Clinical Evaluation of Nasya Karma as a Panchakarma-Based Neurotherapeutic Intervention in Writer’s Cramp: A Single-Case Study

Abstract

Writer’s cramp, a form of focal hand dystonia, presents as a task-specific movement disorder primarily affecting individuals involved in repetitive hand movements such as writing. It is characterized by involuntary muscle contractions, leading to abnormal postures and impaired motor control. While conventional treatment options offer limited symptomatic relief, Ayurveda provides a holistic approach rooted in balancing the Doshas and restoring neuromuscular coordination. The symptoms of Kapha Aavruta Vyana Vayu are very similar to those of Primary writer's cramp. Therefore, this study applies Kapha Aavruta Vyana Vayu treatment to writer's cramp. This case study outlines the effective Ayurvedic management of a 29-year-old male patient diagnosed with Primary writer’s cramp, utilizing a Panchakarma treatment protocol. The therapeutic strategy primarily involved Nasya (the nasal administration of medicated oil), Shiro Pichu (Oil Retention on the Vertex of the Head), Shamana Snehapana (oral administration of medicated ghee or oil), Abhyanga (a therapeutic massage), Swedana (a sudation therapy), and internal medication aimed at pacifying Kapha Aavruta Vata dosha, which is considered the predominant factor in neuromuscular conditions according to Ayurveda. This case highlights the potential of Panchakarma interventions as effective, non-invasive approaches for managing Primary writer's cramp and related movement disorders. The integrative Ayurvedic approach paves the way for additional clinical research and encourages collaboration across multiple disciplines.