Sleeping on uneven surface, postural deformity, long standing upward or downward movement may lead to vitiate kapha and vata to produce manyasthambha.
In this disease there is difficulty in the neck movement along with pain, numbness and tingling sensation in upper extremity. In severe cases patient may feel vertigo and discomfort sometimes.
For its treatment kshipra, talahridaya, kurca, kurcasira, manibandha, indravasti, kurpara, urvi, ani marma along with dhamani, matrika, krikatika and amsa, amsaphalaka of back should be treated with rubbing, pressure, oil massage, paste application and fomentation.