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Exploring the Potential of Ayurveda in Advancing Interventional Pain Management and Regional Anesthesia: Evidence and Future Prospects
Saturday, 7:45 AM - 08:00 AM
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Exploring the Feasibility of Ayurveda in Advancing Interventional Pain Management and Regional Anesthesia: Evidence and Future Prospects

 

•Complementary and alternative medicine (CAM) has been an important and popular source of pain management strategies in integrative medicine
•Literature and clinical practice involving CAM interventional pain techniques have predominantly focused on use of Traditional Chinese Medicine (TCM), namely acupuncture
•Despite being a comprehensive medical and surgical system that has been the traditional system of healthcare in South Asia for more than 5000 years, few studies have looked at Ayurveda as a source of interventional pain and regional anesthetic strategies
 
•Ayurveda means the “Science of Life”
•Extensive compendium of medical and surgical procedures, with over 200 diseases and 150 pathological conditions divided by organ system
•Over 700 herbs and 6000 herbal formulations
•Credited with the advancement of several interventional/surgical procedures, including rhinoplasty, cataract extraction, and therapeutic paracentesis
 
•To investigate and consider the potential of Ayurveda as a valuable source of experiential knowledge in developing new interventional pain and regional anesthetic strategies
•To identify existing literature supporting the integration of Ayurvedic clinical strategies for interventional pain management and regional anesthesia
•To provide plausible mechanisms of action of selected Ayurvedic interventional pain strategies and regional anesthetics
To propose further areas of promising research based on currently available data in order to expand the body of available literature at the intersection of Ayurveda and interventional pain/regional anesthesia
 
•Review of seminal Ayurvedic texts to identify pain strategies with interventional components used historically in Ayurveda
•PubMed/Google Scholar review of existing studies of Ayurvedic interventional strategies for pain management (2003-2015)
•Examination of venom use in Ayurveda for regional anesthesia and interventional pain with literature on mechanisms of action
 
•Four primary Ayurvedic interventional pain practices used to treat a variety of painful conditions (Agnikarma, Suchika Voron, Siravedhana, Marmapuncture)
•Most common indications for use include low back pain, arthritic pain, disk disease, focal musculoskeletal pain, and headache
•Effectiveness of regional infiltration of selected bee and snake venom for nociceptive and neuropathic pain
 
•Ayurveda offers several interventional pain techniques  which are worthy of further study, adaptation, and integration into contemporary pain practice
•Encouraging data on use of Agnikarma and Suchika Voron
•Further animal studies and prospective clinical trials with larger sample sizes may be of benefit, in addition to further studies of defining their mechanism of pain reduction
•Further in-vivo research on venom infiltration in the tissue, intravenous, and neuraxial space also appears as a promising way to adapt from Ayurvedic pain practice in search of novel local anesthetics and analgesics
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