RESUMEN
Pituitary macroadenoma is an infrequently encountered clinical condition, characterized by a non-metastasizing neoplasm situated within the pituitary gland. This case report endeavours to elucidate the efficacy of ayurvedic interventions in achieving symptomatic resolution. A 44-year-old female patient, residing in Thrissur, diagnosed with features suggestive of pituitary macroadenoma, sought admission to Vaidyaratnam ayurveda college hospital for complaints of generalized pain, heaviness of head, impaired peripheral vision in the left eye, and amenorrhea persisting for approximately 7 months. The case was conclusively diagnosed as Pituitary Macroadenoma and meticulously addressed through therapeutic modalities including takradhara, nasyam, and thalapothichil. patient was already prescribed with Caberlin tablets at a dosage of 0.25 mg twice weekly, administered nocturnally. Following 21 days of treatment, notable improvement in the LBNQ-Pituitary score was observed from 60 to 21 accompanied by significant symptomatic alleviation. A specific treatment protocol for the management of pituitary macroadenoma is currently unavailable.
RESUMEN
The two main causes of rotator-cuff injuries are trauma and degeneration. Modern medical sciences recommend operative reconstruction surgery for ruptured injuries of the rotator cuff. But the outcome of surgery often leads to restrictions on movement. In this case, supraspinatus tendon tears with degenerative causes were satisfactorily managed with ayurvedic conservative management alone. A 68-year-old patient was admitted to the Kayachikitsa inpatient department of Vaidyaratnam ayurveda college, Ollur, on September 21, 2023, with right shoulder pain and restricted shoulder movements. In an MRI, the case was diagnosed as a partial tear of the anterior fibres of the supraspinatus tendon of the rotator cuff with sub-coracoid bursitis of the right shoulder joint. On examination of the right shoulder joint, all shoulder movements were restricted due to pain. Hawkins抯 impingement test, Neer抯 test, and the painful arc test were found to be positive. She underwent a treatment protocol of Vatavyadhi Chikitsa incorporated with Bhagna Chikitsa. Internal and external medications, along with Upanaham, Abhyanga, Thaila pichu, bandage, and active shoulder exercises, were the treatments followed in this case. After the treatment, patient got relief from pain (VAS scale: 7 to 4) and considerable improvement in range of motion (ROM) for the right shoulder joint. This case study highlighted that within one month, the chronic rotator cuff injury got partial functional restoration (SPADI-56 to 30) by conservative ayurvedic management.