Problem – Cervical Spondylosis

Treatment – Nasya with Karpasasthyadi Thailam

Name of Medical Problem: Cervical Spondylosis

Ayurveda term: Manyagat Vata

Background and Description

A 35-year-old young Software Engineer presented with severe pain and swelling in the neck, shoulders, and back of the head which severely restricted his neck and shoulder movements making him continue working on the computer and giving up his job temporarily. He was seen by GP and NHS consultant and had several physiotherapy sessions privately which did not help him at all.  

Signs and Symptoms:

Pain: +++ (6-7/10 on VAS)

Tingling and numbness in the left hand

Movements: Restricted- reduced neck and shoulder movements

Investigations: X-ray- showed marked disc degeneration and bulge in C6-7

Ayurveda Treatments:

The treatment approach for this patient included a combination of internal and external treatments

Internal Treatment:

  1. Trayodashang  Guggul 2 tablets twice a day along with 20ml Rasna-Erandadi  Kashaya was given twice a day after meals.
  2. Lakshadi Guggul– 2 tablets with warm water twice a day

External Treatments:

  1. Local massage with Choorna Pinda Sweda (Ayurvedic hot bag massage) x 10 sessions
  2. Nasya with Karpasasthyadi Thailam- 10 sessions


The pain was completely cured by the 9th session. The tingling and numbness were completely reduced by the 6th session. The range of movement vastly improved and came back to normal by the 10th session. Complete remission by the 10th session. The patient was given a set of Yoga postures and exercises as well Ayurvedic nasal drops to follow an internal medication to continue for further 3 months. No relapse in 3 monthly follow-ups.