Patra Pinda swedana

ban1Patra means leaves, Pinda means bolus, Sweda is sweat, Swedana is sweat inducing treatment.Patra Pinda Sweda is a treatment in which leaves of medicinal plants having analgesic, anti-degenerative and anti-inflammatory properties are used for fomentation (sweat inducing) of painful parts

In this treatment, the leaves of medicinal plants having analgesic and anti-inflammatory properties are heated or fried in herbal oils to tolerable temperature and tied in a bolus. The bolus is heated in a pan or dipped in herbal oils being heated at a los constant temperature in pans. The heated bolus is continuously rubbed over the pain afflicted areas. This treatment is generally preferred in the absence of ama (intermediate products of digestion and cell metabolism, circulating or tissue toxins which get adhered in the cells due to their sticky nature, block the channels and transport systems of the body and cause pain and stiffness) or done after getting rid of ama through treatment procedures like Valuka Swedaor Udwarthana.

Patra Pinda Sweda is an unparalleled treatment in Vata morbidity or any disease or painful conditions caused by morbid Vayu, usually degenerative diseases. Leaves which can pacify morbid Pitta are used in the bolus for tackling inflammatory diseases of joints and soft tissues. Morbid Kapha and its symptoms like catches, heaviness, coldness etc can be got rid of by using Kapha destroying leaves in the bolus.

In which conditions is Patra Pinda Sweda used?
Patra Pinda Sweda is used mainly to provide relief from pain, inflammation, swelling and stiffness (catch) associated with bone, joint and or musculoskeletal pains. Many times it also acts as a disease-modifier wherein it provides a substantial relief of more than 90% and a long standing one too. It is more effective when combined skilfully with Abhyanga (massage with herbal oils), Kati Vasti (oil pooling for low back pains), Greeva Vasti (oil pooling for neck pains) etc treatments.

Patra Pinda Sweda is used in the treatment of –

Osteoarthritis (Sandhigata Vata) – Osteo means bones and Arthritis means painful inflammation and stiffness of the joints. Osteoarthritis is the common form of arthritis. It afflicts millions of people throughout the world. Osteoarthritis occurs when the protective cartilage on the ends of your bones wears down over a period of time i.e. it results from the breakdown of joint cartilage and underlying bone. OA can affect and damage any joint in the body.

Joints of the hands, Joints near the finger ends, base of the thumb, neck, lower back, hips, knees and spine are commonly afflicted by osteoarthritis. Joints on one side of the body are often more affected than those on the other. Unlike other types of arthritis, only joints are typically involved in OA.

The most common symptoms are joint pain and stiffness. Joint swelling and decreased range of movements are also present in many cases.

Rheumatoid Arthritis (Amavata) – It is a chronic progressive disease causing inflammation in the joints and resulting in painful deformity and immobility, especially in the fingers, wrists, feet and ankles. It has an autoimmune component also. Initially Valuka Sweda (sand bolus fomentation) is done to get rid of ama and morbid kapha. Patra Pinda Sweda is administered in the next stage of the disease to rejuvenate and strengthen the joints and soft tissues.

Chronic stages of RA (Jeerna or pravruddha Amavata) – where the inflammation has subsided but pain has been left over

Musculo-skeletal pains as in myalgia and or fibromyalgia (Mamsagata Vata)

Low back pain or Lumbago (Lumbar spondylosis)

Sciatica (Gridhrasi) – Pain affecting the back, hip and outer side of the leg caused by compression of a spinal nerve root in the lower back is called Sciatica. It happens due to the effect of degeneration of intervertebral disc or discs causing compression on the Sciatic nerve.

Intervertebral disc protrusion or prolapsed (IVDP) – is impinging or compressing on the nerves supplying the lower limbs. It presents with pain, numbness, pain extending down the limbs, pain worsening at night, muscle weakness, tingling, aching or burning sensations in the neck, back, legs and arm etc depending on the site of prolapse.

Sacroiliac Joint Syndrome or Sacroiliac Joint Dysfunction

Spondylolisthesis – is a forward displacement of a vertebra, especially a 5th lumbar vertebra. Generally it occurs following a fracture. It presents with back stiffness, tight hamstrings, leaning forward posture, waddling gait and generalized lower back pain with intermittent shooting pain from buttocks to the posterior thigh and or lower leg via sciatic nerve.

Internal derangements (ex. meniscal tears) – The onset meniscal tears is usually acute and debilitating, with preceding trauma can be minor. Patients may describe true locking (normal flexion, but an inability to extend the affected knee).

Bursitis – Greater trochanteric bursitis in the hip and pes anserine bursitis in the knee present with pain over the lateral aspect of the hip and over the medial aspect of the knee respectively. There is also local tenderness in these areas that is usually absent in simple OA.

Cervical spondylosis – Neck pain due to damage of neck bones and joints or osteoarthritis of neck bones

Whiplash – neck pain caused when a person’s head moves backward and then suddenly forward with great force.  Whiplash presents with neck pain and stiffness, headaches, dizziness, blurred vision, ringing in ears etc.

Wry neck (Torticollis) – It is a painfully twisted and tilted neck. The top of the head in this condition generally tilts to one side and the chin tilts to the other side. Symptoms include, an inability to move your head normally, neck pain or stiffness, headache, having one shoulder higher than the other, swollen neck muscles, a tilting of your chin to one side.

Ankylosing Spondylitis – It is a form of arthritis which primarily affects the spine. It causes severe inflammation of the vertebrae that might eventually lead to chronic pain and disability. The disease will cause pain and stiffness in other parts of your body. Other large joints such as the shoulders, hips and knees can be involved as well.

Polymyalgia Rheumatica It is an inflammatory disorder that causes pain and stiffness in various parts of the body. It commonly affects neck, shoulders, arms, thighs and hips.

Spinal stenosis – It is a condition in which the spinal column (backbone or spine) narrows and starts compressing the spinal cord. It is a gradual process. If the narrowing is minimal, no symptoms will occur. Too much narrowing can compress the nerves and cause problems. The symptoms include leg or arm weakness, lower back pain while standing or walking, numbness in legs or buttocks and balance problems.

Spina bifida (occulta) – It is a birth defect where there is an incomplete closing of the backbone and membranes around the spinal cord. It presents with leg weakness and paralysis, club foot, hip dislocation, bladder and bowel control problems etc