The thoracic outlet region is at the lower part of the neck. It begins from above, behind the clavicle and extends all the way to the upper part of the arm. The thoracic outlet is located next to the large muscles which run vertically to the neck and are known as the sternocleidomastoid muscle. In front, there is a muscle which runs back to the neck and is called the trapezius muscle. The lower portion of the thoracic outlet extends behind the clavicle. It is known as the pectorals muscle. There are many nerves and vessels which pass through the Thoracic outlet and supply the shoulders as well as arms. They are together known as the Brachial plexus and control the muscles and also provide sensation to specific areas over shoulders and arms. The compression of these arteries leads to pain and hence the occurrence of thoracic outlet syndrome occurs. In this article we will mainly discuss the details of thoracic outlet syndrome and how its management can be done in Ayurveda.
Introduction
This condition emerges due to compression of blood vessels and nerves which are present in the spaces between the collarbone and first rib. It results in severe pain in the shoulder associated with numbness in the fingers. The condition is named after the thoracic outlet which, as mentioned before, is present between the lower neck and upper chest. Most of the blood vessels, as well as nerves, are located in this area. The commonest cause for the syndrome is repetitive injury or a traumatic car accident and certain types of defects. The term Thoracic Outlet Syndrome was first given by RM Peet. 1965.
Epidemiology
Incidence of thoracic outlet syndrome is common in only 1-2% of the population.
It is mostly seen in patients between the ages of 20 to 50 years
Females generally suffer from thoracic outlet syndrome more than men.
Sign and symptoms of Thoracic outlet syndrome
Following are the common clinical features that are observed in this condition depending on the type. It includes
Vascular thoracic outlet syndrome
This condition is seen in the condition in which veins of the lower neck and upper chest are damaged. The condition generally develops after excessive exercise and common signs like swelling in fingers, arms and hands along with heaviness associated with weakness in arms and neck.
Neurogenic thoracic outlet syndrome
Neurogenic type of thoracic outlet syndrome is related to the abnormality which is present in the soft as well as bony tissue. It is generally seen in the region of the lower neck. This causes compression and irritation of the brachial plexus. Generally the nerves are responsible for motor and sensory response. This can result in symptoms like numbness and weakness of the hands, the size of muscle is decreased and tingling along with a pricking sensation is observed.
Arterial thoracic outlet syndrome
It is one of the least common types and has higher severity than others. This is the congenital type which means it is present from birth and mostly seen in the lower neck as well as upper chest. Soreness in fingers along with poor circulation of blood around arms, hands and fingers is commonly observed. Cold sensation in fingers and arms is also common.
Causes of Thoracic outlet syndrome
The Exact cause for the thoracic outlet syndrome is not known but it is understood that it is due to nerve compression. The causes for nerve compression can include things like
Poor posture
Holding the head for too long or dropping the shoulder instantly can result in compression of the thoracic outlet area.
Anatomical defects
Congenital defect which is present from birth due to mutation or can be an inherited condition results in abnormal tightening of the fibrous band connecting the spine to the rib.
Trauma
Trauma can be the result of a car accident or can be due to a fall, damage to the shoulder thus resulting in compression of nerves or vessels in the thoracic outlet syndrome.
Repetitive activity
Doing an excessive amount of the same action or exercise every day may lead to wearing and tearing of the tissue. Mostly activities like typing, lifting, swimming, or playing basketball can also lead to compression of nerves in the thoracic outlet.
Pressure on the joints
Obesity or being overweight will put pressure on the joints or carrying an oversized backpack can do the same, thus compressing the nerves or vessels in the thoracic outlet.
Risk factors
Below are two factors that may increase the chances of developing this condition. It includes
Sex:- Females are more likely to suffer from the disease as compared to males.
Age:- Adults between the ages of 20 to 40 years of age.
Diagnosing thoracic outlet syndrome
The diagnosis of this condition is generally done by doing examination of the patient and after examination certain scan tests can be guided to the patients
Physical examination showed depression in the shoulder and swelling of the arms.
X-ray
Ultrasound
CT-scan (Computed tomography)
MRI (Magnetic resonance imaging)
Angiography
Arteriography and venography
EMF
Nerve conduction study
Treatment for Thoracic outlet syndrome
Physical therapy
In neurogenic thoracic outlet syndrome, physical therapy is the kind of treatment that is usually preferred. The patient is asked to perform certain exercises which helps in strengthening and stretches your shoulder muscles to open the thoracic outlet and hence improve your range of motion and hence improve your posture.
Medications
Generally anti inflammatory is prescribed along with some analgesics. Sometimes clot-dissolving medication is also given, they are called anticoagulants.
Surgical options
It is only advised when conservative treatment is not effective.
Herbal formulations by Planet Ayurveda
Planet Ayurveda is a leading Ayurvedic firm which deals with the manufacturing of herbal formulations. These formulations are prepared using potent herbs which are really effective in managing many conditions. The formulations prepared by Planet Ayurveda do not contain any kind of adulterants, dyes, additives, fillers etc. These medications are too potent to manage many conditions and are very fruitful hence giving positive noticeable results. The medication or formulations offered by Planet Ayurveda for the management of thoracic outlet syndrome is as follows
Yograj Guggul
Boswellia Curcumin
Aamvatantak Churna
Vrahat VatChintamani Ras
Bone Support
Product Description
1. Yograj Guggul
Yograj guggul is prepared using herbs like Guggul (Commiphora mukul), Pippali (Piper longum), Kulanjan (Alpinia galanga) and many others. The formulation helps in providing strength to the body and muscles as well. The formulation helps in nourishing the thoracic outlet area. Along with that, it will remove the ailments like pain, stiffness as well as numbness of the bones and muscles.
Dosage: Two tablets twice daily with water after meals
2. Boswellia Curcumin
Boswellia curcumin is prepared from two very excellent herbs, Shallaki (Boswellia serrata) and Curcumin (Curcuma longa). This is very effective in decreasing inflammatory changes in the muscles and hence increases movement of the area. This herbal formulation is no doubt very good for the patient who suffers from thoracic outlet syndrome.
Dosage: One capsule twice a day after meals
3. Aamvatantak Churna
The formulation is available in Churna or powder form and helps in getting rid of the inflammation and stiffness from the joints as well as the muscles. It contains herbs like Ashwagandha (Withania somnifera), methi (Trigonella foenum graecum), Gorakhmundi (Sphaeranthus indicus), haridra (Curcuma longa) and many others. It is very effective in removing pain and tingling sensation from the affected part. Moreover, it helps in pacification of vata dosha which is mainly responsible for various types of pains in this condition, especially the pricking ones.
Dosage: Two teaspoonfuls twice daily after meals with water.
4. Vrihat Vatchintamani Ras
The formulation has ingredients like Swarna bhasma, Abhrak bhasma, Loha bhasma, Mukta bhasma and many more. Vrihat vatchintamani ras is very effective in enhancing the movement of muscles as well as bones by improving the circulation of blood vessels and veins. It also helps in pacification of vata dosha which is responsible for nerve compression. Moreover, it having rejuvenating and anti-aging properties.
Dosage: One tablet twice a day after meals with water.
5. Bone Support
Bone support is made from herbs like Shudh Laksha (Laccifer lacca resin), Arjun (Terminalia arjuna), Mukta (Pearl calcium), and many more. This is one of the best ayurvedic combinations for improving the health of the bones and promoting circulation to the muscles. It is very effective in treating any kind of bone or muscle defect. This formulation helps in improving bone density especially in osteoporosis, paget’s disease and many others.
Dosage: Two capsules twice a day with water after meals.
Thoracic outlet syndrome is a very rare known condition but can have a serious impact on one’s life. Generally patients present with complaints regarding restriction of movements along with pricking pain in the shoulder which radiates to back, arms, hands and towards the sternum. As mentioned the thoracic outlet is located in the back of the lower neck and no doubt compression of nerves affect the movement of the neck also. The formulations which are being suggested by planet ayurveda are totally herbal and are effective in managing this condition. They do not contain any kind of adulterants or additives like dyes and colors. In case of any query kindly visit WWW.planetayurveda.com
Vitamin C is one of the most important nutrients for the human body as it plays a vital role in formation and maintenance of the skin, bones and blood vessels. Vitamin C is a natural antioxidant which prevents the body from damage of the free radicals. This amazing nutrient is found naturally in certain fruits and vegetables however nowadays various supplements for vitamin c are also available in the market. In this article we have discussed the major roles of vitamin c, results of its deficiency and its management through natural sources and few herbal supplements offered by Planet Ayurveda.
INTRODUCTION
There are some essential nutrients and some non essential. Vitamin C falls in the category of the essential nutrients which means the human body cannot produce it and you need to take it from food sources. Fruits like strawberries, oranges, kiwi and vegetables like broccoli, bell peppers, spinach and kale contain this vitamin in abundance. Medically recommended amount of vitamin C for a male is 90 mg and for a female is 75 mg.
Let’s learn about the reasons which make vitamin C a vital nutrient that we need to take.
Vitamin C is a natural and potent antioxidant which strengthens the immune system of the body. Being antioxidant it safeguards the body against damage caused by free radicals. Sticking up of free radicals at certain points in the body causes oxidative stress in the body which is the cause of many chronic diseases. Hence eventually vitamin C prevents or reduces the risk of several chronic diseases.
Certain studies have concluded that vitamin c helps in relaxing the blood vessels and normalizes the blood pressure. It helps to manage the high blood pressure which is the cause for various cardiovascular diseases.
Vitamin C helps in maintaining the cardiovascular health as it possesses various cardioprotective properties like antioxidant, helps in relaxing and widening the blood vessels, reduction in formation and deposition of plaque in case of atherosclerosis and also improves the production of nitric oxide. All these factors help in preventing high blood pressure and heart diseases.
Vitamin C helps in the treatment or prevention of iron deficiency anemia. This amazing vitamin enhances the absorption of the iron in the body. Vitamin c also plays a role to convert the poor absorbing plant-based source of iron into that which can be absorbed easily.
Vitamin C plays a very important role in boosting the immunity as it works amazingly to control various actions in the immune system. It enhances the white blood cells production and further protects these cells from the damage caused by free radicals and other harmful molecules.
It helps in production of collagen in the body and is also present in muscles, skin and other body tissues. Low vitamin c results in delayed or slow healing of wounds due to decreased production of collagen.
Risk of eye diseases like cataract and age related macular degeneration can be lowered or prevented by taking a good amount of vitamin C in your diet or if there is deficiency one should opt for organic supplements.
signs and symptoms
There are certain signs and symptoms which appear if you are deficient of vitamin C or Scurvy (condition resulting from vitamin C deficiency).
Some of the major ones are
Low level of vitamin c results in bumpy and rough skin as there occurs building up of keratin protein within the pores also due to decreased production of collagen which is a protein found in skin, joints, hair, blood vessels and bones.
Due to deficiency of vitamin C there can occur improper growth of hair into coiled or bent shapes. This usually occurs due to protein defects which create an abnormal structure of the hair resulting in corkscrew-shaped hair. It is also a characteristic sign of vitamin C deficiency.
One more characteristic of vitamin C deficiency is spoon shaped nails which break easily due to increased thinning and brittleness.
Due to poor production of collagen there occurs easy bruising as a result of weak blood vessels.
Wound healing is very slow in vitamin deficient people due to low collagen production. This is usually seen in the form of non healing chronic leg ulcers.
Joints are swollen and painful causing difficulty in walking or limping due to low collagen in connective tissues of the bones.
Bones are weak and there can occur slow growth and development of bones in children. Low vitamin C can result in increased bone loss rate.
Vitamin C is very important for healthy gums and teeth and its deficiency leads to swollen, red and bleeding gums. As gums require a good amount of vitamin c, hence its shortage makes them weak and inflamed along with the weak blood vessels leading to easy bleeding from gums.
As vitamin C plays a big role in immunity, hence low amounts of this vitamin result in decreased immunity and risk of various serious diseases is raised.
Iron deficiency anemia is caused as low vitamin c results in decreased absorption of iron in the body. This eventually leads to iron deficiency anemia, causing complaints like fatigue, paleness, difficulty in breathing while physical activity, dryness of hair and skin.
There are various natural sources of vitamin c through which you can gain a good amount of vitamin c. Foods which are rich in this vital nutrient are citrus fruits like oranges, lemons, Indian gooseberry, other sources like peppers, Brussels sprouts, strawberries, potatoes, guava, blackcurrants, thyme, parsley, mustard spinach, kale, kiwi, lychees, tomatoes, winter squash, cabbage, spinach, turnip green and papaya.
In the case of severe forms of vitamin c deficiency, only food sources are not enough to combat the ailment and some supplement is also required. There are various vitamin c supplements present in the market but not all of them are right to be used and can result in various health ailments if the wrong one is taken. Hence you must choose the correct vitamin C supplement.
There is an amazing vitamin c supplement offered by Planet Ayurveda- a renowned herbal pharmaceutical company.All the products produced here are purely organic, herbal and vegetarian which ensures its safety and effectiveness. Several quality check procedures are carried out to check each and every ingredient’s authenticity. Planet Ayurveda offers “Amalaki rasayana” to combat Vitamin C deficiency.
Amalaki rasayan
Amalaki rasayan is formulated from standardized extract of the amla (Emblica officinalis) which is the richest source of vitamin C in nature. These herbal capsules help in fulfilling the deficiency of vitamin naturally without causing any harm to the body even if taken for a long term as it does not contain any type of chemicals, additives, preservatives, dye, colors, fillers, binder or yeast.
Dosage– Take 1 capsule twice daily after meals with plain water
Vitamin C is a very important nutrient for the body as it is involved in various vital phenomena of the human body. Its deficiency can result in various complaints and serious complications. Hence keep your vitamin c levels in check.
