Successful Management of Proctalgia Fugax through Ayurveda and Yoga: A Case Report
Keywords:
Ashwini Mudra, Ayurveda, Proctalgia fugax, Tuni, YogaAbstract
Proctalgia fugax (PF) is a functional and recurrent anorectal pain lasting from seconds to minutes without organic pathology for more than 3 months with unknown etiology. Based on the origin and nature of pain, it resembles Tuni in Ayurveda. We report a case of a 47-year-old female previously diagnosed with PF, which did not improve after 2 months of conservative treatment, treated with Ayurvedic medicines, therapies, and the practice of Ashwini Mudra (AM). The symptoms completely resolved after 3 months of treatment. The recurrent episodes of pain were not reported after 5 months of follow-up. No adverse events were reported during the treatment. Ayurvedic management and AM could be treatment options for PF. Further future studies in large-scale patient populations are needed to gather evidence.
Downloads
References
Bharucha AE, Wald A, Enck P, Rao S. Functional anorectal disorders. Gastroenterology. 2006;130:1510-8.
Potter MA, Bartolo DC. Proctalgia fugax. Eur J Gastroenterol Hepatol. 2001;13:1289-90.
Jeyarajah S, Purkayastha S. Proctalgia fugax. CMAJ. 2013;19:417.
Sharma AR, editor. Sushruta Vimarsini Hindi commentator of Sushruta Samhita. Varanasi: Chaukhamba Surbharati Prakashan; 2012.
Bramhananda T, editor. Charakchandrika Hindi commentator of Charak Samhita. Varanasi: Chaukhamba Surbharati Prakashan; 2010.
Carrington EV, Popa SL, Chiarioni G. Proctalgia syndromes: Update in diagnosis and management. Curr Gastroenterol Rep. 2020;9:35.
Katsinelos P, Kalomenopoulou M, Christodoulou K, Katsiba D, Tsolkas P, Pilpilidis I, Papagiannis A, Kapitsinis I, Vasiliadis I, Souparis T. Treatment of proctalgia fugax with botulinum A toxin. Eur J Gastroenterol Hepatol. 2001;13:1371-3.
Sharma V, Shukla SS, Gidwani B, Pandey RK. Antiarthritic activity and inflammatory mediators modulation effect of traditional Ajmodadi Churna on arthritis experimental model. J Pharmacopuncture. 2023;30:257-64.
Sut N, Kahyaoglu-Sut H. Effect of aromatherapy massage on pain in primary dysmenorrhea: A meta-analysis. Complement Ther Clin Pract. 2017;27:5-10.
Marzouk TM, El-Nemer AM, Baraka HN. The effect of aromatherapy abdominal massage on alleviating menstrual pain in nursing students: A prospective randomized cross-over study. Evid Based Complement Alternat Med. 2013;2013:742421.
Hayashi E, Aoyama M, Fukano F, Takano J, Shimizu Y, Miyashita M. Effects of bathing in a tub on physical and psychological symptoms of end-of-life cancer patients: An observational, controlled study. J Hosp Palliat Nurs. 2022;1:30-9.
Dudhamal TS, Baghel MS, Bhuyan C, Gupta SK. Comparative study of Ksharasutra suturing and Lord’s anal dilatation in the management of Parikartika (chronic fissure-in-ano). Ayu. 2014;35:141-7.
Joshi AM, Arkiath Veettil R, Deshpande S. Role of yoga in the management of premature ejaculation. World J Mens Health. 2020;38:495-505.
Pradhan AK, Sahoo PK, Sahu SK. Effective management of acute anal fissure through Ayurveda and yoga. Yoga Mimamsa. 2024;56:54-6.
Pradhan AK, Giri P, Sahu SK. Successful Management of Proctalgia Fugax through Ayurveda and Yoga: A Case Report. IRJAY [online]. 2025;8(7):13-16. Available from: https://irjay.com. DOI: https://doi.org/10.48165/IRJAY.2025.80703
