Author: Dr. Vikram Chauhan

December 26, 2023

Herbal Remedies for Pudendal Nerve Entrapment

Abstract

Pudendal nerve entrapment (PNE) also named as Alcock canal syndrome is an unusual origin of chronic pain in which the pudendal nerve is involved that is located in the pelvis. This can affect both the sexes associated with severely disabling and neuropathic pain. This nerve runs from the lower back from S2, S3, S4 roots ventral ramus of the sacral plexus, along with pelvic floor muscles and out to the perineum. This nerve supplies to the muscles of urethra and anus as well as skin between anus and clitoris This condition is mostly misdiagnosed, improperly treated that results in nugatory disturbance in quality of life. In this article, we are going to discuss the highlights of Pudendal nerve entrapment syndrome and also the effective management of this disease by marvellous Ayurvedic herbs

Pudendal Nerve Entrapment

Introduction

Pudendal nerve entrapment resulted by pudendal neuralgia defined as the pain related to the respective nerve, which is the main nerve running between the pubic bone and tailbone, it might be felt like deep pelvic pain. Pudendal neuralgia occurs when this nerve is over exposed to repeated traumas that leads to irritation and compression of pelvic floor muscles or tight ligaments. Injuries to the pudendal nerve cause sensory deficits more than motor deficits.

Anatomy of pudendal nerve

  • The pudendal nerve passes from the piriformis and coccygeus muscles and departs from the pelvic cavity from the greater sciatic foramen.
  • Then to re-enter the pelvic cavity it passes medially to the sacrospinous ligament and ventral to the sacrotuberous ligament where it is commonly entrapped.
  • Pudendal nerve then courses in the pudendal canal which is named as Alcock canal.
  • The three terminal branches go to ischioanal fossa and generate inferior rectal branches, perianal branches, dorsal sensory nerve of the penis and clitoris.

This nerve can entrap into these positions and show various symptoms according to the underlying cause.

Causative factors

This condition can arise from mechanical and non-mechanical injury.

Mechanical injuries – can be due to compression of nerve, stretching the nerve.

Non-mechanical causes – are viral infections, diabetes mellitus, multiple sclerosis and many others.

Some of the major causes of pudendal neuralgia are

  • Surgeries – surgeries that are used to combat the prolapsed pelvic organs are the most common cause behind the pudendal neuralgia. The condition gets more prone when there is a mesh placement surgery. This condition may persist with hysterectomy, mid-urethral sling surgery etc.
  • Direct trauma that hits the buttocks or lower back.
  • Vaginal deliveries causes consequent stretch to pelvic floor muscles which also damage the respective nerve
  • Constipation or other GI Tract related diseases.
  • Chronic perineal microtrauma caused by excessive cycling etc.
  • Sitting for prolonged time may also cause this condition

Symptoms

Patients may usually feel pain in genitals or perineum. Characteristics of pain

  • A sharp or burning pain sensation
  • The area becomes more sensitive
  • Pin pricking like sensations or numbness
  • Swelling felt on the affected part

These symptoms worsens when the patient is sitting and these symptoms may refer to the belly, buttocks or legs.

Some other symptoms may be associated with pain

  • Sudden urge to go to washroom
  • Pain or difficulty during intercourse
  • Erection disabilities

Diagnosis

Diagnosis can be made by physical examination.

MRI scans can also be helpful.

Treatment

  • Muscle relaxants
  • Anti – depressants
  • Anti – epileptic

In modern Science if these medications don’t work they try to numb the nerve or lower the inflammation which reduces the pressure and shows its effects after several weeks. In rare cases, allopathy physicians also recommend surgery in which they will remove that part that puts the pressure on the nerve. But in Ayurvedic pathology we don’t go for surgeries, we help it by supporting the neuromuscular system and eliminate these symptoms by using traditional ayurvedic herbal remedies. These herbal formulations are helpful in maintaining our nervous system properly and also heals any type of trauma that affects the nervous supply or can reduce compressions also.

Herbal remedies for Pudendal nerve entrapment by Planet Ayurveda

Planet Ayurveda is a GMP certified herbal formulations company that manufactures 100% natural products that are totally free from side-effects, fillers, dyes, or any type of chemical preservatives. These herbal formulations are prepared by the traditional methods described by different Acharyas in their respective samhitas. These products are widely distributed in India or even outside of India. Products that are used to stabilise the Pudendal nerve entrapment are

  1. Hakam Churna
  2. Boswellia+curcumin
  3. Kaishore Guggul
  4. Vikramprash

Herbal Remedies For Pudendal Nerve Entrapment By Planet Ayurveda

PRODUCTS DESCRIPTION

1. Hakam Churna

This is a natural herbal formulation given by Planet Ayurveda consists of age old herbs described in ancient ayurvedic texts consisting of Chandershoor (Lepidium sativum), kalonji (Nigella sativa) etc. This formulation can help to balance the all three doshas and supports the digestive tract, heals any kind of traumas and reduces painful sensations.

Dosage : Take 3-5 gm of powder with hot water twice daily

Boswellia Curcumin

This is a herbal formulation given by planet Ayurveda to support the blood detoxifying processes. It consists of shallaki (Boswellia serrata), haridra (Curcuma longa). These both are pitta shamak and also helpful in vata rogas too, strengthens the body to maintain the neuro-muscular system and relaxes the stress generating factors.

Dosage : 1 capsule twice daily, after meals with plain water

Kaishore Guggul

This is a polyherbal formulation mentioned in Ayurvedic textbooks consisting of Amalaki (Emblica officinalis), bibhitaki (Terminalia bellerica) etc. Kaishore Guggul is used to pacify the vata and pitta dosha and that’s why it helps to rejuvenate the nerve damage as well as is a good muscle relaxant that causes compression on the affective nerve and relieves from pain.

Dosage : 1-2 tablets twice or thrice daily with lukewarm water

Vikramprash

This marvellous herbal formulation given by planet Ayurveda to combat this condition effectively. This herbal formulation consists of bilva (Aegle marmelos), Agnimantha (Premna mucronata) etc. These herbs are helpful in maintaining doshas and dhatus in our body. This formulation helps to support the neuromuscular system by ancient traditional methods, it can also relieve the compression and other genital disorders.

Dosage : 1-2 teaspoonfuls, twice to thrice daily, preferably with milk

Conclusion

Pudendal neuralgia due to PNE is a rare neuropathic condition, it also causes the consequences in the quality of life. This condition is difficult to diagnose and patients get managed for different issues. So one must go with a well-coordinated healthcare team that can help the patient to get relief from this condition by using minimum means of medications. A good Ayurvedic practitioner can help the patient to physically rehabilitate in this challenging neuropathic syndrome.

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December 25, 2023

Herbal Treatment For Clostridium Difficile Infection

Abstract

Clostridium difficile infection was first identified in 1978 as the infection that is caused by antibiotic medication. It is an infection of the large intestine (colon), and is less responsive to treatment. This condition mostly affects older adults in hospitals or in long-term care facilities. In the US, more than 2 lakh people are getting infected with this particular disease in hospitals, this condition has just improved in previous years by improving the initial preventive measures. Moreover, in the last few years more than 1 lakh infections occur annually from the outside of hospitals and are still increasing day by day. In this article, we are going to discuss the pathophysiology, symptoms and ayurvedic treatment for Clostridium difficile infection is mentioned in Classical texts.

Clostridium Difficile Infection

Introduction

This Clostridium difficile infectionspecifically results by the disturbance of normal bacterial flora of large intestine, where this bacteria called C. difficile make colonizations and release some harmful substances that results in damage of mucosal layer and causes inflammation and damage to the intestine. The main cause is the antibiotics that play the key factor to alter the colonic flora mainly found in hospitalised patients. This disease can be life-threatening but it can also range from mild to severe. Symptoms are like watery diarrhoea of about 3-4 times a day for a few days and pain in stomach, cramps or having tenderness on the localised part. When this condition gets severe symptoms and stool may be fixed with pus or bleeding that shows the infection in the colonic tissue. If you are suffering from diarrhoeal symptoms caused by C. difficile are very severe then go and get some medical help from an Ayurvedic practitioner which can give you wonderful results by relieving your condition and Ayurvedic medication does not give any Side-effects.

Causes and Risk Factors

The main cause is Clostridium Difficile that exists all around us in air, water, soil and can affect humans and animals too. This bacteria is not in active form as it can live on the surface in the form of spores but turns active when you swallow them and enter into the intestines. Some people can even carry this bacteria in their intestines without getting any harm. But for some people it may lodge in the intestine and release toxins that attack the intestines.

New strains always give stronger effects that are more difficult to treat with medications. This bacteria usually spreads from hospitals, nursing homes, or in those workers that frequently come in contact with patients and their attendants. Bacterial infections can even spread from clothings, sheets, faeces and also by touching the mouth or nose of the patient.

Patients who are on higher doses of antibiotics are always the first to get infected. Some of the common antibiotics that have higher risk to cause C. diff infection

  • Penicillins
  • Cephalosporins
  • Fluoroquinolones
  • Clindamycin

Symptoms

Symptoms can range from mild to severe.

Mild symptoms may include

  • Watery stool – 3-4 times a day for a few days
  • Pain in abdomen, cramping or tenderness

Severe symptoms may include

  • Blood mixed stool
  • Large intestines get inflamed
  • Tissue in the large intestine can bleed and may release pus
  • Diarrhoea may extend up to 10 times a day
  • Severe pain
  • Fever
  • Nausea
  • Weight loss
  • Dehydration
  • Loss of appetite
  • Tachycardia
  • Sepsis

This condition may cause severe complications like

  • Patients can become severely dehydrated due to increased diarrhoeal episodes.
  • This loss of fluids can affect your Blood Pressure, Kidney functions and overall health may be hampered severely.
  • It can also develop Toxic Megacolon in which the colon is dilated and filled with gas and stool or may lead to swelling and rupture or lands into life threatening condition.
  • Bowel perforation can also lead by the large intestine and allows the bacteria to escape into the peritoneal cavity resulting in peritonitis.

Treatment

As we already know, this condition is the adverse effect of Antibiotics which can be relieved by Ayurvedic medications. In Allopathy medicines this disease is managed by some other antibiotics and those antibiotics may further create any other complication that also results in a harmful state for the body. Here are some herbal medications that are used to treat this infection given by Planet Ayurveda and prepared by the ethnic way that is described in ancient Ayurvedic scriptures.

Herbal formulations for clostridium difficile infection by Planet Ayurveda

Planet Ayurveda is a herbal manufacturing company that is GMP certified and prepares 100% natural products. These medications are prepared by the ancient methods that are given by respective Acharyas. Moreover, Ayurvedic preparations that are produced by traditional methods are free from harmful chemicals, any kind of side effects, fillers or dyes. Some of the efficient herbal remedies of Clostridium Difficile Infection are

  1. Kutajghan Vati
  2. Vatsakadi Churna
  3. Mahashankh Vati
  4. Arjuna Capsules
  5. Praval Panchamrit

Clostridium Difficile Infection

PRODUCT DESCRIPTION

1. KUTAJGHAN VATI

This is a single herbal formulation explained by Acharyas in classical Ayurvedic texts consisting of kutaj (Holarrhena antidysenterica), mainly given in digestive disorders, As its name suggests it specially given to control the diarrhoea frequency. It also shows wonderful effects to stop the bleeding and helps to maintain the healthy digestive tract.

Dosage : 1-2 tablets twice or thrice daily with lukewarm water.

2. VATSAKADI CHURNA

This is a polyherbal formulation given by planet Ayurveda consisting of kutaj (Holarrhena antidysenterica), bilwa (Aegle marmelos). These both herbs are helpful for GI Tract disorders and give marvellous results in reducing the stool frequency and blood mixed stool. Both herbs are helpful in maintaining the healthy intestines.

Dosage : 1 teaspoon (3 to 6 grams) of the powder shall be consumed with water.

3. MAHASHANKH VATI

This is a polyherbal formulation mentioned in classical Ayurvedic texts consisting of shunti (Zingiber officinalis), pippali (Piper longum) etc. These herbs are helpful in rejuvenating the damaged part of various organs, and also supports the GI musculature and also diminishes the various symptoms like nausea, vomiting, abdominal cramps, etc.

Dosage : 1-2 tablets twice daily with lukewarm water.

4. ARJUNA CAPSULES

This is a single herbal formulation that is given by planet ayurveda consisting of arjuna (Terminalia arjuna) that gives efficient results in maintaining the good blood flow to every part of the body. This has great healing properties, works as an antidote for various diseases, it pacifies pitta and kapha doshas and also improves general debility.

Dosage : 1-2 Capsules twice daily, with plain water, after meals.

5. PRAVAL PANCHAMRIT

This is a herbo-mineral formulation consisting of Praval (Coral) bhasma, mukta shukti (pearl) bhasma that supports the digestive tract and balances Vata and Kapha disorders, maintains healthy bowel movements which helps to control the diarrhoeal motions and many other abdominal issues.

Dosage : 1 to 2 tablets with plain water twice daily.

Conclusion

As we have discussed in this above article this particular condition is caused by adverse effects of antibiotics. In allopathy there are many medicines that give side effects and may harm our healthy body tissues unknowingly. In that condition we use Ayurvedic medications that never show any kind of adverse effects or any harm to the healthy tissue. Even Ayurvedic medications help to rejuvenate the damaged tissue.

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