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Client complaints of acute low back pain and radiating pain on the right leg and off over the last year.
History of present illness
She states that that
from last May, she has pain, which worsens during night time, and she cannot
sleep. During that time, she was treated with muscle relaxants and rest. Her
symptoms recovered after about a week. More recently, in the last few weeks,
she has had a similar episode of discomfort. Pain present in the mid-low back
and spreads up into the lower right leg. Recently, the patient was seen by his
primary care for this discomfort, about a week ago. The client says that she
had a little bit of tingling in her left great toe at that time. She has been
using anti-inflammatories, muscle relaxants. She has not done any of the
physical therapy at this time.
Non-diabetic patient with no history of any injury.
The patient has a history of Allopathic medicines but had no relief.
G.C – Poor
Appetite – Decreased
Urine - Normal frequency and amount
Bowel – Constipated
Thirst - Normal
Sleep - disturbed due to pain
Pulse Rate- 72/min,
B.P. - 120/84mmHg
Pallor- Not Present
Icterus - Not present
Lymph nodes - Not enlarged
Cyanosis - Not present
Oedema- Not present
JVP – Not raised
Height - 5’4”
Weight – 128 pouds
SLR test positive on Right leg
30 degree on the right and 45 degrees on left
ASSESSMENT AND PLAN:
The patient is a 54-year-old female with a history of acute low back pain. After the ayurvedic examination, this client was diagnosed with suffering from Gridhrasi (sciatica), and a composite Ayurvedic treatment was given. Patrapinda Swedana for seven days and Kati Basti for seven days schedule were used as Panchakarma procedure
Ruksha Pottali Sweda (dry bolus fomentation in katipradesh (low back region) and full body
Further Kati-Basti (a procedure where specified medicated oil is
retained for a stipulated period in the Kati region) with herbal oil.
According to Ayurveda, Gridhrasi is a caused due to imbalance of Vata dosha, which results in intervening with the functional ability of low back & lower limbs. According to Arundutta, in his commentary, it is mentioned that due to Vata dosha in Kandara (tendon) the pain is produced at the time of raising leg straight and it restricts the movement of the thigh
In modern science, there is a condition called sciatica. The sciatica is the distribution of pain along the course of the sciatic nerve or its component nerve roots. Radiating deep-seated cramping pain in buttocks followed with numbness and paresthesia in lower extremities favors the diagnosis. Restricted SLR test consolidates the diagnosis clinically, and imaging techniques can confirm even the illness.
Patra Pinda Sweda (bolus fomentation) is used mainly to provide relief from pain, inflammation, swelling, and stiffness (catch) associated with bone, joint, and or musculoskeletal pains. (8)
In Kati Basti (local oil retention ), sukhoshna taila (lukewarm oil) is used over the Kati Pradesh. Sneha (oil) by its Snigdha (smoothness), guru (heaviness) and ushna Guna (hotness)
counteracts Vata and by using guna prevents Kapha also.(9).
Based on this single case study it can be concluded that Panchakarma treatments like Kati Basti and full-body polite massage had been useful in the management of Gridhrasi(sciatica)
Other recommended therapy
Local Churna pinda swedha – 7 sessions
Ekanaga Pichil (sahacahrdi oil) on the back – 7 sessions
Yoga for back pain
Dhaurasana ( Bow pose)
Ustraasana (camel pose )
Marjarasana (cat pose)
Mathyasana (Fish pose)
Trikonasana ( Extended triangle pose )
Naturopathy Therapy for back pain
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