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Volume 2 - Issue 3 (May-Jul)

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Review Article<br />

Hand Arm Vibration Syndrome<br />

Previously, this was known as ‘white finger’- a part of<br />

Raynaud’s phenomenon. This occurs due to decreased<br />

blood flow and is commonly seen in persons who<br />

continuously use high frequency vibrating machines.<br />

Studies reveal that the dentists are more prone for this<br />

disorder than rock drillers. Garlic (Allium sativum) 5<br />

and ginkgo are effective in increasing the circulation.<br />

Systemic garlic consumption can be increased through<br />

our diet. Ginkgo (Ginkgo biloba) 2 leaf extract contains<br />

flavonoids, glycosides, terpenic lactones (ginkgolides),<br />

which increases the elasticity of vessel walls and<br />

rheologic properties of blood.<br />

Backache<br />

This is a very common disorder seen among dentists,<br />

which usually originates from the muscles, nerves,<br />

bones or joints. Red pepper and devils claw are<br />

very effective in alleviating back ache. Red pepper<br />

(Capsicum annuum) 6 contains capsaicin, which is a<br />

powerful anti-inflammatory and analgesic agent. It<br />

can be mashed and applied directly over the affected<br />

region. The secondary storage root of devils claw<br />

(Harpagophytum procumbens) commonly called as ‘puli<br />

nakham’ 3 contains glycosides, phenols and flavinoids<br />

and is found to be an effective anti-inflammatory and<br />

analgesic. The harpagosides inhibits the lipooxygenase<br />

and cyclooxygenase pathways of inflammation.<br />

Carpal Tunnel Syndrome<br />

It is considered as a repetitive stress injury more prone to<br />

endodontists caused by frequent flexion and extension<br />

as in a filing motion. Numbness, tinkling or burning<br />

sensation in the thumb and fingers, particularly the<br />

index and middle fingers are the common symptoms<br />

associated with this syndrome. The tunnel formed<br />

by the carpal bones of the wrist houses the median<br />

nerve which gets compressed by inflammation of the<br />

tendons, which pass through it. Resin from bark of<br />

boswellia (Boswellia serrata) 2 is an anti-inflammatory<br />

(lipooxygenase inhibitor) and analgesic agent. Tea<br />

made from the bark of willow (Salix babylonica) 5<br />

provides anti-inflammatory action by inhibiting the<br />

cyclooxygenase pathway. It is called as ‘natural asprin’<br />

as it contains salicin, which has the chemical structure<br />

similar to aspirin. Another most important herb is<br />

turmeric (Curcuma longa) 6 which contains curcumin.<br />

It is a powerful anti-inflammatory agent. Turmeric<br />

inhibits both cyclooxygenase and lipooxygenase<br />

pathway of inflammation.<br />

Conclusion<br />

Hope this review can go a long way in encountering and<br />

preventing most of the cumulative trauma disorders in<br />

a more acceptable way and in accordance with nature.<br />

Thereby, helping the dental surgeon to maintain a<br />

healthy professional life - the ayur way.<br />

References<br />

1.<br />

2.<br />

3.<br />

4.<br />

5.<br />

6.<br />

Ashtanga Hridayam (Vagbhata Published by Chaukhamba<br />

Sanskrit pratishthana).<br />

Bhaishajya Ratnavali (Govinda Dasa; Published by<br />

Motilal Banarasi Das).<br />

Charaka Samhita (Charaka; Published by Chaukhamba<br />

Sanskrit Pratishthana).<br />

www.herbalremediesworld.com<br />

www.herbalremedypro.com<br />

www.who.int (WHO Geneva 2004; Guidelines on<br />

Herbal Pharmacovigilance).<br />

Indian Journal of Multidisciplinary Dentistry, Vol. 2, <strong>Issue</strong> 3, <strong>May</strong>-<strong>Jul</strong>y 2012<br />

513

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