Dr. S.M.H Senevirathne (Dr, Shantha)
Dr. S.M.H Senevirathne (Dr, Shantha) inherits a long tradition of orthopedic treatments in Sri Lanka. Honoring the true Sri Lankan rituals through a non-commercial practice without a price-tag, but purely for the betterment of humanity, Dr. S.M.H Senevirathne only expects a bundle of beetle leaves from the patients, a traditional mark of request to the doctor by the patient for treatment. Commencing the practice at least an hour before the dawn, he would treat at least 200 patients by dusk on an average day.
Dr. S.M.H Senevirathne cut his teeth in traditional indigenous orthopedic medicine when he was a young school boy in late 80s by helping his father Dr. S M Herathhamy who was a well-known orthopedic traditional practitioner in Sri Lanka. The last in the family of eleven children, Dr S.M.H Senevirathne was the rising star in the family displaying unequivocal talents of continuing the long tradition of indigenous medicine. He would whole-heartedly continue the non-commercial nature of the practice even in a highly commercialized environment in the present day context. With the pride of treating many Executive Presidents in the country, Dr S.M.H Senevirathne is regularly recognized as a royal practitioner in the traditional indigenous medicine. For these enormous works he granted Deshakeerthi, Dr. Shiromani, Lankabhimani, Aushadhawedi Nipun Deshamanya awards in the year of 2013.
Ayurveda names three elemental substances, the doshas (called Vata, Pitta and Kapha), and states that a balance of the doshas results in health, while imbalance results in disease. Ayurveda has eight canonical components, which are derived from classical Sanskrit literature.
The Heritage of Indigenous Medicine
The name and fame of Horiwila village in the North-Central province of Sri Lanka (over two hundred kilometers from Colombo) became world famous with the rich traditional orthopedic medicinal treatment that one family inherited for centuries and its unblemished continuation to the twenty first century. During its 1500 years of existence, this unique indigenous treatment system, in many times has superseded the orthopedic treatment techniques of the western and other medicinal procedures
Dr. Herathhamy was considered one of the best orthopedic and general physicians in Sri Lanka whose heritage goes back to more than 31 generations or at least 1500 years. The Horiwila indigenous medical tradition commenced from King Dhathusena era (455 A.D) and Dr Herathhamy’s reputation expanded beyond the shores of Sri Lanka, lived in a remote village in Sri Lanka’s North-Central Anuradhapura District, he had thousands of miraculous treatments for his credit derived from recipes which were confidential hereditary by the family tradition.
In one such an incident, in mid-80’s the mother of the Queen of Denmark climbed the Sigiriya Rock and she a fracture in one of her leg. “She was brought to me by Mr Silva of the Habarana Lodge hotel,” Dr Herathhamy told a newspaper a few years later. “In fact she has first opted to seek western type of treatment but after Mr Silva’s description on me, she agreed to meet me. I treated her for about two weeks while staying at the hotel. The leg was fully cured. Then, as a gesture, she built and donated a ward for the patients who are coming from faraway places. Mr Silva also helped. Now People are coming from France, Germany, England and many other countries for treatments. Once a German got treatments for his wounds which was more than six years older, said Dr Herathhamy.
All his medicinal secrets were relayed to his son Shantha Senevirathne – who later became a prominent member of the Ayurvedic Medical Council of Sri Lanka for the past two decades – who is doing a yeoman service for the preservation and development of Sri Lankan indigenous medicine, apart from treating thousands of patients – both local and foreign.
After completing his studies young Dr S.M.H Senevirathne but still would get attracted to his father Dr S M Herathhamy’s traditional practice. Thus, he became the best understudy of Dr. Herathhamy by late 80s and would perform miraculous treatment technics on patients with serious spinal and orthopedic injuries in his father’s presence. The proud father paved the way for the young doctor in the making and allowed him to continue the practice. In a few years young Dr Shantha became equally famous as an orthopedic surgeon and practitioner and received his registration from the Ayurvedic Medical Council as a fully-fledged indigenous medical professional in 1994.
Bone Fracture, Osteoporosis, Muscle Wasting and Spondylosis
A fracture is a broken bone. A bone may be completely fractured or partially fractured in any number of ways (crosswise, lengthwise, in multiple pieces).
Bones are rigid, but they do bend or “give” somewhat when an outside force is applied. However, if the force is too great, the bones will break, just as a plastic ruler breaks when it is bent too far.
The severity of a fracture usually depends on the force that caused the break. If the bone’s breaking point has been exceeded only slightly, then the bone may crack rather than break all the way through. If the force is extreme, such as in an automobile crash or a gunshot, the bone may shatter.
If the bone breaks in such a way that bone fragments stick out through the skin, or a wound penetrates down to the broken bone, the fracture is called an “open” fracture. This type of fracture is particularly serious because once the skin is broken, infection in both the wound and the bone can occur.
Common types of fractures include:
Stable fracture. The broken ends of the bone line up and are barely out of place.
Open, compound fracture. The skin may be pierced by the bone or by a blow that breaks the skin at the time of the fracture. The bone may or may not be visible in the wound.
Transverse fracture. This type of fracture has a horizontal fracture line.
Oblique fracture. This type of fracture has an angled pattern.
Osteoporosis causes bones to become weak and brittle so brittle that a fall or even mild stresses like bending over or coughing can cause a fracture. Osteoporosis-rel
Bone is living tissue that is constantly being broken down and replaced. Osteoporosis occurs when the creation of new bone doesn’t keep up with the removal of old bone.
Osteoporosis affects men and women of all races. But white and Asian women especially older women who are past menopause are at highest risk. Medications, healthy diet and weight-bearing exercise can help prevent bone loss or strengthen already weak bones.
There typically are no symptoms in the early stages of bone loss. But once bones have been weakened by osteoporosis, you may have signs and symptoms that include:
- Back pain, caused by a fractured or collapsed vertebra
- Loss of height over time
- A stooped posture
- A bone fracture that occurs much more easily than expected
Your bones are in a constant state of renewal new bone is made and old bone is broken down. When you’re young, your body makes new bone faster than it breaks down old bone and your bone mass increases. Most people reach their peak bone mass by their early 20s. As people age, bone mass is lost faster than it’s created.
How likely you are to develop osteoporosis depends partly on how much bone mass you attained in your youth. The higher your peak bone mass, the more bone you have “in the bank” and the less likely you are to develop osteoporosis as you age.
Muscle wasting is when muscles waste away. The main reason for muscle wasting is a lack of physical activity. This can happen when a disease or injury makes it difficult or impossible for you to move an arm or leg.
You may have muscle loss if one of your limbs appears smaller (not shorter) than the other. Schedule a physical exam to determine the cause of the loss. Your doctor will determine what treatment you need. In some cases, muscle wasting can be reversed with a proper diet, exercise, or physical therapy.
Causes of Muscle Wasting
Unused muscles can waste away if you are not active. However, this takes time. Even after it begins, this type of atrophy can often be reversed with exercise and improved nutrition.
Muscle wasting can also happen if you are bedridden or unable to move certain body parts due to a medical condition. Astronauts are subject to some muscle atrophy after a few days of weightlessness.
Other causes for muscle atrophy include:
- lack of physical activity (for any reason)
ed myopathy (pain and weakness in muscles due to excessive drinking over long periods of time)
- injuries and broken bones
- spinal cord injuries
- long-term corticosteroid therapy
Spondylosis refers to degeneration of the spine. The term can be used to describe degeneration in the:
Neck – called cervical spondylosis
Lower back – called lumbar spondylosis
Middle back – called thoracic spondylosis
Most often, the term spondylosis is used to describe osteoarthritis of the spine, but it is also commonly used to describe any manner of spinal degeneration.
As with many other terms to describe spinal problems, spondylosis is more of a descriptive term than it is a diagnosis. Literally it can be translated to mean that one has both pain and spine degeneration, regardless of what is causing the pain or where the degeneration is occurring.
- The patient may have pain from facet joint osteoarthritis, causing pain during times of high activity or after extended inactivity
- There could be spinal stenosis, an abnormal narrowing of the spinal canal, which is creating leg pain when the patient walks
- The pain could be caused by degenerative disc disease, in which a degenerated disc that becomes dehydrated and loses some of its function. The degenerated disc can cause low back pain or neck pain, and possibly leg pain or arm pain.
These examples are only a few of the many possible contributors to a patient’s pain.
After arriving at a confirmed clinical diagnosis for the cause of a patient’s pain (rather than just the finding that there is spondylosis, which may or may not be causing the pain), physicians then usually use more specific terms for the diagnosis (such as osteoarthritis, lumbar degenerative disc disease or cervical degenerative disc disease, or lumbar spinal stenosis or cervical spinal stenosis) because those terms more effectively describe what is causing the pain.