Dark neck and thickened skin can be embarrassing for many people. Usually, people try to use numerous creams and beauty items for skin lightening around the neck or armpit. What we need to know here is that the dark thickened skin fold is a sign of deeper insulin resistance issues than just beauty!

Clinically referred to as Acanthosis nigricans, the skin is dark, coarse and thickened with a velvety texture, symmetrically distributed to the neck, axillae, antecubital and popliteal fossae, and groin folds. It is a reactive skin alteration closely associated with obesity, insulin resistance, and hyperinsulinemia; endocrine disease; or malignancy.

Acanthosis nigricans is associated with metabolic syndrome and is primarily observed in obese and PCOS cases  are caused by overproduction of hormones, primarily glucocorticoid, androgen and insulin.

Eating too many of the junk foods, particularly refined sugar and carbohydrates, may cause insulin resistance. This would result in higher levels of insulin. Many patients with acanthosis nigricans have higher insulin levels than those of the same weight without acanthosis nigricans.

Increased insulin levels in the body stimulate insulin receptors in the skin, making it develop abnormally. Reducing circulating insulin by dieting or medication can lead to an improvement in the skin issue.

Treatment for Darkening of Skin

Acanthosis nigricans is a treatable condition, however, it is difficult to achieve complete cure and disappearance of lesions. One of the  is the most scientific and practical management strategy is Weight reduction.

Treatment of AN is usually unsatisfactory or frustrating. External creams are partially effective. Majorly treatments are focused on correcting  the contributing factors such as obesity, hyperinsulinemia and insulin resistance related PCOS.

Ayurveda prescribes use of  herbal alternatives to insulin sensitizers along with therapies like Udvartana, Classical Virechana and weight management and treatment for insulin resistance. Ideally  treating the root cause plays vital role here.

There has to be a lifestyle changes in diet and exercise which can correct insulin resistance. Beauty of this is once you lose weight and correct insulin resistance one can see remarkable changes in skin and it becomes lighter.

Care and Prevention

  • Lifestyle modifications like regular exercise, Healthy diet and reducing weight if obese.
  • One can use Ayurveda Herbal scrubs, Eladi choorna or massages like Udvartana which not only help in weight loss and cellulites even works great herbal scrub.
  • Intake of  Warm water with lemon or  Wheat grass juice helps in insulin resistance and further arrest progression.
  • As melanin has no role to play in the pigmentation so fairness creams or SPF sunblock wont work in reducing darkening.
  • If one has been having dark neck with overweight and family history of diabetes, its extremely important to prevent it by losing weight and opting for healthy lifestyle than any creams.


PCOS is a common hormonal condition that affects 10 percent of women of reproductive age. PCOS women have higher levels of male hormone androgens, and high levels of insulin, which is a hormone used to control blood sugar.

Patients with PCOS/PCOD come with lot of anxiety and wrong perception and myths. So lets clear some of their doubts from the following

Myth #1: Single symptom indicate you have PCOS

PCOS is a syndrome or a set of symptoms so that a diagnosis cannot suffice by a single sign or symptom. PCOS women will have two of the following three criteria:

  • Irregular periods or sometimes scanty bleeding
  • Excess hair growth, acne or hair loss are some of the signs due to  increased levels of androgens (hormones that give “male” characteristics).
  • Ovaries enlarged with lots of small follicles containing immature eggs (known as polycystic ovaries) Which can be seen with ultrasound scan of pelvis

Myth #2: You Can’t Get Pregnant if You Have PCOS

This isn’t true for all cases of PCOS. A number of Ayurveda herbs and therapies can stimulate ovulation, which is a key issue for women with PCOS and infertility.

If you have PCOS and finding it harder to get pregnant, then focus on regular ovulation, Quality of ovum, endometrial lining and balanced hormones. A holistic approach. 

Myth #3: All women with PCOS are at risk of ‘metabolic complications’

PCOS is associated with insulin resistance and chances of getting type 2 diabetes and metabolic syndrome* are high if neglected (*collection of factors such as high blood pressure and poor cholesterol levels).

Some women who do not have excess androgen and are diagnosed due to irregular menstrual cycles and polycystic ovaries may not have metabolic complications or weight gain. 

Myth #4: PCOS prevents you to  lose weight

There is connection between PCOS and weight gain as they have insulin resistance. Women with PCOS are more to have overweight than women without the condition.

While many women with PCOS report difficulty losing weight and experience greater susceptibility to weight gain, weight management interventions, such as diet and lifestyle change programs, have found that women lose same amount of weight with and without PCOS.

Myth #5: If You Lose Weight, You Can Get Rid of PCOS

Unfortunately, that’s not the only remedy for PCOS, but overweight and obese people may help to regulate their hormone levels by losing weight. Otherwise, therapy is intended to manage symptoms.

A wide range of ayurveda treatment options can help prevent potential problems. Taking Panchakarma Detox not only regularize hormones but also aids in weight loss.

Myth #6: You Did Something to Cause It

When the exact cause of PCOS is unknown, one thing is certain: You are not to blame. However, a variety of factors-including genetics-are generally believed to play a role.

Androgens, or male hormones, are controlling the development of male traits. PCOS women have more androgens than normal, which are able to prevent and make regular menstrual cycles difficult.

A number of women with PCOS have insulin resistance. This is most common in women who are overweight or obese, have poor diet and exercise habits, or have a family history of type 2 diabetes. Women whose mothers and sisters are more likely to be affected by this disease as well.

Myth #7: Women with PCOS don’t need to use contraception

Most of the women with PCOS may have trouble in conceiving naturally and  needs medication to help them ovulate when they want to conceive. However many women with PCOS also conceive spontaneously and achieve their desired family size. Since they have irregular menstrual cycles, they cannot predict exact date of ovulation. Certainly it is harder to get pregnant with PCOS, many women still ovulate intermittently and hence it is important to still use contraception”.

4 Ways of Hair Fall Treatments in Ayurveda

Increasingly, people are turning to natural hair loss remedies as they look for thinning hair. This has an obvious appeal for many hair fall sufferers. The most popular ingredients of natural hair fall treatments include Ayurveda therapies, natural packs and herbal supplements and medicines in few cases.

Without going deeply into cause of hair fall, if we take general conditions, It is becoming increasingly evident that poor nutrition and modern lifestyles can have a negative impact on health, and hair loss is no exception. Like your skin, your hair also needs nutrition from the inside out. If your diet is deficient in hair-friendly foods, or your digestion is not efficient then it definitely leads to thinning and cutting of hairs, fall from the root and finally the baldness. Start eating healthy balanced food to have a healthy and shining hair. This can be achieved by

  • Eating adequate amounts of natural protein.
  • Eating appropriate levels of useful carbohydrates.
  • Achieving a healthy balance of dietary fats.
  • Adding supplements and antioxidants in food form.

The hair fall treatments outlined here cannot provide definitive cures for all hair loss conditions, as some may be because of other health issues like PCOS, hypothyroid, menopause, post pregnancy  or hormonal imbalances which has to be considered separately.

Ayurveda focuses on  four basic approaches for hair fall:

Head massage with Medicated oil

Head massage with oils like Brigaraja taila, Kayyunyadi, Neelibringadi, Bramhi taila and many more oils  helps to increase circulation to scalp and keeping it moist. This helps in reversing the hair fall which will be best alternative pre-wash hair conditioner Weekly oil massage for head is another simple solution to hair fall.

External Destress therapy -Shirodhara

Shirodhara, with the  medicated hair oil  treatment  not only stimulate hair growth, but also treat stress. Arrest hair fall and nourish scalp. Hair roots can be strengthened by Brahmi taila and the massage improves blood circulation which intends hair growth.

Herbal Hair Packs

Herbal pack application along with oil massage and steam for head. Pastes for local application over scalp like Bhringpushadi lepa, Mandoor bhasma, amlaki churna, japapushpa, triphala, Aloevera, Hibiscus  are used to reduce hair fall. This can be combined differently for hair fall along with  grey hairs as well as dandruff.

Panchakarma Nasya

In the Intense Hair fall cases panchakarma advised is Nasya (nasal drop) – Ayurveda recommends  that everybody should take nasal drops of Anu taila every year during the rainy, autumn and spring season. Along with many other benefits, it prevents hair fall and also accelerates the growth of hair. Nasya therapy nourishes hair follicles which strengthen the hair and reduce falling.

In Ayurveda, Rejuvenation -‘Rasayana Chikitsa’ is carried out for overall health benefits and age reversing process. This program focuses on the restoring complete health  along with reversing hair fall and arresting greying of hairs if done properly .

Finally healthy and vibrant hair helps a lot in improvement of personality. Therefore, to stay hair in healthy state is entirely duty of person, because just like face, hair is additionally a mirror of healthy state of body. One can use Natural ways to keep healthy hair.


‘50 year-old female patient Mrs Vandana  presented to our clinic with a history of heel pain that had started 6 months ago and making her difficulty to get and walk early morning and do her routine activity. The pain was intermittent and increased with sport activities such as walking, or long standing. She felt the pain as stabbing pain at  bottom of her feet that can be felt when she first stands up in the morning or during the initial steps of walking after sitting for a prolonged period. ‘

PLANTAR HEEL PAIN is the most prevalent complaint in adults with foot related pains. Patients present with severe pain at the plantar region of the heel on raising from the bed and placing the foot on the ground. Pain is severe with first steps on rising in the morning and even after the prolonged time of inactivity worsens when they walk barefoot or climb stairs or walk for a long time.

Factors that contribute to the risk of developing heel pain

  • Excess weight/obesity
  • Ill-fitting shoes
  • Increasing age
  • Patients with flat foot / high arch foot
  • High heeled and hard sole footwear.

How calcaneal spur is formed and what we need to look?

A calcaneal spur, is an abnormal bone outgrowth at the inferior part of the calcaneus, which is the most common site of bony spur occurrence and being common cause of heel pain.

Time of day when pain occurs, current shoe wear, type of activity level both at work and leisure, and history of trauma needs to be looked into.

How to manage Heel pain at home ?

In most cases, mild or moderate heel pain can be treated successfully with shoe padding and strapping of the foot, therapeutic orthotic insoles, stretching and physical therapy. Application of Ayurveda muscle relaxant pain oils, hot fomentation helps to reduce the intensity of the pain.

How to manage heel pain through Ayurveda ?

Vatakantaka (HEEL PAIN) as per Ayurveda is a painful condition of heel due to improper placement of foot on the ground or by walking over an irregular surface. This can be correlated to a calcaneal spur which is a calcium deposit causing a bony protrusion on the underside of the heel bone often frequently associated with plantar fasciitis, a painful inflammation of the fibrous band of connective tissue.

  • Initial treatment options may include padding  and using therapeutic orthotic insoles
  • Avoidance of flat shoes and barefoot walking, limitation of high-impact physical activities.
  • Patients usually have a clinical response within 6 weeks of initiation of treatment,with eliminate the inflammatory process, and to reduce tension and pain on the plantar fascia
  • During the acute inflammatory phase, local anti-inflammatory herbal pack is applied as lepa.
  • For chronic conditions combination of internal medications with guggulu kalpas and along with anti-inflammatory medications, Istika sweda special kind of steam for this condition is beneficial.

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