{"id":7553,"date":"2025-01-07T11:03:16","date_gmt":"2025-01-07T11:03:16","guid":{"rendered":"https:\/\/mauryaayurveda.com\/?p=7553"},"modified":"2025-01-10T06:21:14","modified_gmt":"2025-01-10T06:21:14","slug":"post-concussion-syndrome-treatment-in-ayurveda","status":"publish","type":"post","link":"https:\/\/mauryaayurveda.com\/ar\/post-concussion-syndrome-treatment-in-ayurveda\/","title":{"rendered":"POST CONCUSSION SYNDROME; AN UNDERSTANDING IN AYURVEDA"},"content":{"rendered":"<p><span data-preserver-spaces=\"true\">Post-concussion syndrome(PCS) is defined as the persistence of concussion symptoms such as headache, dizziness, fatigue, and difficulty in concentrating beyond the acute recovery phase, typically lasting more than 4 weeks in adults and children. It\u2019s considered a form of chronic sequelae of a mild traumatic brain injury.<\/span><\/p>\n<blockquote><p><span data-preserver-spaces=\"true\">In Ayurveda, this condition can be correlated to Abhighathaja Vyadhi, which refers to conditions\u00a0or disorders caused by an external trauma or injury(Abhighatha). These may result from physical accidents, falls, blows, or overexertion, leading to conditions such as contusions, concussions, fractures, dislocation etc. Trauma disrupts the harmony of doshas (vata, pitta, and kapha), causing localized or systemic effects depending on the severity and nature of the injury.<\/span><\/p><\/blockquote>\n<p><span data-preserver-spaces=\"true\">Dosha involvement and Lakshanas:<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">1. Vata dosha: Dominantly aggravated due to its role in movement, pain, and sensory function.<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Symptoms: Severe pain, dizziness and tremors.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">2. Pitta dosha: Aggravated in cases of inflammation, bleeding, or burning sensation.<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Symptoms: Redness, heat, and irritability.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">3. Kapha dosha: Imbalance due to swelling, heaviness, and sluggishness.<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Symptoms: Lethargy, confusion, or unconsciousness.<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">ETIOLOGY OF POST CONCUSSION SYNDROME(PCS):<\/span><\/h2>\n<p><span data-preserver-spaces=\"true\">The exact cause of PCS is not fully understood, but it\u2019s believed\u00a0to be a combination of physical, psychological, and neurological factors. PCS typically occurs after a mild traumatic brain injury(TBI) <\/span><span data-preserver-spaces=\"true\">such<\/span><span data-preserver-spaces=\"true\"> as a concussion, when the brain experiences direct or indirect trauma.<\/span><\/p>\n<h4><span data-preserver-spaces=\"true\">1. Structural and Neurological Damage:<\/span><\/h4>\n<ul>\n<li><span data-preserver-spaces=\"true\">Concussions involve physical changes to the brain, even if they are not visible on standard imaging techniques like CT or MRI\u00a0 scans. These changes may contribute to PCS.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">a)Axonal Shearing:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Cause: The brain rushes inside the skull during impact, leading to <\/span><span data-preserver-spaces=\"true\">stretching,<\/span><span data-preserver-spaces=\"true\">\u00a0and damaging axons(nerve fibers that transmit signals).<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Impact: This disrupts communication between neurons <\/span><span data-preserver-spaces=\"true\">adding<\/span><span data-preserver-spaces=\"true\"> to cognitive and sensory\u00a0symptoms\u00a0such as memory\u00a0issues, headaches, and dizziness.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">b)Neurochemical imbalance:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Cause: Trauma causes a sudden release of neurotransmitters (chemical messengers in the brain) <\/span><span data-preserver-spaces=\"true\">leading<\/span><span data-preserver-spaces=\"true\"> to energy imbalances.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Impact: The brain\u2019s demand for energy increases, but the ability to deliver oxygen and glucose is impaired, prolonging recovery\u00a0and causing symptoms like fatigue and mental fog.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">c)Inflammation<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Cause: Trauma can trigger an inflammatory response in the brain.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Impact: Persistent inflammation can lead to chronic symptoms such as headaches, mood changes, and cognitive difficulties.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">d)Blood flow disruption:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Cause: Altered cerebral blood flow due to vascular <\/span><span data-preserver-spaces=\"true\">damage,<\/span><span data-preserver-spaces=\"true\">\u00a0 or autoregulatory dysfunction.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Impact: Impaired blood flow can cause dizziness, headaches, and concentration problems.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">2. Psychological and Emotional factors:<\/span><\/h4>\n<ul>\n<li><span data-preserver-spaces=\"true\">In some cases, psychological components contribute to\u00a0the development or persistence of PCS symptoms.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Impact: These conditions can amplify symptoms like fatigue, headaches, and sleep disturbances.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">b) Post-traumatic stress disorder(PTSD):<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Cause: PCS is more likely in individuals\u00a0who have experienced emotional trauma during or after the injury, especially in accidents or assaults.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Impact: PTSD symptoms such as hyperarousal, flashbacks, and irritability may overlap with or worsen symptoms.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">c)Somatization:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Cause: Individuals with heightened health anxiety may focus on minor symptoms, perceiving them as more severe.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">3. Vestibular and sensory system dysfunction:<\/span><\/h4>\n<p><span data-preserver-spaces=\"true\">Trauma to the head can affect the vestibular system(responsible for balance)and sensory processing.<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">a)Vestibular dysfunction:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Cause: Damage to inner ear structures or their connection to the brain.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Impact: Causes symptoms like dizziness, vertigo, and balance problems, usually in PCS.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">b)Oculomotor dysfunction:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Cause: Trauma can impair eye movements and coordination.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Impact: Results in symptoms like blurred vision, double vision, and difficulty focusing.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">c)Auditory disturbances:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Cause: Concussion-related trauma to the auditory system.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Impact: can result in tinnitus(ringing in the ears)or hypersensitivity to noise.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">4.Genetic and biological predispositions:<\/span><\/h4>\n<p><span data-preserver-spaces=\"true\">Certain<\/span><span data-preserver-spaces=\"true\"> individuals\u00a0may be genetically or biologically predisposed<\/span><span data-preserver-spaces=\"true\"> to develop PCS.<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">a)Gender:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Observation: Studies suggest women may be more likely to develop PCS.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Reason: This may be due to hormonal influences or differences in neck muscle strength and brain structure.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">b)Age:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Observation: Older adults are at higher risk of prolonged recovery.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Reason: Age-related changes in the brain, plasticity,\u00a0 and vascular health may delay healing.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">c)Pre-existing conditions:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Observation: Conditions like migraines, ADHD, or mental\u00a0health\u00a0disorders\u00a0increase susceptibility.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Reason: These conditions may overlap or amplify PCS symptoms.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">5)Repeated Concussions<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Experiencing multiple concussions increases the likelihood of PCS.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">a)Cumulative damage<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Cause: Repeated injuries may lead to more extensive axonal damage and prolonged inflammation.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Impact: This can lead to severe, sometimes permanent brain damage, making PCS more likely.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">b)Second Impact Syndrome:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Cause: A second <\/span><span data-preserver-spaces=\"true\">concussion,<\/span><span data-preserver-spaces=\"true\"> occurs before the first one has healed.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Impact: This can lead to severe <\/span><span data-preserver-spaces=\"true\">sometimes<\/span><span data-preserver-spaces=\"true\"> permanent brain damage, making PCS more likely.<\/span><\/li>\n<\/ul>\n<h4>5. Psychological stress and external forces:<\/h4>\n<ul>\n<li><span data-preserver-spaces=\"true\">The recovery process itself may contribute to PCS in some cases.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">a)Overexertion:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Cause: Returning to work, <\/span><span data-preserver-spaces=\"true\">or<\/span><span data-preserver-spaces=\"true\"> sports too early can strain the brain.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Impact: Symptoms like headaches and fatigue may persist\u00a0or worsen.\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">b)Lack of support:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Cause: Social, financial, or occupational pressures after an injury\u00a0can increase stress.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Impact: Emotional stress may exacerbate symptoms.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">c)Misdiagnosis or poor management:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Cause: Delayed or inadequate treatment for the initial concussion.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Impact: Prolongs healing and increases the likelihood of persistent symptoms.<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">CLINICAL SYMPTOMS OF POST CONCUSSION SYNDROME(PCS):<\/span><\/h2>\n<p><span data-preserver-spaces=\"true\">The clinical symptoms can vary for each patient. Here are the clinical signs:<\/span><\/p>\n<h4><span data-preserver-spaces=\"true\">1. Physical Symptoms:<\/span><\/h4>\n<p><span data-preserver-spaces=\"true\">These are the most common and often the first to appear. They include:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Headache: A persistent tension or migraine-type headache is the hallmark symptom.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Dizziness: Feeling lightheaded or experiencing vertigo, especially when standing up quickly.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Fatigue: Constant tiredness\u00a0and lack of energy.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Sleep disturbances: Includes insomnia, difficulty falling asleep, or excessive sleepiness.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Sensitivity to light and noise: Difficulty tolerating bright lights or loud environments.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Visual disturbances: Blurred vision, double vision, or difficulty focusing.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Tinnitus: Ringing or buzzing sounds in ears.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Nausea: Sometimes accompanied by dizziness or vomiting.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">2.Cognitive Symptoms:<\/span><\/h4>\n<p><span data-preserver-spaces=\"true\">These are related to mental functioning and may be subtle but impactful:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Memory problems: Difficulty recalling recent events or new information.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Attention and concentration issues: Trouble focusing on tasks or conversations.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Executive dysfunction: Impaired decision-making, planning, or problem-solving abilities.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Processing speed: Slower thinking or response times.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">3. Emotional and behavioral symptoms:<\/span><\/h4>\n<p><span data-preserver-spaces=\"true\">Concussions can disrupt emotional regulation, leading to:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Irritability: Increased frustration or anger over minor issues.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Depression: Feelings of sadness, hopelessness, or a loss of interest in activities.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Anxiety: Excessive worry, tension, or fear.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Emotional liability: Rapid mood swings or heightened emotional responses.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">4. Autonomic Dysregulation symptoms:<\/span><\/h4>\n<p><span data-preserver-spaces=\"true\">Post-concussion syndrome affects the autonomic nervous system, leading to:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Heart rate and blood pressure variability: Palpitations or dizziness during positional changes.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Thermoregulation issues: Feeling excessively hot\u00a0or cold without external triggers.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Exercise intolerance: Feeling faint or unwell during physical activity.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">5. Neurological symptoms:<\/span><\/h4>\n<p><span data-preserver-spaces=\"true\">Some patients may report additional neurological complaints:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Balance problems: Feeling unsteady or having difficulty walking.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Seizures: Rare, but possible in severe cases(post-traumatic epilepsy).<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Paresthesia: Tingling or numbness, especially in the extremities.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">6. Social and functional impairments:<\/span><\/h4>\n<p><span data-preserver-spaces=\"true\">Persistent symptoms can lead to significant challenges in daily life, such as:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Work or academic difficulties: Poor performances due to cognitive or emotional struggles.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Social withdrawal: Avoiding people because of irritability, fatigue, or\u00a0emotional stress.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Reduced quality of life: General dissatisfaction due to limitations caused by PCS.<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">DIAGNOSIS OF POST CONCUSSION SYNDROME(PCS):<\/span><\/h2>\n<p><span data-preserver-spaces=\"true\">Diagnosing PCS can be challenging as there are no definitive diagnostic tests. It often requires clinical evaluation, history taking, and exclusion of other conditions.<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">A few challenges in the diagnosis of PCS are:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Subjectivity of symptoms: Many PCS symptoms are subjective making them hard to quantify.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Overlap with psychological conditions: Symptoms like fatigue, irritability, and concentration difficulties are seen in depression and anxiety.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Lack of biomarkers: No specific lab tests or imaging studies can definitively diagnose PCS.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Cultural and individual variations: Symptom reporting may vary based on personal and cultural factors.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">Here\u2019s a detailed breakdown of the diagnostic process:<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">1. Analyzing clinical history:<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">The cornerstone of PCS diagnosis is a thorough patient history and symptom assessment:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Trauma history: Establish if there was a head injury, even if it&#8217;s a minor injury. Look for events like falls, motor vehicle accidents, or sports injuries.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Symptoms following injury: Document the onset of symptoms immediately or shortly after the injury.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">The clinical symptoms comprise of: Headache, dizziness, fatigue, sleep disturbances, memory issues, concentration problems, irritability or mood swings, sensitivity to light or noise, and blurred vision.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Symptom persistence: For PCS, these symptoms must persist for several weeks or months, typically beyond the expected recovery period(3-6 months).<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">2. Symptom-based diagnostic criteria:<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">Diagnostic criteria from sources like the International Classification of Diseases(ICD-11) or the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)can guide evaluation:<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">ICD-11 criteria for PCS:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Symptoms lasting at least 3 months after the head injury.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Symptoms must include at least<\/span><span data-preserver-spaces=\"true\"> any of the 3 <\/span><span data-preserver-spaces=\"true\">: headache, dizziness, fatigue, irritability, insomnia, difficulty concentrating, or memory issues.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">No<\/span><span data-preserver-spaces=\"true\"> clear alternative explanation for the symptoms.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">DSM-5 criteria for major\/mild neurocognitive disorder due to TBI:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Evidence of cognitive decline in one or more domains.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Symptoms must interfere with independence in everyday activities.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">A history of TBI associated with loss of consciousness, post-traumatic amnesia, or neurological deficits.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">3. Physical and neurological examination:<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">A comprehensive examination is crucial to identify any residual neurological deficits or exclude other conditions:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Balance and gait testing: To evaluate dizziness or vestibular dysfunction.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Vision and eye movements: Issues like blurred vision or convergence insufficiency are common.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Cranial nerve testing: To rule out damage to cranial nerves.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Cognitive assessment: Assess memory, attention, and executive function.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">4. Neuropsychological Testing:<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">Formal neuropsychological assessments are often used for:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Cognitive testing: Evaluating deficits in memory, attention, problem-solving, and language.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Emotional and psychological symptoms: Screening for mood disorders like depression or anxiety, which are common in PCS.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">5. Imaging and laboratory tests:<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">While PCS cannot be confirmed through imaging, tests may rule out other conditions.<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">CT or MRI: To rule out structural damage, hemorrhages, or other abnormalities.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Advanced imaging(if available): Functional MRI(fMRI), diffusion tensor imaging(DTI), or PET scans may show subtle brain changes, but these are not routinely used.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Blood tests: <\/span><span data-preserver-spaces=\"true\">To<\/span><span data-preserver-spaces=\"true\"> rule out metabolic or systemic issues, such as thyroid dysfunction or anemia, that could mimic PCS symptoms.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">6. Exclusion of other diagnosis:<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">PCS symptoms can overlap with other medical or psychological conditions. It\u2019s essential to exclude:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Migraines or other headache disorders.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Vestibular disorders. Eg: benign paroxysmal positional vertigo, labyrinthitis.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Psychiatric disorders. Eg: depression, PTSD, anxiety.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Neurological conditions, Eg: multiple sclerosis, epilepsy.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Chronic pain syndrome.<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">TREATMENT OF POST CONCUSSION SYNDROME (PCS) IN MAURYA AYURVEDA HOSPITAL:<\/span><\/h2>\n<blockquote><p>The symptoms of Post-Concussion Syndrome(PCS) can last for weeks or even months. While the treatment progress may be slow, a consistent and appropriate approach can lead to gradual improvement. Our hospital focuses on holistic strategy to address the symptoms, ensuring noticeable enhancements overtime. We provide integrated care for PCS by collaborating Ayurveda, acupuncture and\u00a0 physiotherapy.<br \/>\nThe treatment modalities offered at our hospital are outlined below:<\/p><\/blockquote>\n<h2><span style=\"font-weight: 400;\">ROLE OF AYURVEDA IN POST CONCUSSION SYNDROME(PCS):<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">EXTERNAL TREATMENTS IN POST CONCUSSION SYNDROME:<\/span><\/h3>\n<h3><span data-preserver-spaces=\"true\">1)SHIRO DHARA:<\/span><\/h3>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-7614\" src=\"https:\/\/mauryaayurveda.com\/wp-content\/uploads\/2025\/01\/Untitled-design-79-300x180.png\" alt=\"SHIRO DHARA-PCS\" width=\"428\" height=\"257\" \/><\/p>\n<p><span data-preserver-spaces=\"true\">The regular, rhythmic application of heated medicinal oil, herbal concoctions, or other therapeutic liquids to the forehead is known as <a href=\"https:\/\/mauryaayurveda.com\/ar\/shirodhara-ayurveda-therapy-maurya-ayurveda\/\">\u0634\u064a\u0631\u0648\u062f\u0647\u0627\u0631\u0627<\/a>. This therapy is well known for its ability to soothe the nervous system. Here, KSHEERABALA TAILA is normally used for the same objective.<\/span><\/p>\n<h4><span data-preserver-spaces=\"true\">TAKRADHARA:<\/span><\/h4>\n<p><img decoding=\"async\" class=\"alignnone wp-image-7615\" src=\"https:\/\/mauryaayurveda.com\/wp-content\/uploads\/2025\/01\/Untitled-design-77-300x180.png\" alt=\"TAKRADHARA-PCS\" width=\"428\" height=\"257\" \/><\/p>\n<p>&nbsp;<\/p>\n<p><span data-preserver-spaces=\"true\"><a href=\"https:\/\/mauryaayurveda.com\/ar\/%d8%af%d8%a7%d8%b1%d8%a7-%d8%b9%d9%84%d8%a7%d8%ac-%d8%ae%d8%a7%d8%b5-%d9%81%d9%8a-%d8%a7%d9%84%d8%a3%d9%8a%d9%88%d8%b1%d9%81%d9%8a%d8%af%d8%a7\/\">Takradhara<\/a> is a\u00a0procedure in which medicated buttermilk is poured in a continuous stream over the forehead(Shirodhara) or entire body(Sarvanga dhara). This treatment(Shirodhara) is particularly effective for managing stress, neurological conditions, etc.<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Buttermilk is prepared by churning curd(yogurt) with water and removing butter content.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">To enhance their therapeutic properties, herbal decoctions of Amalaki (Indian gooseberry) or musta(Cyperus rotundus) are added. <\/span><\/li>\n<li><span data-preserver-spaces=\"true\">The duration typically ranges from 30-60 minutes.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">Benefits:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">The cooling effect of medicated buttermilk reduces pitta-related inflammation and relieves chronic headaches.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">The rhythmic pouring of buttermilk has a calming effect on the brain and central nervous system, reducing mood swings, irritability, anxiety, and restlessness.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">It also improves sleep quality and relaxation by balancing vata.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\"> Balancing vata and pitta also helps address dizziness, balance issues, etc.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Since amalaki and musta provide neuroprotective effects, they support neurological healing.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">The anti-inflammatory properties of the herbs used in Takradhara reduce swelling and inflammation of the head region, aiding recovery from trauma.<\/span><\/li>\n<\/ul>\n<h3><span data-preserver-spaces=\"true\">2)SHIRO VASTHI:<\/span><\/h3>\n<p><img decoding=\"async\" class=\"alignnone wp-image-7616\" src=\"https:\/\/mauryaayurveda.com\/wp-content\/uploads\/2025\/01\/Untitled-design-81-300x180.png\" alt=\"SHIROVASTHI-PCS\" width=\"430\" height=\"258\" \/><\/p>\n<p><span data-preserver-spaces=\"true\">Shiro means head and Vasthi refers to container or holding. This treatment involves <\/span><span data-preserver-spaces=\"true\">the retention<\/span><span data-preserver-spaces=\"true\"> of warm medicated oils on the scalp within a specially designed cap or container for a prescribed duration(<\/span><span data-preserver-spaces=\"true\">for<\/span><span data-preserver-spaces=\"true\"> about 30-60 minutes). A dough made of black gram flour is used to seal edges. Normally Ksheerbala taila is warmed and used. After the procedure oil is removed, head is gently massaged\u00a0to ensure relaxation and better absorption.<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">Benefits of Shiro <a href=\"https:\/\/mauryaayurveda.com\/ar\/vasti-ayurvedic-enema-panchakarma-maurya\/\">\u0641\u0627\u0633\u062a\u064a<\/a>:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">The warm medicated oils used in Shiro Vasthi have anti-inflammatory\u00a0and analgesic properties, soothing the nerves and reducing pain.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Shiro Vasthi induces relaxation, calms the mind, and regulates sleep cycles by harmonizing the hypothalamic pituitary adrenal axis.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\"> Medicated oils like Ksheerabala help to rejuvenate brain cells, enhance neural repair, and reduce oxidative stress in the brain tissue.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">It also supports healing and recovery, by increasing blood flow to the brain.<\/span><\/li>\n<\/ul>\n<h3><span data-preserver-spaces=\"true\">3)SHIRO PICHU:<\/span><\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7617\" src=\"https:\/\/mauryaayurveda.com\/wp-content\/uploads\/2025\/01\/Untitled-design-82-300x180.png\" alt=\"SHIRO PICHU-PCS\" width=\"428\" height=\"257\" \/><\/p>\n<p><span data-preserver-spaces=\"true\">Placing a cotton cloth or pad dipped in warm medicated oil o<\/span><span data-preserver-spaces=\"true\">n<\/span><span data-preserver-spaces=\"true\"> the crown of the head is known as shiro pichu. Ksheerabala <\/span><span data-preserver-spaces=\"true\">taila<\/span><span data-preserver-spaces=\"true\"> is used for the same. <\/span><span data-preserver-spaces=\"true\">It&#8217;s usually done<\/span><span data-preserver-spaces=\"true\"> about 20 minutes.<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">Benefits:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">It promotes mental relaxation.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">It helps in reducing stress and anxiety.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">It calms down the nervous system.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">It\u2019s good to manage headaches and tension.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">It improves the quality of sleep.<\/span><\/li>\n<\/ul>\n<h3>4)THALAM:<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7324\" src=\"https:\/\/mauryaayurveda.com\/wp-content\/uploads\/2024\/11\/THALAM-2-300x214.webp\" alt=\"THALAM-PCS\" width=\"423\" height=\"302\" \/><\/p>\n<p><span style=\"font-weight: 400;\">Applying a medicinal paste to the center of the head\u00a0 in Ayurveda is known as thalam. The medicinal paste helps to lessen and treat illness by stimulating and acting upon nerve endings. Its benefits include:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Helps with sleep issues.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stimulates senses and sensory channels.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Managing elevated blood pressure.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reducing the prevalence of headaches, including migraines, and other ENT-related conditions.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">KACHOORADI THALAM produces the best outcomes in this case.<\/span><\/p>\n<h3>5)THALAPOTHICHIL:<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7618\" src=\"https:\/\/mauryaayurveda.com\/wp-content\/uploads\/2025\/01\/Untitled-design-83-300x180.png\" alt=\"THALAPOTHICHIL-PCS\" width=\"427\" height=\"256\" \/><\/p>\n<p>Thalapothichil is also called shiro lepa, where the scalp of a patient is applied with medicinal herbs for various neurological and mental disorders. Here the patient is initially applied with medicinal herb paste( which is covered through the entire scalp and is normally covered using banana leaf. Then medicinal oils like Ksheerabala, Chandanadi, or Valiya Chandanadi are applied as Thalam.<\/p>\n<p><span data-preserver-spaces=\"true\">The medicinal herb paste is made with\u00a0<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Amala(Indian gooseberry,Phyllanthus emblica).<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Mustha(Nut Grass,Cyperus <\/span><span data-preserver-spaces=\"true\">rotundus<\/span><span data-preserver-spaces=\"true\">).<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Usheera(Ramacham,Vetiveria zizanioides,).<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Kachuram(Kachuram,Curcuma zedoaria).<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Rasnadi choornam.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Curd.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">Benefits of Thalapothichil :<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Extremely good at improving cognitive functions.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Improvement of sensory integration that leads to better coordination and awareness.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Good for better sleep and relaxation.<\/span><\/li>\n<\/ul>\n<h3>6)NASYAM:<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7488\" src=\"https:\/\/mauryaayurveda.com\/wp-content\/uploads\/2024\/11\/Untitled-design-65-300x180.png\" alt=\"NASYAM-PCS\" width=\"427\" height=\"256\" \/><\/p>\n<p>Nasyam (Nasya) comes under one of the five purifying treatments (panchakarma) in ayurveda. For treating various diseases medicinal oils, powders, or medications are administered via the nostrils. Nasyam works especially well for conditions affecting the head, neck, and shoulders.<\/p>\n<p>Types of Nasyam:<br \/>\nMarsha Nasya: The therapeutic oil or powder is administered in higher doses. The goal of the process is to keep the nasal pathways and associated structures healthy by lubricating, nourishing, and maintaining them. Ksheerabala(101) is typically utilized for this.<br \/>\nPratimarsha Nasya: The mildest type of nasya in Ayurveda, Pratimarsha Nasya is a daily preventive form of nasya therapy. Pratimarsha Nasyam is typically done using Anu Taila.<\/p>\n<p>Benefits of Post Concussion syndrome in PCS:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Enhancement in neurological activity.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">It encourages cleansing and improves blood circulation.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">It relieves symptoms like headaches, lightheadedness and congestion of the nose.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">It improves motor and sensory abilities.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">It helps the nervous system to relax.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">It encourages recovery.<\/span><\/li>\n<\/ul>\n<h3><span data-preserver-spaces=\"true\">ROLE OF PHYSIOTHERAPY IN POST-CONCUSSION SYNDROME(PCS):<\/span><\/h3>\n<h4><span data-preserver-spaces=\"true\">1. Stretching exercises:<\/span><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7620\" src=\"https:\/\/mauryaayurveda.com\/wp-content\/uploads\/2025\/01\/TRAPEZIUS-STRETCH-3-300x202.png\" alt=\"TRAPEZIUS-STRETCH -PCS\" width=\"428\" height=\"288\" \/><\/p>\n<h4><span data-preserver-spaces=\"true\">Techniques of stretches:<\/span><\/h4>\n<ul>\n<li><span data-preserver-spaces=\"true\">Neck stretches.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Upper trapezius stretch.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Levator scapulae stretch.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Chest opener stretch.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Cat-cow stretch.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Scalene stretch.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">Goals attained with stretching:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">It relieves tension in the neck, shoulders, and upper back.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">It enhances blood circulation to the affected area.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">It enhances flexibility.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">It reduces stress and promotes relaxation.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">2. Strengthening exercises:<\/span><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7621\" src=\"https:\/\/mauryaayurveda.com\/wp-content\/uploads\/2025\/01\/ISOMETRIC-NECK-STRENGTHENING-300x300.jpg\" alt=\"ISOMETRIC NECK STRENGTHENING-PCS\" width=\"367\" height=\"367\" \/><\/p>\n<p><span data-preserver-spaces=\"true\">Key techniques in strengthening are:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Deep neck flexor strengthening.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Scapular retraction.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Chin tucks with resistance.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Isometric neck strengthening.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Wall angles.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Shoulder blade push-ups.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Resistance band rows.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Dead bug core exercise.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">Benefits of strengthening exercises:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">It improves neck stability.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">It supports posture.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">It helps to manage symptoms.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">It enhances overall functions.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">It restores balance.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">3. Frenkel exercises:<\/span><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7622\" src=\"https:\/\/mauryaayurveda.com\/wp-content\/uploads\/2025\/01\/MARCHING-IN-A-PLACE.jpeg\" alt=\"MARCHING IN A PLACE-PCS\" width=\"341\" height=\"273\" \/><\/p>\n<p><span data-preserver-spaces=\"true\">These are done slowly, and in repetitive patterns to improve balance, coordination, and proprioception.<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">a) Lying position:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Heel slide: It improves coordination of the lower limb.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Alternate heel touch: It aids in the coordinated leg movements of both legs.\u00a0<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">These are given as beginner-level exercises.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">b) Sitting position:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Marching in place: It develops rhythmic leg movements.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Ankle circles: It develops coordination of the ankle and foot.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">These are given as intermediate levels.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">c)Standing position;<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Sidestep: It helps to attain balance and lateral coordination.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Toe-to-heel walking: It improves balance and gait control.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">These are given as advanced-level exercises.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">d)Advanced coordination(Dynamic movements):<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Balancing on one leg: It helps to enhance proprioception and stability.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Tracing shapes: It usually supports visual and motor coordination.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">3. Gaze stabilization Exercises:<\/span><\/h4>\n<p><span data-preserver-spaces=\"true\">These are designed to improve the vestibulo-ocular reflex(VOR), which helps stabilize the vision during head movements.<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Focus on stationary targets while moving the head.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Move the head and target in opposite directions while keeping the target in focus.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Progressions: Increase speed or complexity using different backgrounds, distances, or dual-tasking.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">4. Balance and postural Training:<\/span><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7623\" src=\"https:\/\/mauryaayurveda.com\/wp-content\/uploads\/2025\/01\/TANDEM-STANCE.png\" alt=\"MARCHING IN A PLACE-PCS\" width=\"396\" height=\"272\" \/><\/p>\n<p><span data-preserver-spaces=\"true\">Address deficits in static and dynamic balance, <\/span><span data-preserver-spaces=\"true\">that are<\/span><span data-preserver-spaces=\"true\"> common in vestibular disorders.<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">a)Static balance:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Standing on one leg.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Tandem stance(heel to toe).<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Standing on foam or unstable surfaces.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">b)Dynamic balance:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Walking with head turns(horizontal\/vertical).<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Obstacle courses.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Walking on uneven surfaces or slopes.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">5.Gait Training:<\/span><\/h4>\n<p><span data-preserver-spaces=\"true\">Improves walking stability by incorporating exercises like:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Walking with varied speeds or directions.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Dual-task walking (eg: walking while holding an object or counting).<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Walking on narrow paths\u00a0or uneven surfaces.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">5. Relaxation techniques:<\/span><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7624\" src=\"https:\/\/mauryaayurveda.com\/wp-content\/uploads\/2025\/01\/PUSED-LIP-BREATHING-1-300x102.webp\" alt=\"PUSED LIP BREATHING-PCS\" width=\"394\" height=\"134\" \/><\/p>\n<p><span data-preserver-spaces=\"true\">Addresses associated anxiety or stress, which may exacerbate symptoms:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Breathing exercises.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Progressive muscle relaxation.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Yoga-inspired balance postures.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">6. Functional and cognitive training:<\/span><\/h4>\n<p><span data-preserver-spaces=\"true\">Enhances real-life adaptability.<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Stimulated activities of daily living(eg: picking objects, climbing stairs).<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Cognitive challenges during balance tasks.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">Benefits:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Improves balance and spatial orientation.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Reduces dizziness and vertigo.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Enhances gaze stability, preventing nausea and visual disturbances during head movements.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">7. Oculomotor Therapy:<\/span><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7638\" src=\"https:\/\/mauryaayurveda.com\/wp-content\/uploads\/2025\/01\/SACCADIC-EYE-MOVEMENTS-300x208.webp\" alt=\"SACCADIC EYE MOVEMENTS-PCS\" width=\"366\" height=\"254\" \/><\/p>\n<p><span data-preserver-spaces=\"true\">Techniques:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Saccadic eye movements: Exercises to improve rapid shifting of gaze between targets.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Smooth pursuit training: Tracking a moving object to improve eye movement coordination.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Convergence training: Exercises to reduce symptoms like double vision and difficulty focusing.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">Benefits:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Alleviates eye strain, blurred vision, and headaches.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Enhances visual coordination and reading ability.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">8. Cervical Spine Therapy:<\/span><\/h4>\n<p><span data-preserver-spaces=\"true\">Techniques:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Manual Therapy: Gentle mobilizations and manipulations address joint restrictions.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Soft Tissue Techniques: Massage, myofascial release, and trigger\u00a0point therapy for neck muscles.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Postural Training Exercises: To correct forward head posture and neck alignment.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Stretching and strengthening exercises: To improve flexibility and endurance of cervical muscles.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">Benefits:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Reduces neck pain and associated headaches.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Improves posture and spinal alignment.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Restores cervical mobility and muscle balance.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">9. Neuromuscular Re-education:<\/span><\/h4>\n<p><span data-preserver-spaces=\"true\">Techniques:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Proprioceptive training: Exercises to enhance body awareness and joint position sense.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Dynamic balance training: Challenging tasks that require coordination of multiple systems, such as\u00a0single leg stance or agility drills.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Gait training: Addressing abnormalities in walking patterns caused by dizziness or imbalance.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">Benefits:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Reduces pain and muscle tension.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Promotes relaxation and recovery.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">10.Pain management techniques:<\/span><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7574\" src=\"https:\/\/mauryaayurveda.com\/wp-content\/uploads\/2024\/12\/TENS-ENCEPHALITIS-300x277.webp\" alt=\"TENS-PCS\" width=\"338\" height=\"312\" \/><\/p>\n<p><span data-preserver-spaces=\"true\">Techniques:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Electrical Stimulation: Transcutaneous Electrical Nerve Stimulation(TENS) for pain relief.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Heat or Cold Therapy: For muscle tension and inflammation.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">\u00a0<\/span><span data-preserver-spaces=\"true\">Benefits:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Reduces pain and muscle tension.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Promotes relaxation and recovery.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">11. Cognitive and breathing exercises:<\/span><\/h4>\n<p><span data-preserver-spaces=\"true\">Techniques:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Diaphragmatic Breathing: To reduce stress and enhance oxygenation.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Mindfulness training: Combining relaxation techniques with body awareness.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Dual-task exercises: Performing motor tasks alongside cognitive challenges to improve mental focus.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">Benefits:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Reduces anxiety and mental fog.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Enhances cognitive function and multitasking abilities.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Promotes relaxation and mental clarity.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">12. Patient Education:<\/span><\/h4>\n<p><span data-preserver-spaces=\"true\">Techniques:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Teaching proper sleep hygiene.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Guidance on activity pacing to avoid symptom exacerbation.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Ergonomic advice for work\u00a0and daily tasks.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">Benefits:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Empowers patients with tools to manage symptoms independently.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Reduce risk of re-injury.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Enhances overall quality of life.<\/span><\/li>\n<\/ul>\n<h2><span data-preserver-spaces=\"true\">ROLE OF ACUPUNCTURE IN POST-CONCUSSION SYNDROME(PCS):<\/span><\/h2>\n<p><span data-preserver-spaces=\"true\">Acupuncture, an ancient Chinese medical practice, <\/span><span data-preserver-spaces=\"true\"> plays a supportive role in managing PCS particularly in<\/span><span data-preserver-spaces=\"true\"> alleviating symptoms and aiding recovery.<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">Techniques of Acupuncture:<\/span><\/p>\n<h4><span data-preserver-spaces=\"true\">1. Needling<\/span><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7625\" src=\"https:\/\/mauryaayurveda.com\/wp-content\/uploads\/2025\/01\/acupuncture-for-concussion-symptoms--300x194.jpg\" alt=\"NEEDLING-PCS\" width=\"429\" height=\"277\" \/><\/p>\n<h4><span data-preserver-spaces=\"true\">Targeted points:<\/span><\/h4>\n<ul>\n<li><span data-preserver-spaces=\"true\">GV20(Baihui): Enhances circulation to the brain and promotes neurological repair.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">GB20(Fengchi): Relieves headaches, dizziness, and neurological symptoms.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">ST36(Zusanil): Strengthens the immune system and boosts energy levels.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">L14(Hegu): Used together to balance the nervous system and reduce inflammation.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">2. Electroacupuncture:<\/span><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7626\" src=\"https:\/\/mauryaayurveda.com\/wp-content\/uploads\/2025\/01\/electro-acupuncture--300x200.jpg\" alt=\"ELECTROACUPUNCTURE-PCS\" width=\"428\" height=\"285\" \/><\/p>\n<p><span data-preserver-spaces=\"true\">Mild electrical stimulation <\/span><span data-preserver-spaces=\"true\">applied<\/span><span data-preserver-spaces=\"true\"> to needles may enhance therapeutic effects, especially for neurological recovery.<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">Benefits of Acupuncture in Encephalitis:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Pain relief: Reduces headaches and discomfort without relying heavily on medication.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Reduced dependence on medication: Alleviates symptoms, minimizing side effects from drugs.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Enhanced recovery: May speed up recovery by improving circulation, reducing inflammation, and promoting neural repair.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Support for mental health: Improves mood and reduces stress, <\/span><span data-preserver-spaces=\"true\">which are<\/span><span data-preserver-spaces=\"true\"> critical during recovery.<\/span><\/li>\n<\/ul>\n<h4><span data-preserver-spaces=\"true\">3. Benefits of yoga and pranayama:<\/span><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7627\" src=\"https:\/\/mauryaayurveda.com\/wp-content\/uploads\/2025\/01\/PRANAYAMA.png\" alt=\"PRANAYAMA-PCS\" width=\"390\" height=\"390\" \/><\/p>\n<p><span data-preserver-spaces=\"true\">Yoga and pranayama play a significant role in <\/span><span data-preserver-spaces=\"true\">the management of<\/span> <span data-preserver-spaces=\"true\">Post-<\/span> <span data-preserver-spaces=\"true\">Concussion Syndrome<\/span><span data-preserver-spaces=\"true\">(PCS).<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">It enhances neurological recovery by improving blood flow to the brain. <\/span><\/li>\n<li><span data-preserver-spaces=\"true\">It enhances neural repair and reduces symptoms like\u00a0dizziness, headaches, and mental fog.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Many PCS patients experience anxiety and depression. Both yoga and pranayama activate the parasympathetic nervous system, reducing hormones, and cortisol and promoting relaxation.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">It also enhances focus, memory, and mental clarity by increasing brain function and calming an overactive brain.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Gentle yoga stretches, release tension in the neck, shoulders, and head which can alleviate tension headaches\u00a0and improve posture.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Deep breathing exercises regulate the sleep-wake cycle and improve the quality of sleep, which is often disturbed in PCS.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Pranayama improves oxygenation of tissues, <\/span><span data-preserver-spaces=\"true\">revitalizing<\/span><span data-preserver-spaces=\"true\"> the body and <\/span><span data-preserver-spaces=\"true\">reducing<\/span> <span data-preserver-spaces=\"true\">fatigue, a<\/span><span data-preserver-spaces=\"true\"> common symptom of PCS.<\/span><\/li>\n<\/ul>\n<h2><span data-preserver-spaces=\"true\">THE GENERAL DIET GUIDELINES SUGGESTED IN OUR HOSPITAL ARE:<\/span><\/h2>\n<ul>\n<li><span data-preserver-spaces=\"true\">Avoid physically demanding activities.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Drink between 2.5 and 3 liters of water.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">The following foods are recommended:<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Meals that are steamed, like chapati, put, idiyappam, and unfermented appam.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Vegetables that have been boiled.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Hot kanji.<\/span><\/li>\n<\/ul>\n<p><span data-preserver-spaces=\"true\">Foods that are discouraged include\u00a0<\/span><\/p>\n<ul>\n<li><span data-preserver-spaces=\"true\">Dosa, idli, and fermented appam.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Tubers include potatoes, tapioca, and sweet potatoes.<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Non-vegetarian meat, fish, and eggs (may be eaten in curry, if required).<\/span><\/li>\n<li><span data-preserver-spaces=\"true\">Fast food, greasy and fried foods, cold food, pickles, fruits, dry fruits, nuts, milk, and milk products.<\/span><\/li>\n<\/ul>\n<p><b>DISCLAIMER: The information provided in this article is intended solely for educational\u00a0 purposes. Treatment decisions should be made exclusively by a well-qualified Ayurvedic physician. Self-medication is strongly discouraged.<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Maurya Ayurveda Hospital, opposite to Sabine Hospital, Pezhakkapilly P.O,Muvattupuzha,Ernakulam;PIN:686673,Contact no:9947183000<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Email: <\/span><a href=\"mailto:info@mauryaayurveda.com\"><span style=\"font-weight: 400;\">info@mauryaayurveda.com<\/span><\/a><\/p>\n<p><a href=\"https:\/\/maps.app.goo.gl\/RiX9pWERrdNrVMks9\" rel=\"nofollow noopener\" target=\"_blank\"><span style=\"font-weight: 400;\" data-rich-links=\"{&quot;fple-t&quot;:&quot;Maurya Ayurveda Ortho &amp; Neuro Rehabilitation Centre ( Ayurveda Hospital )&quot;,&quot;fple-u&quot;:&quot;https:\/\/maps.app.goo.gl\/RiX9pWERrdNrVMks9&quot;,&quot;fple-mt&quot;:null,&quot;type&quot;:&quot;first-party-link&quot;}\">\u0645\u0631\u0643\u0632 \u0645\u0627\u0648\u0631\u064a\u0627 \u0623\u064a\u0648\u0631\u0641\u064a\u062f\u0627 \u0644\u062a\u0642\u0648\u064a\u0645 \u0627\u0644\u0639\u0638\u0627\u0645 \u0648\u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u062a\u0623\u0647\u064a\u0644 \u0627\u0644\u0639\u0635\u0628\u064a (\u0645\u0633\u062a\u0634\u0641\u0649 \u0627\u0644\u0623\u064a\u0648\u0631\u0641\u064a\u062f\u0627)<\/span><\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Post-concussion syndrome(PCS) is defined as the persistence of concussion symptoms such as headache, dizziness, fatigue, and difficulty in concentrating beyond the acute recovery phase, typically lasting more than 4 weeks in adults and children. It\u2019s considered a form of chronic sequelae of a mild traumatic brain injury. In Ayurveda, this condition can be correlated to [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":7612,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[170,79,69,167,71,38,164,36,1,166,165],"tags":[],"class_list":["post-7553","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ailments","category-ayurveda-drugs","category-ayurvedic-treatments","category-food-as-medicine","category-naturopathy","category-news-and-updates","category-physiotherapy-treatment","category-treatments","category-uncategorized","category-wellness-care","category-yoga"],"_links":{"self":[{"href":"https:\/\/mauryaayurveda.com\/ar\/wp-json\/wp\/v2\/posts\/7553","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mauryaayurveda.com\/ar\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mauryaayurveda.com\/ar\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mauryaayurveda.com\/ar\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/mauryaayurveda.com\/ar\/wp-json\/wp\/v2\/comments?post=7553"}],"version-history":[{"count":0,"href":"https:\/\/mauryaayurveda.com\/ar\/wp-json\/wp\/v2\/posts\/7553\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/mauryaayurveda.com\/ar\/wp-json\/wp\/v2\/media\/7612"}],"wp:attachment":[{"href":"https:\/\/mauryaayurveda.com\/ar\/wp-json\/wp\/v2\/media?parent=7553"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mauryaayurveda.com\/ar\/wp-json\/wp\/v2\/categories?post=7553"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mauryaayurveda.com\/ar\/wp-json\/wp\/v2\/tags?post=7553"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}