata and treated accordingly. Modern medicine mostly focuses on physical rehabilitation, systemic corticosteroids, nonsteroidal anti- inflammatory medicines (NSAIDs), and steroid injections. In the case of severe radial nerve damage, surgical intervention is employed. Recovery is universal by about 6 months. But here, with Ayurvedic treatment modalities only, complete recovery was obtained within 12 days of treatment which was found to be a speedy recovery.

References

Krishna Garg, Pragathi Sheel Mittal, Mrudula Chandrupatta, BD Chaurasia’s Human Anatomy, Eighth edition, Volume 1, CBS Publishers and distributors New Delhi, 2020, 107-108p

Allan H. Ropper, Martin A. Samuels, Adams and Victor’s Principles of Neurology, 9th edition, McGraw-Hill Companies, USA, Peripheral nerve and muscle, p.1314

DeCastro A, Keefe P. StatPearls *Internet+. StatPearls Publishing; Treasure Island (FL): Jul 18, 2022. Wrist Drop. *PubMed+ *Reference list+

T.R. Harrison, W.R. Resnick, Harrison’s Principles of Internal medicine,18 th edition, Volume 2, New York 2012,p.3469

Lewis P. Rowland, Merritt’s Neurology, 10 th edition, Lippincott Williams & Wilkins USA, Chapter 68, Peripheral and cranial nerves.

Spinner RJ, Poliakoff MB, Tiel RL. The origin of "Saturday night palsy"? Neurosurgery. 2002 Sep;51(3):737-41; discussion 741. doi: 10.1097/00006123- 200209000-00023. PMID: 12188953.

Ansari FH, Juergens AL. Saturday Night Palsy. *Updated 2023 Apr 24+. In: StatPearls *Internet+. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557520/

Medical Research Council.1976. Aids to the Examination of the Peripheral Nervous System (Memorandum No. 45). The MRC Muscle scale is licensed by the Medical Research Council under the Open Government License.

Samaranayake GVP, Chandimal KM. Management of Carpal Tunnel Syndrome by Agnikarma-A Case Study. Int J Rec Innov Med Clin Res. 2020;2(3):150-153

Sharma R.K, Bhagwan Dash. Cakrapanidatta edited, Ayurveda Dipika Commentary, Charaka Samhita Chikitsasthana, Reprint 2009, Varanasi, Chaukhamba publications, Volume 5, Chapter 28, Vatavyadhi Chikitsa, sloga-53-55,p.35

Priyanka S.Thakur, Ayurveda review on Vatvyadhi : Management of Pakshavadha, Ekangavata, Sarvangavata, and Ardita , International journal of AYUSH 12(1); p 2023,35-41

Sharma R.K, Bhagwan Dash. Cakrapanidatta edited, Ayurveda Dipika Commentary, Charaka Samhita Chikitsasthana, Reprint 2009, Varanasi, Chaukhamba publications, Volume 5, Chapter 28, Vatavyadhi Chikitsa,sloga-225, p. 81-82

Tapadia M, Mozaffar T, Gupta R. Compressive neuropathies of the upper extremity: update on pathophysiology, classification, and electrodiagnostic findings. J Hand Surg Am. 2010 Apr;35(4):668-77. doi: 10.1016/j.jhsa.2010.01.007. Epub 2010 Mar 11. PMID: 20223605; PMCID: PMC4715364.

K V Krishnan Vaidyan , S Gopalapillai, Sahasrayogam , Sujanapriya Commentary, 33rd edition, Vidyarambham Publishers Alappuzha, February 2015, 111p

K V Krishnan Vaidyan , S Gopalapillai, Sahasrayogam , Sujanapriya Commentary, 33rd edition, Vidyarambham Publishers Alappuzha, February 2015, 79p

K V Krishnan Vaidyan , S Gopalapillai, Sahasrayogam , Sujanapriya Commentary, 33rd edition, Vidyarambham Publishers Alappuzha, February 2015, 147p

K V Krishnan Vaidyan , S Gopalapillai, Sahasrayogam , Sujanapriya Commentary, 33rd edition, Vidyarambham Publishers Alappuzha, February 2015, 78p

K V Krishnan Vaidyan , S Gopalapillai, Sahasrayogam , Sujanapriya Commentary, 33rd edition, Vidyarambham Publishers Alappuzha, February 2015, 300p

Kanjiv Lochan-Ashtanga Hridayam -In Kalpa sthanam -Chaukhambha Publications, Edition-First,2017, Volume-2; p.520

Kesserwani H (February 07, 2021) The "Dangles" — Wrist, Finger and Thumb Drop: A Case Report of Saturday Night Palsy and a Historical and Molecular Detour. Cureus 13(2): e13195. doi:10.7759/cureus.13195

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Published

26-06-2024

How to Cite

Shitha Thomas, Anusha B, Aswini S K Varier, & Seena S. (2024). A CASE REPORT ON AYURVEDIC MANAGEMENT OF SATURDAY NIGHT PALSY. Kerala Journal of Ayurveda, 3(2). https://doi.org/10.55718/kja.291

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Section

Case Reports